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Forms and Publications




 Arrange all by:   Number   Name
NUMBER
NAME
PURPOSE
pdf icon CRD 01
Request for Vehicle Information by a Prospective PurchaserUse this form to request vehicle information by prospective purchasers.
pdf icon CRD 93
Information RequestUse this form to request driver records/transcripts, vehicle records/transcripts, and crash reports from DMV records.
pdf icon CSMA 01
Contact Information for Vital StatisticsThis publication lists contacts to obtain a certified copy of a birth certificate.
pdf icon CSMA 14
Customer Concern ReportA DMV customer uses this form to express concerns about groups outside of DMV facilities.
pdf icon CSMA 19
In-Car Maneuvers Observation RecordDrivers age 19 and older who have been issued a learner's permit but do not complete a Virginia approved driver training course and qualifying home-schooled students use this form to verify the observance and completion of safe driving maneuvers before applying to take the road skills test at DMV.
pdf icon CSMA 22
Special ID Card Information SheetThis publication provides information on special identification cards for employees in state and local governments.
pdf icon DI 14
Curriculum Vendor ApplicationUse this form to apply for DMV Approval to offer driver improvement courses.
pdf icon DI 15
Driver Improvement Clinic License Application Use this form to apply for a driver improvement clinic license.
pdf icon DI 17
Driver Improvement Clinic Classroom Instruction Attendance RosterUse this form to document instructor and student attendance.
pdf icon DI 505
Driver Improvement Clinic Instructor License ApplicationUse this form to apply for a Driver Improvement Clinic instructor's license.
pdf icon DL 1P
Driver's License and ID Card ApplicationUse this form to apply for a Virginia Driver's License or Identification Card.
pdf icon DL 1PA
Supplemental Driver's Licensing History SheetA Commercial Driver License (CDL) applicant transferring to Virginia from out-of-state uses this form to record all driver's licenses issued in the past 10 years. Applicants for a CDL renewal or reissue complete this form only if a driver's license history check has not been previously performed.
pdf icon DL 5
Identification Card Application for Minors Under Age 15Minors under age 15 use this form to apply for a Virginia Identification Card.
pdf icon DL 7
Exchanging a Driver's License from a Foreign Country Use this form to request an exchange of a valid driver's license from certain foreign countries for a Virginia driver's license.
pdf icon DL 8
Commercial Driver¿s License (CDL) Self-CertificationUse this form to record and/or change a CDL driver's self-certification category for the driver's type of commercial motor vehicle operation as required by VA Code § 46.2-341.12(G).
pdf icon DL 11
Virginia Veteran Identification Card ApplicationVirginia veterans use this form to apply for a Commonwealth of Virginia Veteran Identification Card.
pdf icon DL 13
CDL Skills Test Waiver Military Application Use this form to request a waiver of the CDL Skills Test when applying for a CDL for vehicle class(es) representative of the commercial motor vehicle operated during military service.
pdf icon DL 15
Private Trucking Drivers Status ReportUse this form to allow private trucking companies to notify DMV of changes in the company's driver roster.
pdf icon DL 17
Gender Change RequestUse this form to request a change to the gender designation on a driver¿s license or identification card
pdf icon DL 18
Cancellation of Minor's Driving PrivilegeUse this form to allow a custodial parent or guardian of an unmarried or unemancipated, after the minor has been issued a driver's license, to request the minor's driving privilege be cancelled.
pdf icon DL 19
Commercial/Private Business Drivers Status ReportUse this form to allow commercial/private businesses to notify DMV of changes in the company's driver roster.
pdf icon DL 29
Private School and Day Care Status ReportUse this form to allow private school and day care to notify DMV of changes in the school's driver roster.
pdf icon DL 30
Driver Status ReportUse this form to allow school divisions to notify DMV of changes in the division's mass transit driver roster.
pdf icon DL 32
School Bus Drivers Status ReportUse this form to allow school divisions to notify DMV of changes in the division's school bus driver roster.
pdf icon DL 34
Public/Private School Driver Education InstructorsUse this form to allow public and private schools to notify DMV of changes in the school's driver education instructor roster.
pdf icon DL 55
National Driver Register File Check - Employer RequestEmployers use this form to request a National Driver Register (NDR) file check on a current or prospective employee.
pdf icon DL 56
National Driver Register File Check - Individual RequestUse this form to request a National Driver Register (NDR) file check on yourself and obtain a copy of the record if one exists.
pdf icon DL 70
Hazmat Endorsement Background Record CheckUse this form to apply for a hazardous materials endorsement (hazmat) background check. This formcollects information required by the Transportation Security Administration.
pdf icon DL 75
Translator Acknowledgement FormThis form is used to formally communicate and certify acceptable behavior for translators providing services to applicants for drivers licenses.
pdf icon DL 80
Electronic Birth Certification Request ¿ Not Born in VirginiaCustomers born in a U.S. state (excluding Virginia) use this form to request an electronic certification of a birth if they do not have a paper birth certificate when applying for a Virginia Driver's License (DL) or Identification Card (ID).
pdf icon DL 81
Electronic Birth Certification Request ¿ Born in VirginiaCustomers born in Virginia (from 1912 to the present) use this form to request a Virginia birth certificate.
pdf icon DL 82
Virginia Vital Record Application - Marriage/Divorce/Death CertificateCustomers use this form to provide information for the Virginia Department of Health, Division of Vital Records (VDH) to certify/produce a Virginia death, marriage or divorce certificate.
pdf icon DL 140
Vehicle Inspection Study Guide- Tractor TrailerThis publication provides information on the pre-trip inspection of tractor trailers.
pdf icon DL 141
Vehicle Inspection Study Guide - Straight Truck/School BusThis publication provides information on the pre-trip inspection of straight trucks/school buses.
pdf icon DL 142
Vehicle Inspection Study Guide - Coach/Transit BusThis publication provides information on the pre-trip inspection of coaches/transit buses.
pdf icon DL 143
Vehicle Inspection Study Guide - Combination VehiclesThis publication provides information on the pre-trip inspection of combination vehicles.
pdf icon DL1P
Driver's License and Identificaiton Card ApplicationUse this form to apply for a Virginia Driver's License or Identification Card.
pdf icon DL 514
Report of Disabled Parking Plate/Placard ViolationEmployees, police officers and customers use this form to record information about disabled parking plates/placards violations.
pdf icon DL 64I
Skills Test Certificate of Completion Instructions Use this document as a guide for completing the Certificate of Completion (DL 64)
pdf icon DMS 002
Driving Monitoring Program - File Preparation InstructionsUse these instructions when creating a Driver Monitoring electronic file for submission to DMV for the Driver Monitoring Program.
pdf icon DMV 2
Motorcycle Operator ManualThis publication provides essential safe driving information for motorcyclists - beginning riders as well as those with more experience.
pdf icon DMV 7
Virginia webCATThis publication describes the Virginia webCAT system - Virginia's electronic motor carrier solution.
pdf icon DMV 16
Parents in the Driver's SeatThis publication provides parents and guardians information on being involved in the first years of their teen's driving.
pdf icon DMV 25
Be an Online DealerThis publication provides information on becoming an online motor vehicle dealer.
pdf icon DMV 28
Farm Vehicle FAQsThis publication explains Virginia requirements for vehicles used on a farm.
pdf icon DMV 32
Preferred Services FlyerThis publication describes DMV preferred service options (Internet, telephone, mail and DMV Select offices).
pdf icon DMV 34
Virginia's Two-Wheel Motorcycle Skill TestThis publication describes the test exercises and scoring criteria for the Virginia two-wheel motorcycle skills test.
