Virginia Department of Motor Vehicles (DMV) Forms

The Virginia Department of Motor Vehicles (DMV) provides various forms for different purposes, such as license and identification card applications, vehicle information requests, driver improvement courses, and hazmat endorsements. These forms are used by customers, dealers, vendors, and instructors to facilitate their interactions with the DMV.

1. ASA 42 - Plate/Decal Transfer: Online dealers/participants, online vendors, CSC management and DMV Selects use this form to transfer plates/decals
2. CDT 16 - Entry - Level Driver Training Curriculum Submission: Use this form to submit your curriculum to DMV.
3. CRD 01 - Request for Vehicle Information by a Prospective Purchaser: Use this form to request vehicle information by prospective purchasers.
4. CRD 93 - Information Request: Use this form to request driver records/transcripts, vehicle records/transcripts, and crash reports from DMV records.
5. CSMA 01 - Contact Information for Vital Statistics: This publication lists contacts to obtain a certified copy of a birth certificate.
6. CSMA 14 - Customer Concern Report: A DMV customer uses this form to express concerns about groups outside of DMV facilities.
7. CSMA 19 - In-Car Maneuvers Observation Record: This form is used by (1) learning drivers age 18 who hold a learner’s permit, (2) learning drivers age 19 and older who hold a learner’s permit but have not completed a Virginia approved driver training course, and (3) qualifying home-schooled students to verify the observation and completion of safe driving maneuvers before applying to take the road skills test at DMV.
8. CSMA 90 - E-Z Pass Account Application: Use this form to apply for a Personal or Business E-Z Pass account or add vehicles to an existing account.
9. DI 14 - Curriculum Vendor Application: Use this form to apply for DMV Approval to offer driver improvement courses.
10. DI 15 - Driver Improvement Clinic License Application: Use this form to apply for a driver improvement clinic license.
11. DI 17 - Driver Improvement Clinic Classroom Instruction Attendance Roster: Use this form to document instructor and student attendance.
12. DI 505 - Driver Improvement Clinic Instructor License Application: Use this form to apply for a Driver Improvement Clinic instructor's license.
13. DIC551 - Online Driver Improvement Clinic - License Application and Agreement: Use this form to apply for or renew an online driver improvement clinic license.
14. DIC 550 - Curriculum Vendor Agreement for Computer-Based Driving Improvement Training: Use this form to apply for a Curriculum Vendor Agreement for the Computer-Based Training Driver Improvement Clinic Program.
15. DL 1P - Driver's License and Identification Card Application: Use this form to apply for a Virginia Driver's License or Identification Card.
16. DL 2P - Commercial Driver's License (CDL) Application: Use this form to apply for a commercial driver's license or commercial learner's permit.
17. DL 2PA - Supplemental Driver’s Licensing History (for CDL Applicants): A 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.
18. DL 5 - Identification Card Application for Minors Under Age 15: Minors under age 15 use this form to apply for a Virginia Identification Card.
19. 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.
20. DL 8 - Commercial Driver’s License (CDL) Self-Certification: Use 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).
21. DL 10 - Driver Privilege Card Application: Non-US citizens may use this form to apply for a Driver Privilege Card or Identification Privilege Card.
22. DL 11 - Virginia Veteran Military Service Certification: Virginia veterans include this form when applying for a veteran indicator on their Virginia license or identification card (ID)
23. DL 13 - CDL 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.
24. DL 18 - Cancellation of Minor's Driving Privilege: Use 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.
25. DL 23 - Identification Privilege Card Application For Minors Under Age 15: Use this form to qualify for an identification privilege card for a minor.
26. DL 55 - National Driver Register File Check - Employer Request: Employers use this form to request a National Driver Register (NDR) file check on a current or prospective employee.
27. DL 56 - National Driver Register File Check - Individual Request: Use this form to request a National Driver Register (NDR) file check on yourself and obtain a copy of the record if one exists.
28. DL 70 - Hazmat Endorsement Background Record Check: Use this form to apply for a hazardous materials endorsement (hazmat) background check. This formcollects information required by the Transportation Security Administration.
29. DL 80 - Electronic Birth Certification Request – Not Born in Virginia: Customers 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).
30. DL 81 - Electronic Birth Certification Request – Born in Virginia: Customers born in Virginia (from 1912 to the present) use this form to request a Virginia birth certificate.
31. DL 82 - Virginia Vital Record Application - Marriage/Divorce/Death Certificate: Customers 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.
32. DL 120 - Entry Level Driver Training Self-certification Of Exemption: Use this form if you held a commercial driver's license (CDL) prior to February 7, 2022 and are exempt from the federal Entry Level Driver Training requirements under 49 CFR parts 308, 383 and 384 and Va. Code § 46.2-341.12.
33. DL 121 - CDL Entry Level Driver Training (ELDT) Re-examination Course Completion Self-certification: This form may be used by commercial driver's license (CDL) applicants who failed the CDL general knowledge or road skills test three times prior to February 7, 2022 to self-certify to the completion of Entry Level Driver Training in order to satisfy the requirement to complete driver training prior to testing a fourth time.
34. DL 145 - Traumatic Brain Injury Designation Application: Use this form to apply for a traumatic brain injury designation on your driver's license.
35. DL 5 - Identification Card Application for Minors Under Age 15: Minors under age 15 use this form to apply for an identification card.
36. DL 514 - Report of Disabled Parking Plate/Placard Violation: Employees, police officers and customers use this form to record information about disabled parking plates/placards violations.
37. DL 569 - Emergency Contact Application: Use this form to add, change or delete emergency contact information on your driver's license or identification card record. This information is only accessible to DMV and law enforcement.
38. DMS 002 - Driving Monitoring Program - File Preparation Instructions: Use these instructions when creating a Driver Monitoring electronic file for submission to DMV for the Driver Monitoring Program.
39. DMS 004 - License, ID Card, and Records Payment Authorization: Customers fax this form to DMV for payment authorization.
40. DMS 17 - Voter Registration Questionnaire: Use this form if you were unable to complete the voter registration questions electronically on the credit card terminal to determine if a paper voter registration application is needed.
41. DMV 2 - Motorcycle Operator Manual: This publication provides essential safe driving information for motorcyclists - beginning riders as well as those with more experience.
42. DMV 16 - Parents in the Driver's Seat: This publication provides parents and guardians information on being involved in the first years of their teen's driving.
43. DMV 25 - Be an Online Dealer: This publication provides information on becoming an online motor vehicle dealer.
44. DMV 32 - Preferred Services Flyer: This publication describes DMV preferred service options (Internet, telephone, mail and DMV Select offices).
45. DMV 34 - Virginia's Two-Wheel Motorcycle Skill Test: This publication describes the test exercises and scoring criteria for the Virginia two-wheel motorcycle skills test.
46. 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.
47. DMV 35 - Virginia's Three-Wheel Motorcycle Skills Test: This publication describes the test exercises and scoring criteria for the Virginia three-wheel motorcycle skills test.
48. DMV 39 - Driver's Manual: This publication provides all of the information needed to obtain a Virginia driver's license.
