Get Psv 417 2024

Public Passenger Vehicles Act 1981 Application for a Certificate of Initial Fitness or Notification of Compliance with Directive 2001/85/EC YOUR DETAILS Please write in CAPITALS Name Address Post Code Tel No Fax No Test Station name or name of other premises where you wish the vehicle to be examined* See Note below. Note Examinations are normally conducted at VOSA Test Stations. It may however be possible to conduct the examination at another location but only with the agreement of the Certifying Officer. Test Station staff will contact you to arrange for the examination to be carried out. If the manufacturer has built the vehicle to the requirements of the Bus Directive 2001/85/EC please answer the following questions. Has the vehicle been type approved to the requirements of Directive 2001/85/EC If so please enclose copy of the Type Approval Certificate not been type approved Do you require a Notification of Compliance with Directive 2001/85/EC corresponding to the PSVAR requirements and additional PSVAR requirements Which other tests do you require Please tick the appropriate box Accessibility Certificate Schedule One - Wheelchair accessibility buses and coaches Seat belt installation check required Schedule Two - General Schedule Three - General Reduced Pollution Certificate required FEE DETAILS Please ensure that you have enclosed the correct fee. For current fees check with your local VOSA Test Station or contact the VOSA National Number on 0870 60 60 440 . Cheques or postal orders should be crossed and made payable to The Vehicle and Operator Services Agency . Please do not send notes or cash. What is the value of your cheque or postal order - If you wish to pay from a pre-funded account write the account number here Declaration I declare that to the best of my knowledge all statements made in this application are true. Signed Date Please send this form to VOSA Welcombe House 91/92 The Strand Swansea SA1 2DH For VOSA use only PSV417 June 2005 VEHICLE DETAILS Reg Mark Full Chassis VIN Number Make Model Year of Manufacture Chassis Body Fuel Engine Make Power kw Engine Model Upper deck Wheelchairs Height Maximum Lower deck Standees Number of Passengers Length External Dimensions mm Axle 1 Type of suspension eg air leaf etc Axle 2 Axle 3 Design weights shown on manufacturer s plate kg GVW Seat Belts in addition to any mandatory belts Have the additional belts all been subject to a statutory installation check or is the vehicle exempt by virtue of the manufacturer having provided evidence to the Vehicle and Operator Services Agency that the installation has been fully type approved Special features 1. Reclining seats 10. Double glazing 19. Television/video 2. Laterally adjustable seats 11. Wheelchair fittings 20. Aux. Engine/generator 3. Seats convert to bunks 21. Retarder 4. Bunk beds 13. Toilet 22. One person operation 5. Tables 14. Combustion heater 23. Tempo 100 6. Crew seats 15. Air conditioning 24. Alloy wheels 7. Crew compartment 16. Cooker 25. Exhaust brake 8. Luggage pen 17. Refrigerator 26. Restrained wheelchair space 9. External roof rack 18. Hot drink dispenser 27. Unrestrained wheelchair space 28. Wheelchair ramp Entrance door operation and type Manual Electric Air Plug Pivot Hinged Folding Sliding Note The Agency may require evidence that certain installations and/or systems have been type approved or tested to the requirements of the Regulations. This relates to those items which require specialist test facilities and applies to new chassis body or engine models for which the Agency has no previous record of compliance.