pdf icon DMV 34A
Virginia's Two-Wheel Motorcycle Skills Test (alternate test)This publication describes the test exercises and scoring criteria for the Virginia two-wheel motorcycle skills test.
pdf icon DMV 35
Virginia's Three-Wheel Motorcycle Skills TestThis publication describes the test exercises and scoring criteria for the Virginia three-wheel motorcycle skills test.
html icon DMV 39
Driver's ManualThis publication provides all of the information needed to obtain a Virginia driver's license.
html icon DMV 39-SP
Manual de Conductor de VirginiaThis publication provides all of the information needed to obtain a Virginia driver's license (Spanish translation).
pdf icon DMV 52
Virginia's Secure Driver's Licenses and ID Cards/Organ DonationThis publication is mailed with all Driver Renewal Notices. It describes the new application process and new secure card features of Virginia's driver's licenses and ID cards. This publication also describes organ, tissue, eye and bone marrow donations.
pdf icon DMV 53
Turning 80? Come See UsThis publication describes the requirement for drivers age 80 or older to appear in person at DMV and pass a vision screening to renew their driver's license.
pdf icon DMV 54
Virginia's Secure Driver's Licenses and ID CardsThis publication is mailed with all ID Card Renewal Notices. It describes the new application process and new secure card features of Virginia's driver's licenses and ID cards.
pdf icon DMV 60A
Commercial Driver's ManualThis publication provides information necessary to obtain a commercial driver's license in Virginia.
pdf icon DMV 60V
Virginia Supplement to the Commercial Driver License ManualProvides Virginia-specific information about commercial driver's license requirements and programs not published in the CDL manual (DMV 60A). The brochure is a supplement to the manual.
pdf icon DMV 72
VA Automobile Liability Insurance Reporting RequirementsThis publication provides insurance companies with information necessary to comply with § 46.2-706.1 of the Code of Virginia which requires liability insurance information to be furnished to DMV electronically.
pdf icon DMV 105
DMV Guide for Familiy Members and Friends of the Recently DeceasedThis publication provides information for settling the vehicle and driver's license records of recently deceased family members and friends.
pdf icon DMV 109
Size,Weight,Equipment and Other Requirements for Trucks...This publication explains the size, weight and equipment requirements for trucks, trailers, and towed vehicles.
pdf icon DMV 110
Coloring Book, Snap DragonThis publication is available online only and provides coloring pages illustrating safety information for children.
pdf icon DMV 114
A Different Kind of Crash Course DI ProgramThis publication describes the Virginia Driver Improvement Program.
pdf icon DMV 114 S
Un Curso Intensivo Diferente Crash CourseThis publication describes the Virginia Driver Improvement Program (Spanish translation).
pdf icon DMV 114 S
Un Curso Intensivo Diferente Crash CourseThis publication describes the Virginia Driver Improvement Program (Spanish translation).
pdf icon DMV 115
Moving Violations and Point AssessmentThis publication list the traffic violations that have demerit points assigned to them.
pdf icon DMV 115 S
Infracciones de la Circulacion y Calculo de PuntosThis publication list the traffic violations that have demerit points assigned to them (Spanish translation).
pdf icon DMV 115 S
Infracciones de la Circulacion y Calculo de PuntosThis publication list the traffic violations that have demerit points assigned to them (Spanish translation).
pdf icon DMV 137
Personalized License Plates/Special Plates: Know when to save ten!This publication is mailed with all Vehicle Renewal Notices. It provides information concerning personalized license plates and special license plates celebrating the scenic beauty, cultural heritage, and diversity of Virginia.
pdf icon DMV 140
Welcome to VirginiaThis publication provides information needed to title and register your vehicle in Virginia.
pdf icon DMV 140 S
Bienvenido a VirginiaThis publication provides information needed to title and register your vehicle in Virginia (Spanish translation).
pdf icon DMV 141
Obtaining a Virginia Driver's License or Identification (ID) CardThis publication identifies the documents needed to apply for a driver's license, learner's permit, commercial driver's license (CDL), or CDL instruction permit.
pdf icon DMV 141-SP
Obtención de una Licencia de Conducir o una tarjeta de Identificación (ID) de VirginiaThis publication identifies the documents needed to apply for a driver's license, learner's permit, commercial driver's license (CDL), CDL instruction permit or ID card and the basic steps needed to obtain them.
pdf icon DMV 143
Re-establishing Your VA Residency/Qualifying for a VA Address...This publication provides information on changing your address to a Virginia address, and qualifying for a Virginia address requirement exception. If you currently have a non-Virginia address, you must have a Virginia address to continue holding your driver's license or photo ID card.
pdf icon DMV 168
Virginia is Tough on Drunk and Drugged DriversThis publication defines and describes penalties for operating a motor vehicle, boat or water craft while under the influence of alcohol and/or drugs. Other related alcohol offenses are also described.
pdf icon DMV 168s
Virginia es MUY ESTRICTA con los conductores borrachos y drogadosThis publication defines and describes penalties for operating a motor vehicle, boat or water craft while under the influence of alcohol and/or drugs. Other related alcohol offenses are also described (Spanish translation).
pdf icon DMV 172
Children's Identification CardThis publication provides information for parents to obtain ID cards for their children under the age of 15.
pdf icon DMV 172-SP
Tarjeta de indentificación de niñosThis publication provides information for parents to obtain ID cards for their children under the age of 15 (Spanish translation).
pdf icon DMV 173
What Can I Do Online?This publication lists online transactions available at the DMV website.
pdf icon DMV 177
Acceptable DocumentsThis publication identifies the documents needed to title a vehicle in Virginia.
pdf icon DMV 177S
Documentos aceptables - Para obtener el título de un vehículo en VirginiaThis publication identifies the documents needed to title a vehicle in Virginia (Spanish translation)
pdf icon DMV 178
Clean Special Fuel License PlateThis publication describes Virginia clean special fuel plates and 1-95/395 HOV lane occupancy requirements.
pdf icon DMV 181
Voter Registration Application InstructionsThis publication provides large print instructions for voter registration.
pdf icon DMV 200
Failure to Show for CDL Skills Test AppointmentThis publication describes fees charged each time an applicant for a commercial driver's license fails to keep a scheduled skills test appointment.
pdf icon DMV 201
DMV FeesThis publication identifies fees for Virginia DMV transactions.
pdf icon DMV 202
Overweight PenaltiesThis publication identifes fees charged for overweight vehicles.
pdf icon DMV 206
Military Guide (formerly A Guide for the Armed Forces)This publication describes information for active duty members of the Armed Forces regarding driver's licensing, ID cards, vehicle registration requirements and answers to other frequently asked questions.
pdf icon DMV 212
Experience and Knowledge - The Keys to Safe Motorcycle RidingThe purpose of this publication is to provide motorcycle safety information and Virginia Motorcycle Rider Training Program course locations.
pdf icon DMV 222
Virginia's Secure Driver's Licenses and ID CardsThis publication describes the new application process and new secure card features of Virginia's driver's licenses and ID cards.
pdf icon DMV 222S
Las Licencias de Conducir y las Tarjetas de Identidad de Virginia son de alta seguridadThis publication describes the new application process and new secure card features of Virginia's driver's licenses and ID cards. (Spanish Translation)
pdf icon DMV 223
Vehicle Safety Inspection/Virginia Insurance RequirementsThis publication describes Virginia's vehicle safety inspection program and vehicle insurance requirements.
pdf icon DMV 225
Automated Clearing House Payment OptionsThis publication describes acceptance of fees and taxes from commercial customers using electronic funds transfers through the Automated Clearing House (ACH).
pdf icon DMV 226
Virginia Rider Training Program Policy and ProceduresThis publication contains Virginia Rider Training Program site policy and procedures.