49. DMV 39S - Manual de Conductor de Virginia: This publication provides all of the information needed to obtain a Virginia driver's license (Spanish translation).
50. DMV 53 - Turning 75? Come See Us: This publication describes the requirement for drivers age 75 or older to appear in person at DMV and pass a vision screening to renew their driver's license.
51. DMV 54 - Virginia's Secure Driver's Licenses and ID Cards: This 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.
52. DMV 60A - Commercial Driver's Manual: This publication provides information necessary to obtain a commercial driver's license in Virginia.
53. DMV 60V - Virginia Supplement to the Commercial Driver License Manual: Provides 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.
54. DMV 72 - VA Automobile Liability Insurance Reporting Requirements: This 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.
55. DMV 105 - DMV Guide for Familiy Members and Friends of the Recently Deceased: This publication provides information for settling the vehicle and driver's license records of recently deceased family members and friends.
56. DMV 114 - A Different Kind of Crash Course DI Program: This publication describes the Virginia Driver Improvement Program.
57. DMV 114 S - Un Curso Intensivo Diferente Crash Course: This publication describes the Virginia Driver Improvement Program (Spanish translation)
58. DMV 115 - Moving Violations and Point Assessment: This publication list the traffic violations that have demerit points assigned to them.
59. DMV 115 S - Infracciones de la Circulacion y calculo de Puntos: This publication lists the traffic violations that have demerit points assigned to them (Spanish translation)
60. 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.
61. DMV 140 - Welcome to Virginia: This publication provides information needed to title and register your vehicle in Virginia.
62. DMV 140 S - Bienvenido a Virginia: This publication provides information needed to title and register your vehicle in Virginia (Spanish translation).
63. DMV 141 - Obtaining a Virginia Driver's License or Identification (ID) Card: This publication identifies the documents needed to apply for a driver's license, learner's permit, commercial driver's license (CDL), or CDL instruction permit. This publication identifies the requirements for obtaining a driver privilege card in Virginia.
64. DMV 141-SP - Obtención de una Licencia de Conducir o una tarjeta de Identificación (ID) de Virginia: This 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.
65. 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.
66. DMV 168 - Virginia is Tough on Drunk and Drugged Drivers: This 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.
67. DMV 168s - Virginia es MUY ESTRICTA con los conductores borrachos y drogados: This 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).
68. DMV 172 - Children's Identification Card: This publication provides information for parents to obtain ID cards for their children under the age of 15.
69. DMV 173 - What Can I Do Online?: This publication lists online transactions available at the DMV website.
70. DMV 177 - Acceptable Documents: This publication identifies the documents needed to title a vehicle in Virginia.
71. DMV 177S - Documentos aceptables - Para obtener el título de un vehículo en Virginia: This publication identifies the documents needed to title a vehicle in Virginia (Spanish translation)
72. DMV 181 - Voter Registration Application Instructions: This publication provides large print instructions for voter registration.
73. DMV 200 - Failure to Show for CDL Skills Test Appointment: This publication describes fees charged each time an applicant for a commercial driver's license fails to keep a scheduled skills test appointment.
74. DMV 201 - DMV Fees: This publication identifies fees for Virginia DMV transactions.
75. DMV 202 - Overweight Penalties: This publication identifes fees charged for overweight vehicles.
76. 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.
77. DMV 212 - Experience and Knowledge - The Keys to Safe Motorcycle Riding: The purpose of this publication is to provide motorcycle safety information and Virginia Motorcycle Rider Training Program course locations.
78. DMV 225 - Automated Clearing House Payment Options: This publication describes acceptance of fees and taxes from commercial customers using electronic funds transfers through the Automated Clearing House (ACH).
79. DMV 226 - Virginia Rider Training Program Policy and Procedures: This publication contains Virginia Rider Training Program site policy and procedures.
80. DMV 230 - Reason for Driver Improvement Courses: This publication explains the reason for Driver Improvement Courses.
81. DMV 236 - The Next Step in Verification: This publication identifies the next step in verification if DMV is unable to immediately verify your immigration/citizenship document(s).
82. DMV 237 - Doing Business with DMV: This publication provides information regarding DMV procurement of goods and services.
83. DMV 239 - Harvest Permit Flyer: This publication describes Virginia's Harvest permit requirements for out-of-state vehicles used in harvesting operations within Virginia.
84. DMV 240 - myDMV Account Flyer: This 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.
85. DMV 241A - Driver Alert Brochure: This publication describes the Driver Alert program which gives employers the opportunity to customize the information DMV sends related to changes to employees' driving records.
86. DMV 241B - EZ Fleet Brochure: This publication describes the EZ Fleet system which allows companies to title and register vehicle fleets without visiting a DMV customer service center.
87. DMV 241C - Automated Routing Solution Brochure: This publication describes the Automated Routing Solution for approving and issuing hauling permits.
88. DMV 241D - Fleet-Related Programs Contact Information Flyer: This publication provides contact information for fleet-related programs.
89. DMV 241E - Virginia is Open for Business Brochure: This publication provides an overview of fleet-related programs.
90. DMV 241F - Business Logo Plates Brochure: This publication describes customized business logo special plates available for business fleets.
91. DMV 242 - Escort Vehicle Operator Certification Card: This is a sample of the Escort Vehicle Operator Certification card.
92. DMV 244 - DMV 2 Go Brochure: This publication describes services and scheduling information for the "DMV 2 Go" mobile customer service center.
93. DMV 246 - Operational Recommendations for Transporting Passengers for Compensation (For-Hire): This publication provides safety recommendations for companies transporting passengers for-hire.
94. DMV 247 - Information for Interstate Motor Carriers: This 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.
95. DMV 248 - Motor Carrier Manual: Provides 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
96. DMV 250 - Snap Dragon Activity Booklet: This publication is available online only and provides activity pages illustrating safety information for children.
97. DMV 252A - Veteran Indicator: This publication desribes the Veteran Indicator.
98. DMV 253 - Requirements to Obtain For-Hire License Plates: This publication describes the requirements to obtain for-hire license plates.
99. DMV 254 - Passenger and Property Carrier Enforcement: This publication provides information on laws regarding operating authority for motor carriers transporting passengers or property with Virginia.
100. DMV 255 - Virginia Troops to Trucks Flyer: This 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
101. DMV 257 - Intrastate Motor Carrier Inspection Information Flyer: This publication describes authority and Code of Virginia references regarding intrastate motor carrier inspections.
102. DMV 258 - PRISM Brochure: This publication describes the PRISM (Performance and Registration Information Systems Management) program - a partnership to promote and enhance motor carrier safety.
103. DMV 262 - Ride in Style - Limousine Safety: This publication provides information about limousine safety.
104. DMV 264 - Mopeds in Virginia: This publication describes titling, registration, traffic laws and safety information for mopeds operating on Virginia roadways.
105. DMV 267 - Escort Vehicle Driver Certification Flyer: This publication describes new requirements effective January 1, 2014, for becoming a certified escort vehicle driver in Virginia.
106. DMV 268 - Passenger Carriers - Time is Running Out: This publication describes operating authority requirements for passenger carriers.
