UTV Engine Information
A copy of your responses will be emailed to you. Please print this email and keep it with UTV/engine for presentation to tech officials at track.
Email address *
Have you submitted a UTV Engine Builder Agreement (if no, this must be done before filling out this document)? *
Approved Engine Builder Name or N/A if stock/existing engine *
Driver Name, Class, and Vehicle number *
Engine Make, Type, and Model Year *
OEM Engine Serial Number (VIN #) *
LOORRS Seal Serial Number *
Date Sealed *
MM
/
DD
/
YYYY
I certify on penalty of disqualification from engine builder program that this engine meets all engine rules as specified in the current LOORRS/LORORS UTV Rule book as of the date I installed the seal or presented the engine to tech for sealing. *
A copy of your responses will be emailed to the address you provided.
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