pdf icon DMV 234
Hauling Permits ManualThis publication describes Virginia hauling permit regulations.
pdf icon DMV 237
Doing Business with DMVThis publication provides information regarding DMV procurement of goods and services.
pdf icon DMV 239
Harvest Permit FlyerThis publication describes Virginia's Harvest permit requirements for out-of-state vehicles used in harvesting operations within Virginia.
pdf icon DMV 240
myDMV Account FlyerThis publication describes the myDMV online account service. This service allows you to save time by receiving DMV information through email or phone, and manage your DMV record without visiting a DMV customer service center.
pdf icon DMV 241A
Driver Alert BrochureThis publication describes the Driver Alert program which gives employers the opportunity to customize the information DMV sends related to changes to employees' driving records.
pdf icon DMV 241B
EZ Fleet BrochureThis publication describes the EZ Fleet system which allows companies to title and register vehicle fleets without visiting a DMV customer service center.
pdf icon DMV 241C
Automated Routing Solution BrochureThis publication describes the Automated Routing Solution for approving and issuing hauling permits.
pdf icon DMV 241D
Fleet-Related Programs Contact Information FlyerThis publication provides contact information for fleet-related programs.
pdf icon DMV 241E
Virginia is Open for Business BrochureThis publication provides an overview of fleet-related programs.
pdf icon DMV 241F
Business Logo Plates BrochureThis publication describes customized business logo special plates available for business fleets.
pdf icon DMV 244
DMV 2 Go BrochureThis publication describes services and scheduling information for the "DMV 2 Go" mobile customer service center.
pdf icon DMV 246
Operational Recommendations for Transporting Passengers for Compensation (For-Hire)This publication provides safety recommendations for companies transporting passengers for-hire.
pdf icon DMV 248
Motor Carrier ManualProvides information for motor carriers and companies operating heavy vehicles, including the International Fuel Tax Agreement (IFTA), International Registration Plan (IRP), Unified Carrier Registration Agreement (UCRA), and requirements for carriers operating point to point in Virginia to provide passenger or property transportation services
pdf icon DMV 249
DMV ConnectThis publication provides information on the DMV Connect program and educates correctional facilities on the requirements for this service.
pdf icon DMV 249B
DMV Connect (General Information)This publication provides general information on the DMV Connect program.
pdf icon DMV 250
Snap Dragon Activity BookletThis publication is available online only and provides activity pages illustrating safety information for children.
pdf icon DMV 252
Virginia Veterans ID Card FlyerThis publication provides information on Virginia Veterans ID cards. These ID cards are a convenient way to show proof of veteran status for discounts and other benefits.
pdf icon DMV 253
Requirements to Obtain For-Hire License PlatesThis publication describes the requirements to obtain for-hire license plates.
pdf icon DMV 254
Passenger and Property Carrier EnforcementThis publication provides information on laws regarding operating authority for motor carriers transporting passengers or property with Virginia.
pdf icon DMV 255
Virginia Troops to Trucks FlyerThis publication describes the Virginia Troops to Trucks program which helps the men and women of the Armed Forces obtain tools for future employment in the transportation
pdf icon DMV 257
Intrastate Motor Carrier Inspection Information FlyerThis publication describes authority and Code of Virginia references regarding intrastate motor carrier inspections.
pdf icon DMV 258
PRISM BrochureThis publication describes the PRISM (Performance and Registration Information Systems Management) program - a partnership to promote and enhance motor carrier safety.
pdf icon DMV 262
Ride in Style ¿ Limousine SafetyThis publication provides information about limousine safety.
pdf icon DMV 264
Mopeds in VirginiaThis publication describes titling, registration, traffic laws and safety information for mopeds operating on Virginia roadways.
pdf icon DMV 267
Escort Vehicle Driver Certification FlyerThis publication describes new requirements effective January 1, 2014, for becoming a certified escort vehicle driver in Virginia.
pdf icon DMV 268
Passenger Carriers - Time is Running OutThis publication describes operating authority requirements for passenger carriers.
pdf icon DMV 269
Vital Records at DMVThis DMV 269 publication provides information about purchasing vital records at DMV.
pdf icon DMV 270
Red Flags of Medically At-Risk Drivers (Red Card)This publication describes the red flags used by law enforcement to identify medically at-risk drivers.
pdf icon DMV 272
Moving Truck FlyerInformation about hiring properly licensed moving companies
pdf icon DMV 273
Internal AuditThis DMV 273 publication describes the function of Internal Audit.
pdf icon DMV 274
Buyer BewareThis publication provides guidelines for purchasing a vehicle online.
pdf icon DMV 276
Converting a Manufactured Home to Real PropertyThis publication provides the information needed to convert manufactured homes to real property and to sever/detach manufactured homes from real property.
pdf icon DSD 2
Motorcycle, Trailer or T&M Vehicle Dealer BondAn applicant for an original, second or third year renewal dealership license to sell trailers, travel trailers, motor homes, or motorcycles (includes ATV and off-road motorcycles) uses this form to verify to the Department of Motor Vehicles that it has obtained proper bond. This bond is not required if the applicant is currently licensed as a motor vehicle dealer by the Motor Vehicle Dealer Board.
pdf icon DSD 4
Dealer Application for 30-Day Temporary/5-Day Transport PlatesMotor vehicle dealers use this form to apply to purchase temporary registration/transport plates.
pdf icon DSD 5
Temporary CertificateDMV Licensed dealers selling trailers, travel trailers, motor homes or motorcycles complete this form to issue a temporary certificate of ownership.
pdf icon DSD 5A
Temporary Transport CertificateMotor vehicle dealers use this form to issue a temporary certificate to transport a vehicle to a specified location.
pdf icon DSD 6
Application for Factory/Distributor PlatesAutomotive manufacturers use this form to apply for Factory/Distributor Plates.
pdf icon DSD 7
Certificate of Qualification/Salesperson's license, Application forUse this form to apply for qualification as a salesperson, or to apply for or renew a factory, distributor representative, or sales person license.
pdf icon DSD 9
Dealer/Drive-away/Office Trailers Plates, Application for Motor vehicle dealers use this application to purchase dealer or drive-away plates and to allow vehicle owners to apply to purchase office trailer plates.
pdf icon DSD 10
Motor Vehicle Dealer License Appl. for Initial Lic. or Ren.Motor vehicle dealers, manufacturers, distributors and auctioneers use this form to apply for an initial license or renew an existing license.
pdf icon DSD 10-A
Salvage Dealer, Demolisher, Rebuilder... Appl.Salvage vehicle dealers, demolishers, rebuilder salvage pools and vehicle removal operators use this form to apply for an initial license or renew an existing license.
pdf icon DSD 11
Mobile Demolisher Permit of Operation, ApplicationVehicle demolishers use this form to apply for a 15-day permit to allow the operation of demolisher equipment at a site other than the location specified on the demolisher license.
pdf icon DSD 12
Reissue or Exchange of Dealer /Drive-Away Plates, Appl.Motor vehicle dealers use this form to apply for reissuance or exchange of dealer/drive-away plates and to allow vehicle owners to apply reissuance or exchange of office trailer plates.
pdf icon DSD 13
Temporary or Permanent Dealer License, Application forMotor vehicle dealers use this form to apply for a permanent or temporary supplemental motor vehicle dealer's license to allow sales at a location other than the main sales location.
pdf icon DSD 14-A
Manufactured Home Dealer Cerificate of Registration ApplicationUse this form to apply for a certificate of registration for a manufactured home.
pdf icon DSD 15
Watercraft Trailer Dealer Certificate of Registration Appl.Watercraft trailer dealers use this form to apply for an initial certificate of registration or to renew an existing registration.