107. DMV 269 - Vital Records at DMV: This DMV 269 publication provides information about purchasing vital records at DMV.
108. 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.
109. DMV 272 - Moving Truck Flyer: Information about hiring properly licensed moving companies
110. DMV 273 - Internal Audit: This DMV 273 publication describes the function of Internal Audit.
111. DMV 274 - Buyer Beware: This publication provides guidelines for purchasing a vehicle online.
112. DMV 276 - Converting a Manufactured Home to Real Property: This publication provides the information needed to convert manufactured homes to real property and to sever/detach manufactured homes from real property.
113. DMV 277 - Transportation Network Companies - A Guide to Operating in Virginia: This publication is a guide for transportation network companies interested in operating in Virginia or licensed to operate in Virginia.
114. DMV 278 - Transportation Network Companies - A Guide for TNC Drivers in Virginia: This publication describes guidelines for transportation network company drivers operating in Virginia.
115. DMV 279 - Transportation Network Companies - A Guide for Law Enforcement in Virginia: This publication provides an overview of Virginia’s transportation network company law for law enforcement officers.
116. DMV 280 - Your Odometer: The Key to Your Car's Value: The purpose of this brochure is to educate customers on the importance of accurate odometer readings. It should be given to customers when an odometer discrepancy has been detected.
117. DMV 281 - Emergency Contact Brochure: Virginia’s Emergency Contact Program gives law enforcement a way to notify your family or friends in the event of an emergency.
118. DMV 282 - E-Notification Flyer: This publication describes the benefits of signing up for E-notification.
119. DMV 284 - Executive Order 50: This publication explains the Governor’s Executive Order 50 which bans open-carry firearms in executive branch agency facilities.
120. DMV 285 - Special Identification Cards for State and Local Government Agencies and Organizations: This publication provides information on special identification cards for employees in state and local governments.
121. DMV 288 - Payment Plan Program: This publication provides information on DMV’s Payment Plan Program for those caught driving without insurance.
122. DMV 288S - Payment Plan Program (Spanish Translation): This publication provides information on DMV’s Payment Plan Program for those caught driving without insurance.
123. DMV 289 - Antique and Vintage Cars in Virginia: This publication is for customers requesting more information about antique or vintage license plates.
124. DMV 291 - Creating Special Interest or Military-Related License Plates in Virginia: This publication describes the process for creating special interest or military-related license plates in Virginia.
125. DMV 292 - A Guide to Reinstating Your Driving Privilege: The purpose of this publication is to educate customers on how to restore driving privileges after an offense or offenses.
126. DMV 296 - DMV Connect - Bringing Service to You: This brochure explains the benefits of using DMV Connect
127. DMV 297 - Changes to Virginia's Property Carrier Laws: This publication provides an overview of changes to Virginia's property carrier laws, effective January 1, 2018.
128. DMV 298 - Military Surplus Motor Vehicles: A guide to registering and driving your military surplus motor vehicle
129. DMV 299 - REAL ID - You Have a Real Choice: Get the driver's license or identification card that is right for you.
130. DMV 300 - REAL ID - A Real Choice for Virginians: This publication will help you decide whether to renew your standard driver's license or identification card or apply for a REAL ID compliant driver's license or ID card.
131. DMV 303 - REAL ID Insert: Learn more about REAL ID.
132. DMV 304 - DMV Is Me: This publication describes the mission-purpose of DMV and its core values.
133. DMV 305 - DMV Reopening Flyer: This brochure describes the procedures that DMV has put into place for reopening safely after the coronavirus shutdown.
134. DMV 308 - Veterans Services Brochure: This publication is to provide information about veterans services.
135. DMV 309 - Driver Privilege Card Brochure: This publication identifies the requirements for obtaining a driver privilege card in Virginia.
136. DMV 309s - Driver Privilege Card Brochure (s): This publication identifies the requirements for obtaining a driver privilege card in Virginia.
137. DMV 312 - Mileage Choice Program:
138. DSD 4 - Dealer Application for 30-Day Temporary/5-Day Transport Plates: Motor vehicle dealers use this form to apply to purchase temporary registration/transport plates.
139. DSD 5A - Temporary Transport Certificate: Motor vehicle dealers use this form to issue a temporary certificate to transport a vehicle to a specified location.
140. DSD 6 - Application for Factory/Distributor Plates: Automotive manufacturers use this form to apply for Factory/Distributor Plates.
141. DSD 7 - Manufacturer or Distributor Representative License Application: Use this form to apply for qualification as a salesperson, or to apply for or renew a factory, distributor representative, or sales person license.
142. 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.
143. DSD 9A - Permanent/Temporary Dealer Promotional Plates Application: Use this form to apply for permanent/temporary dealer promotional license plates.
144. DSD 10 - Manufacturer and Distributor License Application for Initial License or Renewal: Motor vehicle dealers, manufacturers, distributors and auctioneers use this form to apply for an initial license or renew an existing license.
145. 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.
146. DSD 11 - Mobile Demolisher Permit of Operation, Application: Vehicle 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.
147. DSD 27 - Permission to Use Dealer's License Plates: A 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.
148. 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.
149. DSD 27-B - Permission to Use Drive Away License Plates: Motor 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.
150. DSD 36 - Dealer Request for DMV Forms: Motor vehicle dealers use this form to order DMV forms.
151. DSD 43 - Authorize Temporary Plate Purchaser, Application To: Motor 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.
152. DSD 65 - Zoning Compliance Certification: Use this form to certify that proper zoning is in effect for your business location and the dealer license for which you are applying
153. DTS/TPT 30A - Class A Third Party Tester Driver Training School Curriculum Requirements: This publication explains the curriculum requirements for Class A Third Party Tester Driver Driver Training Schools.
154. DTS 5 - Vehicle Insurance Certification - Va Driver Training School: Use 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.
155. DTS 14 - Instructions for Student In-car Instruction Record: Use 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.
156. DTS 17 - Instructions for Completing the Classroom Instruction Attendance Roster: Use this form to document classroom instruction sessions, instructors and student attendance.
157. DTS 18 - DTS Parent/Student Questionnaire: Use this form to assess the general status of student training conducted by the driver training school you attended.
158. DTS 22 - Surety Bond Affidavit And Acknowledgement Of Surety: A Driver Training School uses this form to verify to DMV that it has obtained proper bond.
159. DTS 30 - Class A Driver Training School Curriculum Requirements: This publication describes curriculum requirements for Class A driver training instructional courses.
160. DTS 32 - Curriculum Vendor Application: Use this form to apply for DMV approval to offer a Driver’s Manual course.
161. DTS 32E - 8-Hour Online Driver Manual Curriculum Vendor Application: Use this form to apply for DMV approval to offer an 8-hour online Driver's Manual course
162. 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.
163. 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.
164. DTS 34A - Instructor License Application for Commercial Vehicle: Use this form to apply for a driver training instructor license.(commercial vehicles)
165. DTS 34B - Instructor License Application for Passenger Vehicle: Use this form to apply for a driver training instructor license. (passenger vehicles)
166. DTS 36A - Certificate of Classroom Completion Instructions: Use these instructions when issuing the Classroom Certificate of Completion (DTS 36).
