Kentucky Transportation Cabinet - Division of Motor Vehicle Licensing · Kentucky state form

TC 96-353 Labor Statement for Rebuilt or Total-Loss Vehicle

Use TC 96-353 to describe repairs and replacement parts for a rebuilt or total-loss vehicle and attest who performed the repair work.

What this form is

TC 96-353 collects vehicle identification information, a descriptive list of repairs, and a list of replacement parts for a rebuilt or total-loss vehicle. The person completing the form attests that they or an employee or owner of the named repair shop performed the work. The form requests original receipts for purchased parts; additional seller information is required when parts were purchased from an individual.

Who needs it

A person or repair shop completing a labor statement for repairs to a rebuilt or total-loss vehicle needs this form.

Why it needs a notary

The form includes a notarial attestation, so the signature must be notarized. This can be done online with a commissioned online notary.

How to submit it

Submit the completed form with an original receipt for each part purchased. If parts were purchased from an individual, provide the seller and parts information on a separate sheet. Submit it to the Kentucky agency named on the form.