pdf icon DSD 21
Record of All Wholesale Sales and Retail Sales Registered Out of StateMotor vehicle dealers use this form to record all wholesale sales and retail sales registered out-of-state, for submission to DMV.
pdf icon DSD 27
Permission to Use Dealer's License PlatesA licensed dealer issues this form to a person (customer or Dealer Authorized Individual) as authorization to use dealer's license plates for a specified period of time and purpose.
pdf icon DSD 27-A
Permit to Use Dealer or Temporary Transport Plate on Trucks or Tractor Trucks Motor vehicle dealers use this form to permit bona fide prospective purchasers or their authorized agent to use a dealer or transport plate on trucks or tractor trucks - that may be laden - for a specified period of time or mileage.
pdf icon DSD 27-B
Permission to Use Drive Away License PlatesMotor vehicle dealers use this form to request permission for a prospective buyer to use a financial institution's drive-away license plates to test drive a vehicle.
pdf icon DSD 36
Dealer Request for DMV FormsMotor vehicle dealers use this form to order DMV forms.
pdf icon DSD 40
Motor Vehicle Dealer Application - Subsequent 30-Day PlatesMotor vehicle dealers that do not use the Print On Demand (POD) Temporary Tag System use this form to request authorization to issue a second or third set of 30-day temporary plates if unable to obtain a vehicle's title or certificate of origin within the allotted timeframe.
pdf icon DSD 42
Motor Vehicle Dealer Application - Increase 30-Day Plate PurchaseMotor vehicle dealers that do not use the Print On Demand (POD) Temporary Tag System use this form to request an increase in the 30-day temporary plate purchase limit.
pdf icon DSD 43
Authorize Temporary Plate Purchaser, Application ToMotor vehicle dealers use this form to add, update the status of, or remove an employee from eligibility to purchase temporary plates on behalf of the dealership.
pdf icon DSD 65
Zoning Compliance CertificationUse this form to certify that proper zoning is in effect for your business location and the dealer license for which you are applying
pdf icon DTS 5
Vehicle Insurance Certification - Va Driver Training SchoolUse this form to certify that motor vehicle(s) used by driver training schools to conduct behind the wheel instruction are insured with at least the minimum required amount of insurance.
pdf icon DTS 14
Instructions for Student In-car Instruction RecordUse this form to document that the minimum period of daily instruction and the performance assessments of in-car instruction (including standardized road skills exam) are recorded as established by the state-approved driver education program.
pdf icon DTS 17
Instructions for Completing the Classroom Instruction Attendance RosterUse this form to document classroom instruction sessions, instructors and student attendance.
pdf icon DTS 18
DTS Parent/Student QuestionnaireUse this form to assess the general status of student training conducted by the driver training school you attended.
pdf icon DTS 22
Surety Bond Affidavit And Acknowledgement Of SuretyA Driver Training School uses this form to verify to DMV that it has obtained proper bond.
pdf icon DTS 30
Class A Driver Training School Curriculum RequirementsThis publication describes curriculum requirements for Class A driver training instructional courses.
pdf icon DTS 32
Curriculum Vendor Application Use this form to apply for DMV approval to offer a Driver¿s Manual course.
pdf icon DTS 33A
School License Application for Commercial Vehicle Use this form to apply for or renew a driver training school license for commercial vehicles weighing over 20,000 pounds.
pdf icon DTS 33B
School License Application for Passenger Vehicle Use this form to apply for or renew a driver training school license for passenger vehicle training.
pdf icon DTS 34A
Instructor License Application for Commercial VehicleUse this form to apply for a driver training instructor license.(commercial vehicles)
pdf icon DTS 34B
Instructor License Application for Passenger VehicleUse this form to apply for a driver training instructor license. (passenger vehicles)
pdf icon DTS 41
CONSENT FOR LEARNER'S PERMIT KNOWLEDGE EXAMINATION Use this form to grant consent for a Virginia high school student to take a Virginia Driver's License Learner's Permit Knowledge Examination at school.
pdf icon DTS 100
Monthly School Training Completion Report Use this form to document each student's completion of a driver training course.
pdf icon DTSA I
Virginia Commercial Driver Training Certificate InstructionsUse this document as a guide for completing the Virginia Commercial Driver Training Certificate (DTS-A)
pdf icon DTSB I
Virginia Driver Training Certificate Instructions Use this document as a guide for completing the Virginia Driver Training Certificate (DTS B)
pdf icon DTSC I
Virginia Driver Training School Certification of Completion - Instructions Use this document as a guide for completing the Virginia Driver Training School Certificate of Completion (DTS-C)
pdf icon DTSD I
Virginia Driver Training Completion Certificate - Adult Waiver InstructionsUse this document as a guide for completing the Virginia Driver Training Completion Certificate ¿ Adult Waiver (DTS D)
pdf icon FMS 99
Credit Card Charge AuthorizationCustomers use this form to authorize DMV to charge payments to a credit card.
pdf icon FMS 107
Request for Taxpayer ID Number and Certification Use this form to submit taxpayer identification number and certification to DMV for verification of 1099 status
pdf icon FMS 108
Vehicle Registration Withholding Credits CertificationLocalities use this form to certify any credits taken on the monthly invoice for Vehicle Registration Withholding fees.
pdf icon FMS 210
Vehicle Registration Refund, Application forUse this form to request a refund of the DMV registration fee when vehicle tags are returned to DMV before expiration and with at least 6 months remaining on the registration.
pdf icon FMS 310
ACH Debit Authorization/AgreementA company uses this form to authorize the Department of Motor Vehicles (DMV) to use the Automated Clearing House (ACH) for debit transactions from the company's bank account.
pdf icon FR 1
Insurance Coverage ReportUse this form to report vehicle-specific and non-vehicle specific insurance coverage policies.
pdf icon FR 3
Insurance Verification Annual ReportThis annual publication provides a summary of DMV's insurance verification activities during each fiscal year.
pdf icon FR 4
Financial Responsibility Insurance Filing via InternetThis publication is a user guided for DMV's Extranet system for the SR22/26 Insurance Reporting Data Exchange Process.
pdf icon FR 6
Abstract of Civil JudgmentUse this form to notify DMV of a Civil Judgment, entered by the court, due to a motor vehicle crash
pdf icon FR 200
Voluntary Report of a CrashUse this form to voluntarily submit a report on a vehicle(s) crash.
pdf icon FR 302
Self Insurance, Application for
pdf icon FR 521
Self-Insured Crash Involvement Quarterly ReportA self-insured entity must use this form to report crash involvement and demonstrate the entity's financial ability to respond to claims.
pdf icon FSPA 3
Indemnification and Hold Harmless AgreementNon-state entities use this form to request use of state property (ie: building, room or parking lot).
pdf icon FT 213
Virginia Fuels Tax ApplicationUse this form to obtain a Fuels Tax license required by the Virginia Fuel Tax Act.
pdf icon FT 214
Virginia Fuels Tax Notice of Tax Payment DefaultLicensed suppliers or providers of alternative fuel use this form to report to report tax payment.
pdf icon FT 218
Tax and Tank Fee AssessmentUse this form to calculate tax and tank fee on motor fuel diversions or fuel purchased tax unpaid and then used for a taxable purpose.
pdf icon FT 226
Fuels Tax Refund Application for Fuel Used in Diesel VehiclesUse this form to apply for a refund of the Va fuels tax on diesel fuel used in a diesel passenger car, a pickup or panel truck or a truck with a gross vehicle wt of 10,000 lbs or less
pdf icon FT 453
Virginia Fuels Wholesale Sales Tax License ApplicationUse this form to apply for a wholesale distributor license required by the Motor Vehicle Fuels Sales Tax Act.
