Chrisman, IL · Edgar County
Golf Cart/Utility Safety Inspection Form
This form records a golf cart or utility vehicle safety inspection for the vehicle owner and the inspector completing the inspection.
What this form is
Use this form to record an inspection of a golf cart or utility vehicle for registration. It lists safety items including brakes, tires, lights, reflectors, and a horn, with spaces to mark pass, fail, or not applicable and add comments. The inspector certifies that the inspection was conducted and the results are accurately reported; vehicles with a failed item must not be operated until a qualified technician repairs it.
Who needs it
An inspector completing a safety inspection for a golf cart or utility vehicle uses this form to record the results and sign and date the inspection.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; the inspector prints their name, signs, and dates the form, and no notarized attachment is mentioned.
How to submit this form
- 1
Download The Form
Download the Golf Cart/Utility Safety Inspection Form PDF.
- 2
Complete Vehicle Information
Fill in the registration number, owner, phone number, address, and department.
- 3
Record Inspection Results
Mark pass, fail, or not applicable for each item and add comments as needed.
- 4
Sign And Submit
The inspector prints their name, signs, and dates the form. Submit it to the city department named on the form.
Frequently asked questions
- What does the Golf Cart/Utility Safety Inspection Form record?
- It records inspection results for listed vehicle items, including brakes, tires, lights, reflectors, and a horn, with space for comments and the inspector’s certification.
- Who completes this inspection form?
- The form provides spaces for vehicle owner and registration information, inspection results, and the inspector’s printed name, signature, and inspection date.
- Do I need a notary for the Golf Cart/Utility Safety Inspection Form?
- No. The inspector signs and dates the form; no notarized attachment is mentioned.
- How do I submit the Golf Cart/Utility Safety Inspection Form?
- Submit it to the city department named on the form; check the city website for current contact details.