167. 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.
168. DTS 1 - Driver Training School Forms Request: Use this form to request DMV forms that are essential for the operation of your school.
169. DTS 100 - Monthly School Training Completion Report: Use this form to document each student's completion of a driver training course.
170. DTS 101 - Virginia Driver School/Driver Improvement Clinic License Payment Authorization: Use this form for payment authorization for driver training school or driver improvement clinic transactions.
171. DTS 14 19 - Driving Training School Student In-Car Instruction Record (COVID-19): Effective July 2, 2020, until the end of Phase Three of the easing of certain temporary restrictions due to COVID-19, or unless sooner amended, or rescinded, driver training schools must use this form to document the minimum periods of daily instruction and performance assessment of in-car training as established by the state-approved driver education program for Juveniles and Adults.
172. DTS 31 - Class A Driver Training School Contract Requirements: This publication explains the contract requirements for Class A - Driver Training Schools.
173. DTS 32 - Student Records Retrieval Report: Use this form to record the names of student training records removed from a driver training school as a result of an audit or an investigation in accordance with § 46.2-1701.3 of the Virginia Code and 24VAC20-121-50 of the Virginia Administrative Code.
174. DTS 35 - Class B Driver Training School Contract Requirements: This publication outlines the contract requirements for a class B driver training school.
175. DTS 37 - CDL Curriculum Application: Use this form to apply for DMV approval to offer CDL Three Times Test Failure course
176. DTS 52 - Student Records Retrieval Report: Use this form to record the names of student training records removed from a driver training school as a result of an audit or an investigation in accordance with § 46.2-1701.3 of the Virginia Code and 24VAC20-121-50 of the Virginia Administrative Code.
177. DTS 60 - Online Driver Education License Application and Agreeement: Use this form to apply for or renew an online driver training school license.
178. DTS 61 - Online Driver Training Curriculum Vendor Registration Application: Use this form to register as an online driver training curriculum vendor.
179. DTS 62 - Parental Consent for Online Driver Education Examination: Use this form to give consent for students under age 18 to take the online drivers education examination at the driver training school that offered the online course.
180. DTS 65a - Online Driver Education Monitoring Instructor Examination Script: Use this form to provide the driver training school Instructors with instructions for monitoring the final examination for the online driver education course.
181. DTS 65b - Instructions for Administering and Monitoring the Online Driver’s Education Course Final Examination: Use this form to provide driver training instructors with instructions for administering and monitoring the final examination of the Online Driver’s Education Course.
182. DTS 75 - Virginia Entry-level Driver Training Provider And Instructor Verification Application: Use this form to to apply for certification to become an Entry-Level Driver Training Provider to provide theory instruction and behind-the-wheel training in a commercial vehicle to Entry-Level Drivers.
183. DTS 77 - Virginia Training Provider Registry Certification For Entry-level Training Providers: Use this form to.certify that you have met the requirements to become an Entry-Level Driver Training Provider.
184. DTSA I - Virginia Commercial Driver Training Certificate Instructions: Use this document as a guide for completing the Virginia Commercial Driver Training Certificate (DTS-A)
185. DTSB I - Virginia Driver Training Certificate Instructions: Use this document as a guide for completing the Virginia Driver Training Certificate (DTS B)
186. 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)
187. DTSD I - Virginia Driver Training Completion Certificate - Adult Waiver Instructions: Use this document as a guide for completing the Virginia Driver Training Completion Certificate – Adult Waiver (DTS D)
188. DTSE I - Virginia Driver Training Instructions CDL Re-Examination Certificate (DTS E): Use this document as a guide for completing the Virginia Driver Training Re-examination Certificate.(DTS-E).
189. FMS 108 - Vehicle Registration Withholding Credits Certification: Localities use this form to certify any credits taken on the monthly invoice for Vehicle Registration Withholding fees.
190. FMS 210 - Vehicle Registration Refund, Application for: Use 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.
191. FMS 310 - ACH Debit Authorization/Agreement: A 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.
192. FR 3 - Insurance Verification Annual Report: This annual publication provides a summary of DMV's insurance verification activities during each fiscal year.
193. FR 4 - Financial Responsibility Insurance Filing via Internet: This publication is a user guided for DMV's Extranet system for the SR22/26 Insurance Reporting Data Exchange Process.
194. FR 200 - Voluntary Report of a Crash: Use this form to voluntarily submit a report on a vehicle(s) crash.
195. FR 205 - Report of an Uninsured Motorist Claim (for Insurance Companies Only): Use this form to report to DMV an uninsured motorist claim involving an uninsured motor vehicle registered in Virginia.
196. FR 302 - Self Insurance, Application for:
197. FR 521 - Self-Insured Crash Involvement Quarterly Report: A self-insured entity must use this form to report crash involvement and demonstrate the entity's financial ability to respond to claims.
198. FSPA 3 - Indemnification and Hold Harmless Agreement: Non-state entities use this form to request use of state property (ie: building, room or parking lot).
199. FT 214 - Virginia Fuels Tax Notice of Tax Payment Default: Licensed suppliers or providers of alternative fuel use this form to report to report tax payment.
200. FT 226 - Fuels Tax Refund Application for Fuel Used in Diesel Vehicles: Use 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
201. FT 459 - Assignment of Securities in Lieu of Surety Bond: Customers use this form to submit collateral (certificate of deposit) in lieu of a bond.
202. FT 462 - Fuels Tax Bond: Customers use this form to submit collateral (bond) in lieu of a certificate of deposit.
203. HP 15 - Escort Vehicle Driver Training Site Application: Use this form to apply to operate an escort vehicle driver training site for drivers seeking certification to escort vehicles of excessive size or weight
204. HP 17 - Escort Vehicle Driver Training Site-Classroom Instruction Attendance Roster: Use this form to document student attendance at the 8-hour Escort Vehicle Driver Training (EVDT) course.
205. HP 404 - Escort Vehicle Driver Certification Application: Use this form to apply for certification as a vehicle escort driver to escort over dimensional loads exceeding 12 feet in width.
206. HP 405 - Escort Driver's Manual: This publication provides information for drivers who provide escort services for movement of vehicles and loads which exceed legal limits.
207. HP 406 - Virginia Blanket Hauling Permit Permit Locality Addendum: Use this form to apply for annual locality permits.
208. HP 410 - Escort Vehicle Driver Train-the-Trainer Class Roster: Use this form to document the attendance at an Escort Vehicle Driver Train-the-Trainer class.
209. HP 505 - Escort Vehicle Driver Training Instructor Application: Use this form to apply to be an escort vehicle driver training instructor.
210. 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.
211. HS 3 - Home Schooled In-car Driver Education Information Sheet: This 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.
212. HS 4 - Home Schooled Re-examination Requirements Information Sheet: This 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.
213. IRP 1A - Virginia International Registration Plan (IRP) New Account Application: Use this application to create a new Virginia IRP Account.