pdf icon FT 459
Assignment of Securities in Lieu of Surety BondCustomers use this form to submit collateral (certificate of deposit) in lieu of a bond.
pdf icon FT 462
Fuels Tax BondCustomers use this form to submit collateral (bond) in lieu of a certificate of deposit.
pdf icon FT 474
Fuels Tax Payment FormUse this form to denote payment amounts submitted for all fuels tax payments.
pdf icon FT 510
Fuels Tax Electronic/Internet Filing ApplicationA licensee uses this form to denote the method of electronic filing: WEB, ASCII, or DEI.
pdf icon FT 545
Virginia Wholesales Sales Tax Electronic/Internet Filing ApplicationUse this form to apply for the capability to file the Virginia wholesale sales tax activity information electronically using Xerox Company, the Virginia-approved vendor
pdf icon HP 15
Escort Vehicle Driver Training Site ApplicationUse this form to apply to operate an escort vehicle driver training site for drivers seeking certification to escort vehicles of excessive size or weight
pdf icon HP 17
Escort Vehicle Driver Training Site-Classroom Instruction Attendance RosterUse this form to document student attendance at the 8-hour Escort Vehicle Driver Training (EVDT) course.
pdf icon HP 400
Single Trip or Superload Hauling Permit ApplicationUse this form to apply for a single trip or superload hauling permit. See additional instructions on page 3 of this application.
pdf icon HP 401
Blanket Hauling Permit ApplicationUse this form to apply for a hauling permit covering multiple moves. See additional instructions on page 3 of this application.
pdf icon HP 402
Exempt Blanket Hauling Permit ApplicationUse this form to apply for an exempt (no-cost) hauling permit covering multiple moves.
pdf icon HP 403
Hauling Permit Addendum Additional Axle FormUse this form to provide additional axle information when submitting Virginia Single Trip Superload HaulingPermit Application (HP 400) or the Virginia Blanket Hauling Permit Application (HP 401).
pdf icon HP 404
Escort Vehicle Driver Certification ApplicationUse this form to apply for certification as a vehicle escort driver to escort over dimensional loads exceeding 12 feet in width.
pdf icon HP 405
Escort Driver's ManualThis publication provides information for drivers who provide escort services for movement of vehicles and loads which exceed legal limits.
pdf icon HP 406
Virginia Blanket Hauling Permit Permit Locality AddendumUse this form to apply for annual locality permits.
pdf icon HP 410
Escort Vehicle Driver Train-the-Trainer Class RosterUse this form to document the attendance at an Escort Vehicle Driver Train-the-Trainer class.
pdf icon HP 505
Escort Vehicle Driver Training Instructor ApplicationUse this form to apply to be an escort vehicle driver training instructor.
pdf icon HS 1
Home Schooled In-car Driver Education Parental Auth.A parent/guardian who meets the requirements for home school instruction uses this form to apply for authorization for home-schooled in-car driver education.
pdf icon HS 3
Home Schooled In-car Driver Education Information SheetThis info sheet provides information to the parent or legal guardian who meets the requirements for home school instruction and who elects to provide in-car driver education instruction to his or her own child.
pdf icon HS 4
Home Schooled Re-examination Requirements Information SheetThis info sheet provides information on re-examination requirements for the home-schooled who fails the Driver General Knowledge test or Behind-the-Wheel (Road Skills) test three times.
pdf icon IRP 1
Virginia International Registration Plan (IRP) ApplicationUse this form to establish a new, renew or make changes to an existing Virginia IRP account.
pdf icon ISD 01
Address Change Request FormUse this form to notify DMV of your most current correct address or addresses.
pdf icon LE 007
Curbstone ReportUse this form to request DMV Law Enforcement Services to investigate suspected instances of illegal car sales by unlicensed individuals or businesses (curbstoning). Curbstoning is when any unlicensed person or business purchases a vehicle with the intent to resell that vehicle for profit. Curbstoning does not apply to individuals or businesses selling four or fewer used vehicles titled in their name as owners in any twelve month period.
pdf icon LE 28
Retired Agent Application for Identification Card and Authorization to Carry a Concealed HandgunRetired and retiring sworn members of the DMV Law Enforcement Division use this form to request (1) issuance of a retired law enforcement officer photo ID card; (2) authorization to carry a concealed handgun pursuant to Va Code 18.2-308(B)(7) and/or (3) authorization to carry a concealed handgun in accordance with 18 U.S.C. 926(C).
pdf icon LE 104
Odometer Fraud ComplaintUse this form to request that DMV Law Enforcement investigate instances or suspected instances of vehicle odometer fraud
pdf icon LE 444
Fuel Inspection NoticeThis publication describes the Virginia Fuels Tax Act and use of dyed diesel fuel.
pdf icon LES 022A
Request for Repaired or Rebuilt Salvage Vehicle Examination Use this form to request an examination of a repaired or rebuilt salvage vehicle
pdf icon MCS 100
Motor Carrier Cover Fax SheetUse this form as the cover sheet to fax forms/documents to DMV, Motor Carrier Services.
pdf icon MCS 115
For-Hire Vehicles Registration RequestUse this form to confirm your operating authority certificate/permit status OR to request verification of operating authority certificate/permit status when applying for vehicle registration and license plates: (1) for passenger carrying or property carrying vehiclesbeing registered under another person's operating authority, or (2) when the passenger or property carrying vehicle is used inexempt operations.
pdf icon MCS 116
Motor Carrier Motor Vehicle Lease AgreementUse this form to execute a formal lease agreement per Virginia Code §§ 46.2-2001 and 46.2-2155 between a lessor (vehicle owner) and a lessee (owner of operating authority certificate or permit).
pdf icon MCS 148
Harvest Permit ApplicationUse this form to apply for a permit to operate a vehicle with out-of-state license plates in Virginia while under contract to harvest and/or haul crops to a storage house, packing plant, market or transportation terminal: - as an incidental part of harvesting operations - not to exceed a distance of 20 miles and - when the use is a seasonal operation
pdf icon MCTS 247
Motor Carrier GuidelinesThis publication contains guidelines for interstate carriers applying for the International Registration Plan (IRP), International Fuel Tax Agreement (IFTA), Unified Carrier Registration Agreement (UCRA), and for intrastate carriers applying for For-Hire Intrastate Operating Authority.
pdf icon MCTS 270
Individual Vehicle Mileage and Fuel ReportUse this form to record mileage and fuel used for a trip or day of activity for a single vehicle.
pdf icon MCTS 271
Virginia IRP and/or Fuel Trip Permit, Application forUse this form to apply for a Virginia IRP and/or Fuel Trip Permit.
pdf icon MCTS 272
Vehicle Monthly Trip PermitUse this form to record mileage and fuel information for each trip completed during the month. Photocopy form as needed.
pdf icon MCTS 482
WEBCAT User Maintenance Application to Add or Delete UsersUse this form to add or delete users from DMV's Electronic Service for Titles, IRP and IFTA (webCAT).
pdf icon MED 2
Customer Medical ReportUse this form to request medical information from your physician, physician assistant or nurse practitioner.
pdf icon MED 3
Medical Review RequestUse this form to request the Department of Motor Vehicles (DMV) to conduct a medical review of a licensed driver.
pdf icon MED 4
Vision Screening ReportUse this form to provide DMV with vision screening information from an ophthalmologist or optometrist. Vision screening is required as part of the driver's license application process.
pdf icon MED 10
Disabled Parking Plates or Placard ApplicationUse this form to apply for a disabled parking placard or disabled parking license plates.
