Wheeled All-Terrain Vehicle (WATV) Road Use · PDF fileWheeled All-Terrain Vehicle (WATV) Road Use Declaration. ... • Have the dealer or repair shop fill out Section 1 and attach

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Wheeled All-Terrain Vehicle (WATV)Road Use Declaration

Use this form to certify and register a wheeled all-terrain vehicle (WATV) for public roadway use. This applies to WATVs originally labeled by the manufacturer as off-road use only.

You can’t ride your WATV on all public roads. Contact the city or county where you want to use your on-road WATV to find out where you can ride. For additional information, visit dol.wa.gov.

The operator of the WATV must have a valid Washington driver license. To register your WATV for public roadway use, you must:

• HaveyourWATVinspectedbyalicensedWashingtonWATVdealerormotorvehiclerepairshop.• HavethedealerorrepairshopfilloutSection1andattachtheinspectionfeereceipt.• CompleteSection2andtakethisformandownershipdocumentstoanyvehiclelicensingoffice.

Section 1 – Dealer or repair shop – Complete and sign. You are entitled to an inspection fee up to $50. It must be paid directly to you. Attach a copy of the receipt showing amount charged.

PRINT or TYPE Business name Unified Business Identification (UBI) number

Address (Address, City, State, ZIP code)

(Area code) Telephone number Email Vehicle Identification Number (VIN)

Modelyear Make Model

Inspection items

Headlight . Pass FailTail light. . . Pass FailReflectors . Pass FailBrakelight. Pass Fail

Brakes . . . . . . . . . . . . . . . Pass FailHorn . . . . . . . . . . . . . . . . . Pass FailMirror (left or right) . . . . . . Pass FailWindshield (if applicable) . Pass Fail

Turn signals (if applicable) . . . . Pass FailSeatbelts(ifutilitytypevehicle) Pass FailSparkarresterandmuffler . . . . Pass Fail

NOTE: All items must pass inspection to register this WATV.Certification

1.Didyouverifythevehicleidentificationnumber(VIN)orengineserialnumber? . . . . . . . . . . . . . . . . . . . . . . . Yes No 2. IstheWATVproperlyequippedwithallitemsrequiredbyRCW46.09? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.If signing for a business, I have full authority to do so.

Dateandplace(cityorcounty)signed Dealer/Repairshopauthorizedsignature

Section 2 – Registered owner–IfyouremoveanyoftheaboveequipmentfromyourWATV,itisnolongereligiblefor public road use and must be registered for off-road use only.

PRINT or TYPE Name Washington driver license number

Address (Street address, City, State, ZIP code)

(Area code) Telephone number Email

Certification

1.DoyouunderstandthisWATVwasnotmanufacturedforon-roaduseandhasbeenmodified foruseonpublicroads? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No 2.Totheextentpermittedbylaw,doyouagreetoindemnify,defend,andholdharmlessthestate ofWashington,counties,cities,towns,andtheDepartmentofLicensingfromallclaims,damages, losses,expenses,andcostsarisingoutoftheregistrationandoperationofthisWATV? . . . . . . . . . . . . . . . . Yes No

I certify under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct.

Dateandplace(cityorcounty)signed Registeredownersignature

RCW46.09

TD-420-003(R/7/16)WA