214. IRP 1B - Virginia International Registration Plan (IRP) Supplemental Application: Use this application to make changes to your Virginia IRP Account.
215. ISD 01 - Address Change Request Form: Use this form to notify DMV of your most current correct address or addresses.
216. LE 007 - Curbstone Report: Use this form to report suspected instances of illegal car sales by unlicensed individuals or businesses (“curbstoning”).
217. LE 22 - DMV Law Enforcement Investigation Request: Use this form to report incidents requiring DMV Law Enforcement attention, such as suspicious activity related to motor vehicles, driver licensing, fuels taxes, motor vehicle dealer transactions, DMV transactions, or property/passenger carrier operations, etc.
218. LE 28 - Retired Agent Application for Identification Card and Authorization to Carry a Concealed Handgun: Retired and retiring sworn members of the DMV Law Enforcement Division use this form to request (1) issuance of a retired law-enforcement officer photo identification card; (2) authorization to carry a concealed handgun pursuant to VA Code § 18.2-308.016(A); and/or (3) authorization to carry a concealed handgun in accordance with 18 U.S.C. §926(C).
219. LE 104 - Odometer Fraud Complaint: Use this form to request that DMV Law Enforcement investigate instances or suspected instances of vehicle odometer fraud
220. LE 444 - Fuel Inspection Notice: This publication describes the Virginia Fuels Tax Act and use of dyed diesel fuel.
221. LE 70 - DMV Law Enforcement Division Citizen Complaint or Comment: Use this form to submit complaints, comments, or compliments regarding the conduct of law-enforcement officers or non-sworn.
222. LES 022A - Request for Repaired or Rebuilt Salvage Vehicle Examination: Use this form to request an examination of a repaired or rebuilt salvage vehicle
223. LGL 001 - Title VI Complaint Allegation: The Department of Motor Vehicles (DMV) rejects discrimination in all of its programs and activities. Title VI of the 1964 Civil Rights Act and related non-discrimination authorities prohibit discrimination on the basis of race, color, national origin, sex, disability, age, low income, or limited English proficiency. Use this form to record any allegation or allegations of discrimination. The information you provide allows us to process your complaint.
224. MCS 100 - Motor Carrier Cover Fax Sheet: Use this form as the cover sheet to fax forms/documents to DMV, Motor Carrier Services.
225. MCS 115 - For-Hire Vehicles Registration Request: Use 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.
226. MCS 116 - Motor Carrier Motor Vehicle Lease Agreement: Use 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).
227. MCS 130 - Notification of Deactivated Motor Carrier Fleet: Use this form if you have deactivated the registration of all vehicles used to perform a service authorized by a DMV certificate or permit that you want to keep.
228. MCS 148 - Harvest Permit Application: Use 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
229. MCS 306 - Virginia TNC Insurance Certificate: Use this form to certify TNC Insurance Coverage.
230. MCS 307 - Virginia Notice of TNC Insurance Cancellation: Use this form to notify DMV of TNC Insurance Cancellation.
231. MCS 310 - Virginia TNC Broker Insurance Certificate: : Use this form to file proof of Virginia TNC Broker Insurance.
232. MCS 311 - Virginia Notice of TNC Broker Insurance Cancellation: Use this form to notify DMV of Cancellation of Virginia TNC Broker Insurance.
233. MCTS 270 - Individual Vehicle Mileage and Fuel Report: Use this form to record mileage and fuel used for a trip or day of activity for a single vehicle.
234. MCTS 271 - Virginia IRP and/or Fuel Trip Permit, Application for: Use this form to apply for a Virginia IRP and/or Fuel Trip Permit.
235. MCTS 272 - Vehicle Monthly Trip Recap: Use this form to record mileage and fuel information for each trip completed during the month. Photocopy form as needed.
236. MCTS 482 - WEBCAT User Maintenance Application to Add or Delete Users: Use this form to add or delete users from DMV's Electronic Service for Titles, IRP and IFTA (webCAT).
237. MED 2 - Customer Medical Report: Use this form to request medical information from your physician, physician assistant or nurse practitioner.
238. MED 3 - Medical Review Request: Use this form to request the Department of Motor Vehicles (DMV) to conduct a medical review of a licensed driver.
239. MED 4 - Vision Screening Report: Use 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.
240. MED 10 - Disabled Parking Plates or Placard Application: Persons with disabilities use this form to apply for a disabled parking placard or disabled parking license plates.
241. MED 11 - Institutional/Organizational Disabled Parking Placard Application: Use this form to apply for institutional/organizational disabled parking placards.
242. MED 12 - Disability Parking Application Information: This 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.
243. MED 13 - Commercial Driver's License (CDL) Skill Performance Evaluation Certificate Application: Use this form to apply for the Federal SPE Certification Program
244. MED 13GF - Skill Performance Evaluation Certificate Application (Grand Fathered): Grandfathered Virginia commercial driver's license (CDL) applicants with missing or impaired limbs use this form to apply for a Skill Performance Evaluation Certificate.
245. MED 20 - Sun-Shading Medical Authorization Application: Use this form to apply for a sun-shading medical authorization or to add additional vehicle(s) to an existing sun-shading medical authorization.
246. MED 21 - Sun-Shading Removal Certification: Use this form to report the removal of sun-shading from a vehicle and request a new registration card without the sun-shading notation.
247. MED 30 - CDL Disability Waiver or Hazardous Materials Variance Application: This form is also used to renew intrastate waivers or variances for disability types 1,2, 3 and 10 as listed in Federal Motor Carrier Safety Regulations FMCSA 49 C.F.R. Section (b) 391.41.
248. MED 31 - Conditions of Variance for CDL Drivers to Haul Haz. Materials: This publication provides information on the conditions for maintaining the variance authorization to operate a commercial vehicle transporting hazardous materials.
249. MED 40 - Vision Examination Form for Wearers of Bioptic Telescopic Lens: Eye-care practitioners complete this form to provide DMV with an applicant's vision information.
250. MED 41 - Certification for Use of Bioptic Telescopic Lens: Medical Professionals use this form to certify that a patient is eligible to wear bioptic telescopic lenses.
251. MED 44 - Driver Licensing Information for Bioptic Telescopic Lens Wearers: This publication provides driver licensing information for bioptic telescopic lens wearers.
252. MED 8 - Missing Or Impaired Limb Assessment For Non-commercial Drivers: Use this form to request medical information from your physician, physician assistant or nurse practitioner.
253. MED 80 - Medical Fitness for Safe Driving: This publication describes the reporting and review process of individuals who may have health or medical.
254. MED 80A - Medical Fitness FAQs: Provides answers to frequently asked questions about the medical review process.
255. MP 230 - Locality Blanket Hauling Permit Dimensions and Conditions: Use this form to certify and communicate changes in relation to annual hauling permits.
256. MVDB 9 - Dealer Plate Application: Motor vehicle dealers use this form to purchase car, truck, motorcycle, recreational vehicles or trailer plates.
257. MVDB 10 - Motor Vehicle Dealer License Application for Initial License/Renewal/Change: Dealers use this form to apply for initial dealer license.
