# Smog Appointment Evidence Card

Separate readiness, code status and confirmed repair, then verify the applicable inspection rules with the inspection authority.

Vehicle identity, mileage and appointment date: __________________________

Inspection jurisdiction and rules checked: __________________________

Compatible equipment and parked check date: __________________________

Supported stored, pending and permanent status: __________________________

Readiness results and dated screenshots: __________________________

Battery disconnection or clearing history: __________________________

Symptoms, repair records and prior rejection report: __________________________

Questions for repairer or inspection station: __________________________

Next authorized step without a pass guarantee: __________________________