Form VSA 10A. Gold Star or Next of Kin License Plate Applicant Certification - Virginia

Form VSA 10A - Gold Star or Next of Kin License Plate Applicant Certification is used by immediate family members of individuals who have died in military service to request a Gold Star or Next of Kin license plate.

The parties involved in this form are the immediate family members of the deceased individual and the Virginia Department of Motor Vehicles (DMV). The form consists of sections where the applicant needs to provide essential information, such as the details of the deceased individual, relationship to the deceased, and military service information.

Important fields in this form include accurate information about the deceased individual and their military service, along with the applicant's relationship to the deceased. Providing supporting documentation may be necessary to validate the eligibility for the Gold Star or Next of Kin license plate.

An example scenario where this form would be used is when the surviving family members of a military service member who died in the line of duty want to request a special license plate as a tribute to their loved one's service and sacrifice. By completing Form VSA 10A and the License Plate Application (VSA 10), they can apply for a Gold Star or Next of Kin license plate, which serves as a symbol of honor for their fallen family member.

No additional documents are typically needed to complete this form, as it primarily serves as a certification of eligibility. Related forms or alternatives may include specific license plate applications for other states that offer similar tributary license plates for fallen military service members.