258. MVDB 54 - Manufactured Home Dealer or Watercraft Trailer Dealer Certificate of Registration Application: Use this form to apply for a certificate of registration for a manufactured home dealer or watercraft trailer dealer.
259. MVDB 55 - Record of All Wholesale Sales and Retail Sales Registered Out-Of-State: Motor vehicle dealers use this form to record all wholesale sales and retail sales registered out-of-state.
260. MVDB 57 - Dealer Operator/Salesperson Qualification Test Application: Use this form to apply for the motor vehicle dealer qualification test for salesperson or dealer/operator.
261. MVDB 60 - Violation Notice: Use this form to notify the owner or lessee of the used motor vehicle(s) parked or displayed for sale on real property of a potential Virginia Code violation
262. MVDB 61 - Salesperson License Application: Use this form to apply for a salesperson license.
263. OA 139 - Zoning Compliance: Use this form to verify that your business is being operated from a properly zoned address.
264. OA 141 - Operating Authority Certificate Application for Common Carriers of Passengers: Use this form to apply for or change existing authority to operate as a Common Carrier over Regular Routes or Irregular Routes in Virginia.
265. OA 142 - For-Hire Intrastate Operating Authority Permit Application: Use this form to apply for or change your existing for-hire intrastate operating authority type
266. OA 143 - Intrastate Operation of Rental Vehicle Authorization Appl.: Motor carriers use this application to obtain authorization to use rental vehicles.
267. 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.
268. OA 150 - Operating Authority Certificate or License Application: Use this form to apply for or change your existing authority to operate as a carrier within Virginia for certain authority types.
269. OA 151 - Operating Authority Certificate Application for Non-Emergency Medical Transportation Carriers: Use 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.
270. OA 152 - Transportation Network Company Operating Authority Certificate Application: Use this form to apply for authority to operate as a Transportation Network Company (TNC) within Virginia.
271. OA 153 - Transportation Network Company (TNC) Certificate of Fitness Renewal: TNCs use this form to renew their Certificate of Fitness with DMV.
272. OA 154 - Transportation Network Company Broker's License Application: Used to apply for authority to arrange passenger transportation via a TNC by a TNC driver.
273. OA 200 - Contract Passenger Carrier Vehicle Trip Sheet: Use this form to record transportation of passengers under contract for prearranged trips.
274. OA 210 - Criminal History Records Request: Use this form to request a criminal history for the purpose of evaluating applicants
275. OA 411 - Consumer Complaint Against a Passenger/Property Carrier: Use this form to file a complaint about a provider of passenger or property transportation.
276. OA 435 - Passenger Carrier and Passenger Broker Bond: Use this form to record the bond required to protect the public against fraudulent activity by a carrier.
277. OA 436 - Households Goods Carrier Bond: Required bond to protect public against fraudulent activity by a carrier.
278. OA 447 - For-Hire Operating Authority Certificate or License: Use 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)
279. OA 448 - Sample Tariff for Common Carriers Over Irregular Routes: This publication provides information on tariffs for common carriers over irregular routes.
280. OA 449 - Sample Tariff and Time Sch. for Common Carriers...Regular Routes: This publication provides information on tariffs for common carriers over regular routes.
281. OA 450 - Sample Tariff for Household Goods Carriers: This publication provides information on tariffs for household goods carriers.
282. OA 456 - For-Hire Operating Authority Certificate or License: Use 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)
283. RDT 120 - IFTA Licensing Application: Use this form to establish a new Virginia IFTA account, or to renew or make changes to an existing Virginia IFTA account.
284. RDT 121 - IFTA Quarterly Tax Report: IFTA carriers use this form to complete and submit the required quarterly tax report.
285. RDT 121I - IFTA Quarterly Tax Return Instructions: Use 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.
286. 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.
287. 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.
288. 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.
289. SUT 2A - Refund of Sales and Use Tax Application and Affidavit: Use this form to request a refund of Sales and Use Tax paid to DMV for a vehicle returned to the seller due to a mechanical defect or failure.
290. SUT 3 - Purchaser's Statement of Tax Exemption: Use this form to certify that a motor vehicle is exempt from Virginia Motor Vehicles Sales and Use Tax.
291. SUT 4 - Transfer of Certification of Lien Information: A lienholder uses this form to transfer a certificate of title with a lien.
292. SUT 5 - Certification of Sale Price for Vehicle Purchased with Qualified Equipment: Use 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
293. TPT 005 - CDL Examination - Student Authorization for Release of Information: To authorize the release of student information to the Virginia Community College system participating in the Third Party Tester program.
294. TPT 005a - Va Community College System Confirmation of Students Issued a Commercial Driver's License: Use this form to request confirmation that students who successfully completed a CDL training course and examination administered by a Virginia community college that participates in DMV’s Third Party Tester Program were issued a CDL license by DMV.
295. TPT 499 - Agreement And Designation For Use Of Roadtest Tablets: Use this form to make an agreement between DMV and Third-Party Testers for the use of Roadtest Tablets.
296. TPT 500 - Third-party Tester Program CDL Examiner's Roadtest Tablet Application: Use this application to order one or more CDL Examiner Roadtest Tablets.
297. TPT 550 - Third-Party Tester Certification of Skills Test Route: Use this form to record the test route that will be used to administer the final CDL Road Skills Examination. All test routes must be approved by the department prior to use.
298. TPT 550i - Instructions for Third-Party Tester Certification of Skills Test Route: Third-Party Tester Certification of Skills Test Route Instructions
299. TPT 553 - Application for Third-Party Tester Certification: Third-party tester use this form to apply for certification to conduct the skills test component of the CDL examination
300. TPT 553A - Third-Party Tester Program Application Checklist: Use this checklist when completing the TPT 553, Application for Third-Party Tester Certification.
301. TPT 554 - Third-Party Tester Examiner Certification Application: Third-Party Testers use this form to apply for certification to conduct the skills test component of the CDL examination.
302. TPT 555 - Third-Party Tester Agreement: Use this form to set up an agreement between DMV and a third-party tester.
303. TPT 556 - Surety Bond Affidavit and Acknowledgement of Surety: A third-party tester uses this form to verify to DMV that the tester has obtained proper bond.
304. TPT 557 - Class A Driver Training School Third Party Tester Bond Affidavit: A Class A Driver Training School Third-Party Tester uses this form to verify to DMV that the tester has obtained proper bond.
305. TPT 558 - Third Party Tester List of Vehicles Used for Testing: Use this form to certify that the vehicles listed below will be used to administer the CDL road skills examination, are owned or leased by the Tester, and are properly insured.
306. TPT 559 - Class A Driver Training School Third Party Tester Agreement: This form serves as the agreement between a Class A driver training school third-party tester and DMV.
307. TPT 567 - Monthly Report of Examinations: Use this form to document test results.
308. TPT 575 - Application for Third Party Tester Certification: A Class A driver training school third-party tester uses this form to apply for certification to conduct the skills testcomponent of the CDL examination for students that are enrolled in their school.Instructions.