pdf icon MED 11
Institutional/Organizational Disabled Parking Placard ApplicationUse this form to apply for institutional/organizational disabled parking placards.
pdf icon MED 12
Disability Parking Application InformationThis publication provides information concerning disabled plates and placards for persons who have a temporary or permanent disability that limits or impairs their ability to walk or creates a safety concern while walking.
pdf icon MED 20
Sun-Shading Medical Authorization ApplicationUse this form to apply for a sun-shading medical authorization or to add additional vehicle(s) to an existing sun-shading medical authorization.
pdf icon MED 21
Sun-Shading Removal CertificationUse this form to report the removal of sun-shading from a vehicle and request a new registration card without the sun-shading notation.
pdf icon MED 30
CDL Disability Waiver or Hazardous Materials Variance ApplicationUse this form to apply for a Commercial Driver's License disability waiver or hazardous materials variance. Waivers or variances are granted only for disabilities (1) (2) (3) and (10) listed in Federal Motor Carrier Safety Regulations FMCSA 49 C.F.R. Section (b) 391.41.
pdf icon MED 31
Conditions of Variance for CDL Drivers to Haul Haz. MaterialsThis publication provides information on the conditions for maintaining the variance authorization to operate a commercial vehicle transporting hazardous materials.
pdf icon MED 40
Vision Examination Form for Wearers of Bioptic Telescopic LensEye-care practitioners complete this form to provide DMV with an applicant's vision information.
pdf icon MED 41
Certification for Use of Bioptic Telescopic LensMedical Professionals use this form to certify that a patient is eligible to wear bioptic telescopic lenses.
pdf icon MED 44
Driver Licensing Information for Bioptic Telescopic Lens WearersThis publication provides driver licensing information for bioptic telescopic lens wearers.
pdf icon MED 80
Medical Fitness for Safe DrivingThis publication describes the reporting and review process of individuals who may have health or medical.
pdf icon MP 230
Locality Blanket Hauling Permit Dimensions and ConditionsUse this form to certify and communicate changes in relation to annual hauling permits.
pdf icon MVB 21
Criminial History Check Data FormA person applying for a motor vehicle dealer salesperson or dealer-operator license uses this form to authorize DMV and or the Motor Vehicle Dealer Board to conduct a criminal history inquiry solely for the purpose of evaluating the application.
pdf icon MVDB 34
Motor Vehicle Dealer Operator Study GuideThis publication acts as a study guide for candidates wishing to take the Dealer/Operator license.
pdf icon MVDB 35
Motor Vehicle Dealer Salesperson Study GuideThis publication acts as a study guide for candidates wishing to take the Dealer/Salesperson license.
pdf icon OA 139
Zoning ComplianceUse this form to verify that your business is being operated from a properly zoned address.
pdf icon OA 141
Operating Authority Certificate Application for Common Carriers of PassengersUse this form to apply for or change existing authority to operate as a Common Carrier over Regular Routes or Irregular Routes in Virginia.
pdf icon OA 141S
For-Hire Operating Authority Information ReleaseThis form must be completed to authorize the release of information to any agent or representative of the Virginia Department of Motor Vehicles for the purpose of evaluating a holder of or applicant for, a For-Hire Intrastate Operating Authority Certificate or License.
pdf icon OA 142
For-Hire Intrastate Operating Authority Permit ApplicationUse this form to apply for or change your existing for-hire intrastate operating authority type
pdf icon OA 143
Intrastate Operation of Rental Vehicle Authorization Appl.Motor carriers use this application to obtain authorization to use rental vehicles.
pdf icon OA 144M
For Hire Intrastate Op. Authority Cert., Lic, or Permit Ren. Appl.Motor carriers use this form to renew their Intrastate Operating Authority Certificate, License and/or Permit(s)and provide business operations information.
pdf icon OA 150
Operating Authority Certificate or License ApplicationUse this form to apply for or change your existing authority to operate as a carrier within Virginia for certain authority types.
pdf icon OA 151
Operating Authority Certificate Application for Non-Emergency Medical Transportation CarriersUse this form to apply for authority to exclusively provide non-emergency medical transportation only through the Dept of Medical Assistance Svcs or through a broker operating under a contract with DMAS to provide this transportation within Va.
pdf icon OA 411
Consumer Complaint Against a Motor CarrierUse this form to file a complaint about service requested or provided by a motor carrier.
pdf icon OA 435
Passenger Carrier and Passenger Broker BondUse this form to record the bond required to protect the public against fraudulent activity by a carrier.
pdf icon OA 436
Households Goods Carrier BondRequired bond to protect public against fradulent activity by a carrier.
pdf icon OA 437
Broker for the Transportation of Property BondRequired bond to protect public against fradulent activity by a carrier.
pdf icon OA 447
For-Hire Operating Authority Certificate or LicenseUse this form as a letter of credit to be submitted by customer in lieu of bond. (Broker for the Transportation of Passengers or Passenger Carriers)
pdf icon OA 448
Sample Tariff for Common Carriers Over Irregular RoutesThis publication provides information on tariffs for common carriers over irregular routes.
pdf icon OA 449
Sample Tariff and Time Sch. for Common Carriers...Regular RoutesThis publication provides information on tariffs for common carriers over regular routes.
pdf icon OA 450
Sample Tariff for Household Goods CarriersThis publication provides information on tariffs for household goods carriers.
pdf icon OA 456
For-Hire Operating Authority Certificate or LicenseUse this form as a letter of credit to be submitted by customer in lieu of bond. (Broker for the Transportation of Property or Household Goods Carriers)
pdf icon RDT 120
IFTA Licensing ApplicationUse this form to establish a new Virginia IFTA account, or to renew or make changes to an existing Virginia IFTA account.
pdf icon RDT 121
IFTA Quarterly Tax ReportIFTA carriers use this form to complete and submit the required quarterly tax report.
pdf icon RDT 121I
IFTA Quarterly Tax Return InstructionsUse these instructions to complete form RDT 121, IFTA Quarterly Tax Return. Mileage and fuel purchases for your tax-qualified vehicles that do not have apportioned IRP registration may be included on the IFTA Quarterly Tax Return.
pdf icon SUT 1
Vehicle Price Certification (Vehicle Over 5 Years)This form is used by individuals (not motor vehicle dealers) to certify the purchase price of a motor vehicle more than 5 years old in order to obtain a vehicle title.
pdf icon SUT 1A
Affidavit of Vehicle Purchase Price (Vehicle 5 Years Old or Less)Use this form to certify the purchase price of a motor vehicle 5 years or less in order to obtain a title for that vehicle. NOTE: do not use this form for vehicles more than 5 years old, use a bill of sale.
pdf icon SUT 2
Refund of Erroneous Payment of Sales and Use Tax, Appl.Use this form to request a refund for an erroneous sales and use tax (SUT) fee that was paid to DMV. Applications must be submitted within 3 years of the date that the erroneous payment was made to DMV.
pdf icon SUT 3
Purchaser's Statement of Tax ExemptionUse this form to certify that a motor vehicle is exempt from Virginia Motor Vehicles Sales and Use Tax.
pdf icon SUT 4
Transfer of Certification of Lien InformationA lienholder uses this form to transfer a certificate of title with a lien.
pdf icon SUT 5
Certification of Sale Price for Vehicle Purchased with Qualified EquipmentUse this form to calculate Sales and Use Tax if your vehicle price included the cost of qualified equipment required by law to make it operable by a handicapped person
pdf icon TPT 553
Application for Third-Party Tester CertificationThird-party tester use this form to apply for certification to conduct the skills test component of the CDL examination
pdf icon TPT 554
Third-Party Tester Examiner Certification ApplicationThird-Party Testers use this form to apply for certification to conduct the skills test component of the CDL examination.
