CITY OF PARKVILLE ▪ 8880 Clark Avenue ▪ Parkville, MO 64152 ▪ (816) 741-7676 ▪ FAX (816) 741-0013
Neighborhood Vehicle Certificate of Satisfactory Inspection
1. Applicability
Neighborhood Vehicles operating on public streets under the jurisdiction of the City of Parkville
shall be registered with the Parkville City Clerk. In order to register a Neighborhood Vehicle that
is more than two (2) years old, the vehicle must first pass an inspection conducted by a licensed
Missouri Vehicle Inspection station or a person or entity in the regular business of repairing,
servicing and/or maintaining Neighborhood Vehicles (each a “Qualified Inspector”).
2. Applicant/Contact Information
Neighborhood Vehicle Owner: Qualified Inspector:
Name: __________________________ Name: _____________________________
Address: ________________________ Address: ___________________________
Phone: __________________________ Phone: _____________________________
E-mail: __________________________ E-mail: _____________________________
3. Vehicle Information
Make: ___________________________ Model: _____________________________
Color: ___________________________ VIN#: ______________________________
4. Acknowledgement & Verification
I hereby certify by my signature below that I am a licensed Missouri Vehicle Inspector or a in the
regular business of repairing, servicing and/or maintaining Neighborhood Vehicles and that I
have personally inspected the Neighborhood vehicle described above and determined that it
meets or exceeds the following minimum criteria:
Brakes are operational
Parking brake (if equipped) is operational The steering column is operational
At least one rear view mirror exists on the Neighborhood Vehicle
A flag not less than 80 square inches in area exists and extends not less than 1 foot above
the canopy or not less than 7 feet above the ground if not equipped with a canopy
The vehicle has at least four wheels
Not less than two thirty-seconds of an inch (2/32”) of tread depth remains on each tire, there
are no visible tire threads or cords showing and there is no visible rubber separation
Signature: ________________________________________ Date: ____________
Station # (if applicable): _____________________________