Smog & Rideshare Inspection Appointment Request Form

Smog & Rideshare Inspection Appointment Request Form
Service Selection*
Appointment Request*
Vehicle Year*
Vehicle Make*
License Plate or VIN*
e.g., D4RL1NG
Vehicle Gross Weight Rating (GVWR) Required for RV service. All other vehicles may select under 12,000.*

Under 12,000 GVWROver 12,000 GVWR
Please confirm the following terms:*

I confirm my vehicle is NOT STAR-directed and I have verified this at bar.ca.gov/inspection using my plate or VIN.I confirm my vehicle’s GVWR is under 12,000 lbs (usually only relevant with RVs).I understand a $20 deposit is required to book. The deposit will be applied to my service total. No-shows or cancellations made less than 24 hours before the appointment will forfeit the deposit.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.

My Products*

Smog Check OR Rideshare Inspection Deposit

I understand a $20 deposit is required to book. The deposit will be applied to my service total. No-shows or cancellations made less than 24 hours before the appointment will forfeit the deposit.

$20.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

Signature *

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