Accessible Web Version. This is an accessible HTML version of form SHP-455T.
Station Information
Station Signs Order
Note: No refunds issued for station signs.
| Description | Qty | Price | Subtotal |
|---|---|---|---|
| Safety Inspection Sign | $27.40 | $0.00 | |
| Motorcycle Inspection Sign | $27.40 | $0.00 | |
| Station Signs Order Total | $0.00 | ||
Pilot Station Question
Traditional/Regular Orders (If NOT a pilot station)
| Description | Qty | Price | Subtotal |
|---|---|---|---|
| Safety Inspection Stickers (20/book) | $30.00 | $0.00 | |
| Motorcycle Inspection Decals (20/book) | $30.00 | $0.00 | |
| Regular Order Total | $0.00 | ||
Modernized/App Orders (If pilot station)
| Description | Qty | Price | Subtotal |
|---|---|---|---|
| Modernized/App Stickers (20/book) | $30.00 | $0.00 | |
| Modernized/App Decals (20/book) | $30.00 | $0.00 | |
| App Order Total | $0.00 | ||
Payment & Mailing
Grand Total Due for This Order: $0.00
Submit payment by check or money order only. Cash is NOT accepted.
Checks/money orders shall be made payable to: DIRECTOR OF REVENUE
Missouri State Highway Patrol
DVSD / Motor Vehicle Inspection
P.O. Box 568
Jefferson City, MO 65102