309. TPT 575A - Class A Driver Training School Third-Party Application Checklist: Use this checklist to ensure that all applications and supporting documents to become a Class A driver training school third party tester are enclosed in the application package.
310. TPT 576 - Class A Driver Training School Third Party Tester Examiner Certification Application: Use this form to apply for certification to conduct the skills test component of the CDL examination for students enrolled in a Class A Driver Training School.
311. TPT 599 - Class A Driver Training School Third-Party Tester Agreement: Class A third party testers use this form to notify the Department of Motor Vehicles (DMV) of scheduled CDL Skills Testing.
312. TS 216 - Application for Fuels Tax Refund: Use this form to apply for a refund of the Virginia Fuels Tax.
313. TS 216A - Agriculture and Horticulture Fuels Tax Refund Application: Use this form to apply for a refund of the Virginia Fuels Tax on fuel used for agriculture or horticulture.
314. 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.
315. TS 218 - Itemized Statement of Bulk Storage Fuel Used: Use this form to document all fuel withdrawn from bulk storage.
316. TS 219 - Fuel Tax Refund Application - Exports: Use this form to apply for a fuels tax refund on fuel purchased in bulk in Virginia and exported to another state.
317. TS 221 - Fuels Tax Refund Application for Fuel Used in Taxi Operation: Use this form to apply for a fuels tax refund for fuel used in operating a taxi.
318. 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.
319. TSS 6 - Time and Activity Tracking Non-Profit Organizations, Universities, State Agencies: Non-profit organizations, state agencies and universities use this form to identify and track personnel and activities associated with completing grant objectives.
320. TSS 10C - Highway Safety Project Grant - Line Item Budget Adjustment Request: Use this form to request an adjustment to line items in the project budget
321. TSS 14A - Grantee Progress and Monitor Report for Law Enforcement: Use this form to monitor/evaluate projects and document contact with grantee. (Law Enforcement).
322. TSS 14B - Grantee Progress and Monitor Report for State Agencies and Non-Profit Organizations: Use this form to monitor/evaluate projects and document contact with grantee. (State Agencies and Non-Profit Organizations).
323. TSS 14C - Highway Safety Grantee Equipment Valued at $5000 or More Tracking Report: Use this form to record all equipment purchased with grant funds costing $5,000 or more.
324. TSS 15 - Reimbursement Voucher for Highway Safety Project Costs: Grantees use this form to submit expenditures for reimbursement.
325. TSS 15A - Salary Reimbursement(s) Reporting: Use this form to monitor reimbursement payments made to grant recipients.
326. TSS 16A - Grant File Review Site Visit: Use this form to complete the file review and document discrepancies and best practices.
327. 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.
328. TSS 96 - Virginia Rider Training Program Training Site License, Application for: Use this form to apply for either a reimbursed site or a non-reimbursed training site license.
329. TSS 98 - Instructor/Rider Coach Application: Use this form to apply to become a Virginia Motorcycle Rider Training Program Instructor/Rider Coach.
330. UCR 1 2019 - UCR Registration for 2019 - Vehicles Used in Intrastate Commerce: Use this form if you subtracted vehicles you used ONLY in INTRASTATE commerce from your fleet when you computed UCR fees for 2019.
331. UCR 1 2019-I - UCR 1 Instructions: Instruction sheet for UCR 1
332. UCR 2 2019 - UCR Registration for 2019 - Vehicles Operated: Use this form if you are registering for UCR for 2019 and you base your UCR fees on the number of vehicles you operated for the 12-months ended June 30, 2019.
333. UCR 2 2019-I - UCR 2 Instructions: Instruction sheet for UCR 2
334. US 002 - Extranet LogonID Request Form: Use this form to add, change, delete or reassign user access to the Extranet or MoveIt system.
335. US 003 - Applications, Tokens, Ad Hoc Requests and Disclosures Payment Authorization: Customers fax this form to DMV for payment authorization.
336. US 532A - Commercial Information Use Application: Use this form when applying for, making changes to, or renewing an existing Commercial Use Agreement with the Department of Motor Vehicles (DMV).
337. US 532B - Government Information Use Application: Use this form when applying for, modifying, or renewing an existing government use agreeement with DMV.
338. US 532C - DMV Information Use Criteria: To assist the customer in completing Section L of the Commercial Information Use Application form US 532A and
339. US 532E - Application for Extranet Transaction Access: Use this form when applying for or renewing an existing Memorandum of Understanding and Agreement (MOA) with DMV. An MOA is needed when obtaining driver, vehicle and/or personal information from DMV's record database or providing information to DMV's record database via the Internet (extranet).
340. VS 6 - Application for Certification of a Vital Record: Use this form to request a birth, death, marriage, or divorce certificate from the Division of Vital Records at Virginia Department of Health.
341. VSA 4 - Dealer Transaction Recap Sheet: Dealers use this form to maintain a record of titling work submitted to DMV for processing
342. VSA 5 - Odometer Disclosure Sheet: Use this form to record the odometer readings for new vehicles or to allow a lessee to report odometer readings to a leaser.
343. VSA 10 - Application for Personalized License Plates: Use this form to request souvenir, standard, personalized, or special license plates.
344. VSA 10A - Gold Star or Next of Kin License Plate Applicant Certification: Immediate 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 or Next of Kin license plate.
345. VSA 10 B - Antique License Plate Applicant Certification: Owners of antique motor vehicles, antique trailers and antique motorcycles use this form to certify compliancewith Code of Virginia requirements for use of antique plates.
346. VSA 10M - Military Surplus License Plate Application: Owners of military surplus motor vehicles use this form to certify compliance with Code of Virginia requirements for use of military surplus license plates.
347. VSA 12 - Affidavit in Lieu of Title Certificate: Use this form to certify unavailability of a current certificate of title for a motor vehicle or manufactured home due to loss, unlawful detainment or other legitimate circumstance.
348. VSA 12M - Moped & ATV Affidavit in Lieu of Title Certificate: Use this form to certify unavailability of a current certificate of title for a moped, all terrain vehicle or trailer due to loss, unlawful detainment or other legitimate circumstance.
349. VSA 14 - Registration, Application for: Use this form to apply for registration of your vehicle.
350. VSA 14 I - Registration Information Sheet: Use this information sheet for general registration and license plate information
351. 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.
352. VSA 17B - Certificate of Title - Manufactured Home, Application for: Use this form to title a manufactured home. Do not use for self-propelled vehicles or travel trailers.
353. VSA 18 - Beneficiary Transaction Request: Use this form to add, change, or remove a beneficiary on a certificate of title.”
354. VSA 22 - Assigned Vehicle Identification Number, Application for: Use this form to apply for an assigned vehicle identification number.
355. VSA 24 - Statement of Authority to Assign Title: Adult legal heirs use this form to obtain a title for a deceased person's vehicle.
356. VSA 26 - Converted Electric Vehicle Certification: Use this form to certify that a vehicle has been converted to electric propulsion.
357. VSA 31 - Moped Certification: Use this form to certify operation of a moped.
358. VSA 35 - Affidavit for Manufactured Home Conversion to Real Property: Use this form when converting a manufactured home to real property
359. VSA 35A - Affidavit for Manufactured Home Sever from Real Property: Use this form to request a new title for your manufactured home when you detach (sever) it from real property.
