If you use assistive technology (such as a screen reader) and need a
version of this document in a more accessible format, please email email@example.com.
Please tell us what format you need. It will help us if you say what assistive technology you use.
This form is used to appeal a MSVA decision. You can appeal if your vehicle doesn’t pass its MSVA inspection and you’re not satisfied with the decision.
If your appeal is accepted, your vehicle will be re-examined by an independent inspector.
Please read the notes on the form before completing your application.