pdf icon TPT 555
Third-Party Tester AgreementUse this form to set up an agreement between DMV and a third-party tester.
pdf icon TPT 567
Monthly Report of ExaminationsUse this form to document test results.
pdf icon TS 216
Application for Fuels Tax RefundUse this form to apply for a refund of the Virginia Fuels Tax.
pdf icon TS 216A
Agriculture and Horticulture Fuels Tax Refund ApplicationUse this form to apply for a refund of the Virginia Fuels Tax on fuel used for agriculture or horticulture.
pdf icon TS 217
Fuels Tax Refund Application for Fuel Used in Boats or Watercraft Use this form to apply for a fuels tax refund on fuel used in boats or watercraft.
pdf icon TS 218
Itemized Statement of Bulk Storage Fuel UsedUse this form to document all fuel withdrawn from bulk storage.
pdf icon TS 219
Fuel Tax Refund Application - ExportsUse this form to apply for a fuels tax refund on fuel purchased in bulk in Virginia and exported to another state.
pdf icon TS 221
Fuels Tax Refund Application for Fuel Used in Taxi OperationUse this form to apply for a fuels tax refund for fuel used in operating a taxi.
pdf icon TS 225
Fuels Tax Refund Application for Regular Route Common Carrier of Passengers Regular route common carriers of passengers use this form to apply for a fuels tax refund.
html icon TSS 1
Virginia Traffic Crash FactsAnnual Publication Summarizing Detailed Crash Statistics For Virginia
pdf icon TSS 2
Alcohol-Related Motor Vehicle StatisticsThis publication provides Virginia alcohol-related motor vehicle crash, fatality, injury and conviction statistics for calendar years 1980-2005.
pdf icon TSS 3
Motor Vehicle Statistics in Va.This publication provides Virginia motor vehicle and driver statistics for years 1970-2005.
pdf icon TSS 6
Time and Activity Tracking Non-Profit Organizations, Universities, State AgenciesNon-profit organizations, state agencies and universities use this form to identify and track personnel and activities associated with completing grant objectives.
pdf icon TSS 10C
Highway Safety Project Grant - Line Item Budget Adjustment RequestUse this form to request an adjustment to line items in the project budget
pdf icon TSS 14A
Grantee Progress and Monitor Report for Law EnforcementUse this form to monitor/evaluate projects and document contact with grantee. (Law Enforcement).
pdf icon TSS 14B
Grantee Progress and Monitor Report for State Agencies and Non-Profit OrganizationsUse this form to monitor/evaluate projects and document contact with grantee. (State Agencies and Non-Profit Organizations).
pdf icon TSS 15
Reimbursement Voucher for Highway Safety Project CostsGrantees use this form to submit expenditures for reimbursement.
pdf icon TSS 15A
Salary Reimbursement(s) ReportingUse this form to monitor reimbursement payments made to grant recipients.
pdf icon TSS 20
Total Cost and Matching Report (Safety Grants)Use this form to identify and track the required 20 percent monetary and/or in-kind services related to the totalproject costs.
pdf icon TSS 96
Virginia Rider Training Program Training Site License, Application forUse this form to apply for either a reimbursed site or a non-reimbursed training site license.
pdf icon TSS 98
Instructor/Rider Coach ApplicationUse this form to apply to become a Virginia Motorcycle Rider Training Program Instructor/Rider Coach.
pdf icon UCR100 2011
Unified Carrier Registration for 2011: Individuals and companies that operate commercial motor vehicles in interstate or international commerce use this form to register their business for 2011 with their base state of Virginia and pay an annual fee based on the size of their fleet.
pdf icon UCR100 2012
Unified Carrier Registration for 2012Individuals and companies operating commercial motor vehicles in interstate or international commerce in 2012 use this form to register their business with their base state of Virginia and pay an annual fee based on the size of their fleet.
pdf icon UCR100 2013
Unified Carrier Registration for 2013Individuals and companies operating commercial motor vehicles in interstate or international commerce in 2013 use this form to register their business with their base state of Virginia and pay an annual fee based on the size of their fleet.
pdf icon UCR100 2014
Unified Carrier Registration for 2014Individuals and companies operating commercial motor vehicles in interstate or international commerce in 2014 use this form to register their business with their base state of Virgina and pay an annual fee based on the size of their fleet.
pdf icon UCR 101
UCR 2012 - Vehicle List 101Use this chart and the one on the reverse of this form to record the vehicles you use exclusively in intrastate transportation of property, waste, or recyclable material.
pdf icon UCR 102
UCR 2012 - Vehicle List 102Use this chart and the one on the reverse of this form to record the total number of vehicles you owned and operated for the 12 month period ending June 30, 2011.
pdf icon US 002
Extranet LogonID Request FormUse this form to add, change, delete or reassign user access to the Extranet or MoveIt system.
pdf icon US 531A
Information Use ApplicationUse this application to apply for or renew a Use Agreement with DMV. A Use Agreement is needed to obtain driver, vehicle, and/or personal information from DMV's record database.
pdf icon US 531C
DMV Information Use CriteriaUse this information to complete parts 8 and 9 of the Information Use Application, US 531A.
pdf icon US 531E
Extranet Transaction Access, Application forUse this application to apply for or renew a Memorandum of Understanding and Agreement (MOA) with DMV. An MOA is needed to obtain driver, vehicle and/or personal information from DMV's record database or provide information to DMV's record database via the Internet (extranet).
pdf icon VS 6
Application for Certification of a Vital RecordUse this form to request a birth, death, marriage, or divorce certificate from the Division of Vital Records at Virginia Department of Health.
pdf icon VSA 01
Temporary Certificate of RegistrationDealers selling automobiles or trucks must complete this form to issue a temporary certificate of registration.
pdf icon VSA 4
Dealer Transaction Recap Sheet Dealers use this form to maintain a record of titling work submitted to DMV for processing
pdf icon VSA 5
Odometer Disclosure SheetUse this form to record the odometer readings for new vehicles or to allow a lessee to report odometer readings to a leaser.
pdf icon VSA 6
Vehicle Color CodesUse this information to record a vehicle's exterior color(s).
pdf icon VSA 10
Application for Personalized License PlatesUse this form to request souvenir, standard, personalized, or special license plates.
pdf icon VSA 10A
Gold Star License Plate Applicant CertificationImmediate family members of individuals who have died in military service use this form (and the License Plate Application, VSA 10) to request a Gold Star license plate.
pdf icon VSA 10 B
Antique License Plate Applicant CertificationOwners of antique motor vehicles, antique trailers and antique motorcycles use this form to certify compliancewith Code of Virginia requirements for use of antique plates.
pdf icon VSA 12
Affidavit in Lieu of Title CertificateUse this form to file an affidavit with DMV certifying that the certificate of title is not in the applicant's possession when registering a motor vehicle, trailer or semi-trailer without a certificate of title.
pdf icon VSA 12M
Moped & ATV Affidavit in Lieu of Title CertificateUse this form to certify unavailability of a current certificate of title for a moped or all terrain vehicle due to loss, unlawful detainment or other legitimate circumstance.
pdf icon VSA 14
Registration, Application forUse this form to apply for registration of your vehicle.
pdf icon VSA 14 I
Registration Information SheetUse this information sheet for general registration and license plate information
pdf icon VSA 17A
Certificate of Title and Registration, Application for Use this form to apply for a title and/or to register a passenger vehicle, motorcycle, truck, motor home (RV), or trailer.
pdf icon VSA 17B
Certificate of Title - Manufactured Home, Application forUse this form to title a manufactured home. Do not use for self-propelled vehicles or travel trailers.