360. VSA 38 - Request to Record Motorcycle Disassembled for Parts: Motorcycle manufacturers use this form to request that DMV record the disassembly of a motorcycle(s) purchased by the manufacturerer for parts.
361. VSA 40 - Vehicle Removal Certificate: Use this form is to record compliance with the Abandoned Motor Vehicle Act.
362. VSA 41A - Mechanics Or Storage Lien Vehicle Transcript Request Application: Use this form to request a Mechanic or Storage Lien vehicle transcript
363. VSA 41B - Mechanics Or Storage Lien Affidavit Of Compliance: Use this affidavit to certify compliance in regards to Mechanics or Storage Lien.
364. VSA 46 - Rate Schedule for For Rent or For Hire Carriers: Rate schedule showing fees applicable to for-rent or for-hire carriers, trucks, truck-trailers combinations, tractor trucks, and road tractors.
365. VSA 46A - Rate Schedule for For Rent or For Hire Carriers: Multi-Year: Rate schedule showing multi-year fees applicable to for-rent or for-hire carriers, trucks, truck-trailers combinations, tractor trucks, and road tractors.
366. VSA 47 - Pro-Rated License Fees for Tow Trucks for Hire: Rate schedule showing pro-rated license fees for tow trucks for hire.
367. VSA 48 - Rate Schedule for Rental Passenger Vehicles: Rate schedule showing fees applicable to rental passenger vehicles.
368. VSA 48A - Rate Schedule for Rental Passenger Vehicles: Multi-Year: Multi-year rate schedule showing fees applicable to rental passenger vehicles.
369. VSA 49 - Fee Chart for Common Carrier and City Bus: Multi-year rate schedule showing fees applicable to passenger common carrier vehicles.
370. VSA 49A - Fee Chart for Common Carrier and City Bus: Fee Chart for Common Carrier and City Bus: Multi-Year
371. VSA 50 - Pro-Rated License and Miscellaneous Fees: Pro-rated license and miscellaneous fees
372. VSA 50A - Pro-Rated License and Miscellaneous Fees: Multi-Year: Multi-year pro-rated license and miscellaneous fees
373. VSA 51 - Rate Schedule for Private Carriers and Tractors: Quarterly: Quarterly rate schedule for private carriers and tractors
374. VSA 54 - Veteran Certification of Disability: Veterans use this form to certify to a qualifying disability and to apply for registration exemption and special license plates or permanent disabled parking placards.
375. VSA 56 - Salvage Certificate, Application for: Use this form to apply for a salvage certificate and/or to report water damage to a vehicle.
376. VSA 57 - Non-Repairable Certificate, Application for: Customers 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.
377. VSA 58 - Notification of Owner Retained Late Model and/or Water Damaged Vehicle: Insurance 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.
378. VSA 59 - Rebuilt Salvage Vehicle Disclosure Statement: Use this form to provide brand information when selling a rebuilt vehicle.
379. VSA 62 - Report of Levied and Seized Vehicle: Use this form to report a levied and seized vehicle.
380. VSA 66 - Application for Transfer and Supplemental Liens: Use this form to apply for a lien transfer or supplemental lien,
381. VSA 67 - Application for a Replacement or Substitute Title: Use this form to apply for a replacement title certificate or substitute title certificate.
382. VSA 68 - Voluntary Communication Impairment Indicator Application: Use of this form is to authorize a change to a motor vehicle record only.
383. VSA 70 - Power of Attorney: A 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.
384. VSA 71 - Change of Record, Application for: Use this form to change information on an existing vehicle record.
385. VSA 78 - Electronic Lien Program Application: Lienholders use this form to apply to the Electronic Lien Program.
386. VSA 80 - Affidavit of Sale of Levied and Seized Vehicle: Localities 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.
387. VSA 86 - How to Secure a Virginia Title and Transfer or Buy License Plates: This publication provides information for titling a motor vehicle and purchasing license plates.
388. VSA 98 - Repossession of Vehicle Titled Out-of-State: A 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.
389. VSA 99 - Report of Recovered Stolen Vehicle: After 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.
390. VSA 10M - Military Surplus License Plate Applicant Certification: Owners of military surplus motor vehicles use this form to certify compliance with Code of Virginia requirements for use of military surplus license plates.
391. VSA 11 - Odometer Discrepancy Acknowledgement: Vehicle owners use this form to acknowledge that the odometer information on their vehicle title certificate is branded as "NOT ACTUAL" or to request odometer research and process a held title.
392. VSA 122 - Local Government Reimbursement for Inoperable Vehicle Disposition: Local 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).
393. VSA 124 - Application for License Plates and Vehicle Registration for a Firefighter, Professional Firefighter, or Rescue Squad: Individuals use this form to apply for vehicle registration and Firefighter (FD), Professional Firefighter (PF), or Rescue Squad (RS) plates.
394. VSA 125 - Application for License Plates and Vehicle Registration for an Emergency Vehicle: Businesses or organizations use this form to apply for vehicle registration and plates for an Emergency Medical Services (EMS) vehicle or other emergency vehicle.
395. VSA 130 - Converted Off-Road Motorcycle Certification: Use this form to certify that the converted motorcycle conforms to all applicable Federal Motor Vehicle Safety Standards.
396. VSA 131 - Farm Vehicle Plate Certification: Owners of qualifying farm vehicles use this form to certify compliance with Code of Virginia requirements for use of farm plates.
397. VSA 140 - Acknowledgement Non-Negotiable Junk Title Not for Resale: Customers can use this form to apply for a nonnegotiable junk title with registration. The vehicle MUST have an out of state brand that is equivalent to Virginia’s nonrepairable requirements, provided the vehicle has been rebuilt/repaired, titled, and registered in another state.
398. VSA 145 - Overload Permit Application: An 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.
399. VSA 150 - Electronic Lien and Title Program Agreement: This form is used by lienholders to establish an agreement with DMV for participating in the Electronic Lien and Title Program.
400. VSA 153 - Vehicle Services Payment Authorization: Customers fax this form to DMV for payment authorization.
401. VSA 154 - License Plate in Development – Plate Sponsor: Customers use this form to identify themselves as the sponsor for a new special license plate.
402. VSA 155 - License Plate in Development – Acknowledgement of Support: A Virginia Legislator who has agreed to sponsor a new license plate requiring legislation (§ 46.2-725) uses this form to communicate that support to DMV.
403. VSA 160 - Request to Retain Stolen License Plates: Use this form to request stolen personalized license plates be reissued.
404. VSA 300 - Payment Plan Program Mail-In Payment Voucher: Use this voucher to submit a payment under the terms of your payment plan contract with DMV.

Whether you are a prospective purchaser seeking vehicle information, a learning driver completing in-car maneuvers, or an employer requesting a National Driver Register file check, the DMV offers a range of forms to meet your needs. By using the appropriate form, you can efficiently complete your transaction with the DMV and ensure that your request is processed accurately and timely.