MICHIGAN DEPARTMENT OF STATE

Clear Form

VEHICLE NUMBER AND EQUIPMENT INSPECTION

ONLY THIS BOXED SECTION IS FILLABLE
Owners or Applicants Name

Telephone Number

(
Street Address
Year

City

Make

Body Style

Plate Number

)
State

ZIP Code

Vehicle Number (VIN)

Please note, completion of this form by a police officer does not constitute authorization for a title or registration.
The Michigan Department
Vehicle Number Inspection Only (Part 1)
Of State requires:
Equipment Inspection Only (Part 2)
(check one)
Vehicle Number and Equipment Inspection (Parts 1 and 2)

PART 1 VEHICLE NUMBER INSPECTION

I have inspected the vehicle identification number (VIN) on the vehicle described above. The number is:
Vehicle Identification Number (if none, enter none)

(Law Enforcement Only) VIN from federal Safety Sticker

I certify the information provided is true to the best of my knowledge.

Signature of Person Completing Inspection

Printed Name of Person Completing Inspection

Title of Inspector

Date

X
Agency/Department

Address

Telephone Number

PART 2 EQUIPMENT INSPECTION BY A POLICE OFFICER

UNIT A FOUR-WHEEL MOTOR VEHICLES

(EXCLUDES: Vehicles originally manufactured for off-road use only.)

LIGHTS

WINDSHIELD AND MIRRORS

Headlights (one each side, high and low beams)

Turn signals (front and rear)
Taillight (at least one, if equipped with two both
must work)
License plate light
Brake lights

Safety Glass (no plexiglass, sufficient size to

protect driver and passengers, no cracks, no
obstructions, non-transparent material prohibited)
Outside rearview mirror on drivers side (adjustable)
Half-ton or more capacity trucks outside rearview
mirrors on both sides
EXTERIOR

INTERIOR

Horn
Bright light indicator
Windshield wipers
Windshield washers
Brakes (adequate to stop and hold the vehicle)
Parking brake
Safety belts (1965 and newer models)

Bumpers (required on passenger vehicles, 14 to 22

inches above the ground except 4-wheel drive)
Tires (2/32 inch tread, no exposed cord or tread
separation, approved for highway use by D.O.T.)
Exhaust (good working order, no excessive noise.
Must include a tailpipe and resonator where the
original design included a tailpipe and resonator)
Differential gear

Signature and title of police officer completing equipment inspection for four-wheel motor vehicle:
This vehicle has all the necessary equipment as required by the Michigan Vehicle Code.
This vehicle was not originally manufactured for off-road use only.
Signature of Person Completing Inspection

Printed Name of Person Completing Inspection

Title of Inspector

Date

X
Agency/Department

Address

Telephone Number

(
TR-54 (10/15)

Over for Motorcycle and Trailer Equipment Inspection

UNIT B MOTORCYCLE (Two or Three-Wheel Motor Vehicles)

Headlight (high and low beams)
Taillight
Brake light
License plate light
Horn
Brakes, front and rear (adequate to stop and hold
the vehicle)
Handlebars (not higher than 15 inches from seat)

Tires (1/32 inch tread, no exposed cord or tread

separation, approved for highway use by D.O.T.)
Exhaust system (good working order, no excessive
noise or annoying smoke)
Seat (permanently attached)
Rearview mirror on left side (adjustable). Not
required on vehicle if helmet has a mirror.
Differential gear (three-wheel vehicle only)

A scrap titled trailer must be dismantled, removing the body from the frame, before using the frame to build another trailer.
UNIT C TRAILERS 3,000 POUNDS GROSS WEIGHT OR LESS (Gross Weight = trailer weight plus load)
NOTE: A Michigan title must be applied for if the trailer weighs 2,500 pounds or more empty

Taillight (at least one)

Reflectors (two on the rear, at each side)
Brake light (required only when trailer or load
obscures the brake lights of the towing vehicle)

License plate light

Tires (2/32 inch tread, no exposed cord or tread
separation, approved for highway use by D.O.T.)

UNIT D TRAILERS MORE THAN 3,000 POUND GROSS WEIGHT (Gross Weight = trailer weight plus load)
Taillight (at least one)
Brake light (at least one)
License plate light
Clearance lamps: two on the front (one each side)
and two on the rear (one each side)
Side marker lamps (two on each side, one at or near
the front and one at or near the rear)

Reflectors: two on each side (one at or near the front

and one at or near the rear) and two on the rear
(one at each side)
Tires (2/32 inch tread, no exposed cord or tread
separation, approved for highway use by D.O.T.)
Brakes on all wheels

UNIT E POLE-TRAILER
Taillight (at least one)
Side marker lights (one on each side)
Clearance lights (one on each side)
(Side marker and clearance lights may be in
combination, to show to the front, side, or rear)

License plate light

Reflectors (one at each side on the rear of the poletrailer or load)
Tires (2/32 inch tread, no exposed cord or tread
separation, approved for highway use by D.O.T.)

Signature and title of police officer completing equipment inspection for motorcycle, trailer, or pole trailer:
This vehicle has all the necessary equipment as required by the Michigan Vehicle Code.
Signature of Person Completing Inspection

Printed Name of Person Completing Inspection

Title of Inspector

Date

X
Agency/Department

Address

Telephone Number

For more specific information, consult the Michigan Vehicle Code (MCL. 257.685-686, 257.688-691, 257.697-697b, 257.705-711).
Authority granted under Public Act 300 of 1949 as amended