pdf icon VSA 18
Beneficiary Transaction RequestUse this form to add, change, or remove a beneficiary on a certificate of title.¿
pdf icon VSA 22
Assigned Vehicle Identification Number, Application forUse this form to apply for an assigned vehicle identification number.
pdf icon VSA 24
Statement of Authority to Assign TitleAdult legal heirs use this form to obtain a title for a deceased person's vehicle.
pdf icon VSA 26
Converted Electric Vehicle CertificationUse this form to certify that a vehicle has been converted to electric propulsion.
pdf icon VSA 31
Moped CertificationUse this form to certify operation of a moped.
pdf icon VSA 35
Affidavit for Manufactured Home Conversion to Real PropertyUse this form when converting a manufactured home to real property
pdf icon VSA 35A
Affidavit for Manufactured Home Sever from Real PropertyUse this form to request a new title for your manufactured home when you detach (sever) it from real property.
pdf icon VSA 38
Request to Record Motorcycle Disassembled for PartsMotorcycle manufacturers use this form to request that DMV record the disassembly of a motorcycle(s) purchased by the manufacturerer for parts.
pdf icon VSA 40
Vehicle Removal CertificateUse this form is to record compliance with the Abandoned Motor Vehicle Act.
pdf icon VSA 40A
Demolisher and Mercury Switch Removal CertificationUse this form to record the demolition of a vehicle and the disposition of a vehicle's mercury switches.
pdf icon VSA 41
Mechanics' or Storage Lien Title ApplicationUse this application to request vehicle information and to apply for a title or non-repairable certificate as a result of a mechanic's or storage lien, as provided in VA Code §§43-32, 43-33, and 43-34.
pdf icon VSA 45
Rate Schedule for Private CarriersRate schedule showing fees applicable to private carriers, trucks, trucks-trailers combinations, and tractors.
pdf icon VSA 45A
Rate Schedule for Private Carriers: Multi-YearRate schedule showing multi-year fees applicable to private carriers, trucks, trucks-trailers combinations, and tractors.
pdf icon VSA 46
Rate Schedule for For Rent or For Hire CarriersRate schedule showing fees applicable to for-rent or for-hire carriers, trucks, truck-trailers combinations, tractor trucks, and road tractors.
pdf icon VSA 46A
Rate Schedule for For Rent or For Hire Carriers: Multi-YearRate schedule showing multi-year fees applicable to for-rent or for-hire carriers, trucks, truck-trailers combinations, tractor trucks, and road tractors.
pdf icon VSA 47
Pro-Rated License Fees for Tow Trucks for HireRate schedule showing pro-rated license fees for tow trucks for hire.
pdf icon VSA 48
Rate Schedule for Rental Passenger VehiclesRate schedule showing fees applicable to rental passenger vehicles.
pdf icon VSA 48A
Rate Schedule for Rental Passenger Vehicles: Multi-Year Multi-year rate schedule showing fees applicable to rental passenger vehicles.
pdf icon VSA 49
Fee Chart for Common Carrier and City BusMulti-year rate schedule showing fees applicable to passenger common carrier vehicles.
pdf icon VSA 49A
Fee Chart for Common Carrier and City BusFee Chart for Common Carrier and City Bus: Multi-Year
pdf icon VSA 50
Pro-Rated License and Miscellaneous FeesPro-rated license and miscellaneous fees
pdf icon VSA 50A
Pro-Rated License and Miscellaneous Fees: Multi-YearMulti-year pro-rated license and miscellaneous fees
pdf icon VSA 51
Rate Schedule for Private Carriers and Tractors: QuarterlyQuarterly rate schedule for private carriers and tractors
pdf icon VSA 54
Veteran Certification of DisabilityVeterans use this form to certify to a qualifying disability and to apply for registration exemption and special license plates or permanent disabled parking placards.
pdf icon VSA 56
Salvage Certificate, Application forUse this form to apply for a salvage certificate and/or to report water damage to a vehicle.
pdf icon VSA 57
Non-Repairable Certificate, Application forCustomers use this form to apply for a no-fee non-repairable certificate. Insurance companies use this form to apply for no-fee certificates for non-repairable stolen vehicles or late model vehicles (current year and six preceding years) or any vehicle whose actual value is determined to have been at least $7,500 prior to being damaged.
pdf icon VSA 58
Notification of Owner Retained Late Model and/or Water Damaged VehicleInsurance companies use this form to notify the owner of a vehicle (retained from an insurance claims process) about salvage vehicle laws and procedures. Vehicle Owners use this form to comply with DMV procedures for owner-retained late model and/or water damaged vehicles.
pdf icon VSA 59
Rebuilt Salvage Vehicle Disclosure StatementUse this form to provide brand information when selling a rebuilt vehicle.
pdf icon VSA 62
Report of Levied and Seized VehicleUse this form to report a levied and seized vehicle.
pdf icon VSA 66
Supplemental Lien, Transfer of Lien, Replacement Title or Substitute Title, Appl.Use this form to apply for a supplemental lien, lien transfer, replacement title certificate or substitute title certificate.
pdf icon VSA 70
Power of AttorneyA vehicle owner uses this form to appoint an individual power of attorney to sign for the owner when registering and/or transferring ownership of a motor vehicle.
pdf icon VSA 71
Change of Record, Application forUse this form to change information on an existing vehicle record.
pdf icon VSA 80
Affidavit of Sale of Levied and Seized VehicleLocalities use this form to certify lienholder notification (if applicable) and compliance with Virginia Code requirements regarding seized vehicles sold for the collection of taxes due.
pdf icon VSA 86
How to Title and License a Motor VehicleThis publication provides information for titling a motor vehicle and purchasing license plates.
pdf icon VSA 94
License Plates or Decals for Deaf Person, Application forUse this form to apply for license plates and/or decals for a deaf person.
pdf icon VSA 98
Repossession of Vehicle Titled Out-of-StateA lienholder or lienholder's authorized agent uses this form to apply for a Virginia repossession title (in the lienholder's name) for an out of state repossessed vehicle that was titled in another state.
pdf icon VSA 99
Report of Recovered Stolen VehicleAfter a stolen vehicle is reported to the law enforcement that initiated the original report, insurance companies use thisform to record that a stolen vehicle has been recovered, the percent of damage and the estimated cost of repair.
pdf icon VSA 122
Local Government Reimbursement for Inoperable Vehicle DispositionLocal governments use this form to track and certify the disposition of, and request reimbursement for, the disposition of inoperable vehicles located within the locality (Virginia Code §46.2-1207). All other vehicle dispositions are reported using the Vehicle Removal Certificate (VSA 40).
pdf icon VSA 124
Application for License Plates and Vehicle Registration for a Firefighter, Professional Firefighter, or Rescue SquadIndividuals use this form to apply for vehicle registration and Firefighter (FD), Professional Firefighter (PF), or Rescue Squad (RS) plates.
pdf icon VSA 125
Application for License Plates and Vehicle Registration for an Emergency VehicleBusinesses or organizations use this form to apply for vehicle registration and plates for an Emergency Medical Services (EMS) vehicle or other emergency vehicle.
pdf icon VSA 145
Overload Permit ApplicationAn Overload Permit is vehicle/owner-specific and allows the vehicle to carry loads on Va state roads in excess of the amount previously registered for the vehicle.
pdf icon 
Virginia Highway Safety Plan FFY 2013This publication provides the Virginia Highway Safety Plan for Federal fiscal year 2013.
pdf icon 
Virginia Highway Safety Plan FFY 2014This publication provides the Virginia Highway Safety Plan for Federal fiscal year 2014.


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