YOUR RESOURCE

for Georgia's Vehicle Emissions Inspection & Maintenance (I/M) Program.

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Senior Exemption Application

Registered Owner Information

Vehicle Identification Information
Yes
No

Proxy Information (If Applicable)

Attach File

Copies of the following (scans, camera photos, etc., are acceptable but copies must be completely clear and readable):

  • Proof of age. Examples include a copy of your driver's license, passport or birth certificate.

  • Proof of ownership of the vehicle (in the form of a copy of the vehicle's Georgia registration or renewal notice (current or from last year), or the vehicle's Georgia title).

  • You must include copy of the proxy's drivers license or state ID, if applicable.

1

Attach Another File

If you need to add any additional documents to your application after it has been submitted, please email them to waivers@cleanairforce.com, and reference your waiver number. It is not necessary to submit a new application for changes, edits or new documents.


Electronic Signature
06.26.2019