for Georgia's Vehicle Emissions Inspection & Maintenance (I/M) Program.
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.
Attach Another File
If you need to add any additional documents to your application after it has been submitted, please email them to firstname.lastname@example.org, and reference your waiver number. It is not necessary to submit a new application for changes, edits or new documents.
As the owner of this vehicle, I certify and represent, under the penalty of law, the information provided herein, and all accompanying documentation supplied with this application, is true, correct and authentic. I understand and acknowledge that submitting false information or fraudulent statements or writings in a matter under the jurisdiction of a state agency is a crime and can result in fines, imprisonment or both (O.C.G.A 16-10-20).
Further, by entering my name in the field below, I certify that I am the person that is the subject of this application, and I fully authorize the Georgia Environmental Protection Division (EPD) and Applus Technologies, Inc. to accept it as the equivalent signature for any and all purposes, including civil and criminal enforcement actions.
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