Forms and Publications

NUMBER	NAME	PURPOSE
CRD 01	Request for Vehicle Information by a Prospective Purchaser	Use this form to request vehicle information by prospective purchasers.
CRD 93	Information Request	Use this form to request driver and/or vehicle information from DMV records.
CSMA 01	Contact Information for Vital Statistics	This publication lists contacts to obtain a certified copy of a birth certificate.
CSMA 10	DMV Select Site Visit Check Sheet	The purpose of this form is to guide the Department of Motot Vehicle (DMV) Assisted Service Department when conducting a site visit to a proposed DMV Select location. This form will be used in evaluating a potential DMV Select site.
CSMA 11	DMV Select Contractual Agent, Application for	The purpose of this application is to provide background information relating to knowledge, skills, and abilities for an individual, business, or locality applying to be a contractual agent to perform select DMV transactions.
CSMA 22	Special ID Card Information Sheet	This publication provides information on special identification cards for employees in state and local governments.
DI 3	Driver Improvement Clinic (DI) Student Questionnaire	This form is used to obtain student assessment of Driver Improvement Clinic training.
DI 14	Curriculum Vendor Application	Use this form to apply for DMV Approval to offer driver improvement courses.
DI 15	Driver Improvement Clinic License Application	Use this form to apply for a driver improvement clinic license.
DI 17	Driver Improvement Clinic Classroom Instruction Attendance Roster	Use this form to document instructor and student attendance.
DI 505	Driver Improvement Clinic Instructor License Application	Use this form to apply for a Driver Improvement Clinic instructor's license.
DL 1P	Driver's License and ID Card Application	Use this form to apply for a Virginia Driver's License or Identification Card.
DL 1PA	Supplemental Driver's Licensing History Sheet	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.
DL 5	Identification Card Application for Minors Under Age 15	Minors under age 15 use this form to apply for a Virginia Identification Card.
DL 7	Exchanging a Driver's License from a Foreign Country	Use this form to request an exchange of a valid foreign driver's license for a Virginia driver's license
DL 15	Private Trucking Drivers Status Report	Use this form to allow private trucking companies to notify DMV of changes in the company's driver roster.
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.
DL 19	Commercial/Private Business Drivers Status Report	Use this form to allow commercial/private businesses to notify DMV of changes in the company's driver roster.
DL 29	Private School and Day Care Status Report	Use this form to allow private school and day care to notify DMV of changes in the school's driver roster.
DL 30	Driver Status Report	Use this form to allow school divisions to notify DMV of changes in the division's mass transit driver roster.
DL 32	School Bus Drivers Status Report	Use this form to allow school divisions to notify DMV of changes in the division's school bus driver roster.
DL 34	Public/Private School Driver Education Instructors	Use this form to allow public and private schools to notify DMV of changes in the school's driver education instructor roster.
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.
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.
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.
DL 140	Vehicle Inspection Study Guide- Tractor Trailer	This publication provides information on the pre-trip inspection of tractor trailers.
DL 141	Vehicle Inspection Study Guide - Straight Truck/School Bus	This publication provides information on the pre-trip inspection of straight trucks/school buses.
DL 142	Vehicle Inspection Study Guide - Coach/Transit Bus	This publication provides information on the pre-trip inspection of coaches/transit buses.
DL 143	Vehicle Inspection Study Guide - Combination Vehicles	This publication provides information on the pre-trip inspection of combination vehicles.
DMV 2	Motorcycle Operator Manual	This publication provides essential safe driving information for motorcyclists - beginning riders as well as those with more experience.
DMV 7	Virginia webCAT	This publication describes the Virginia webCAT system - Virginia's electronic motor carrier solution.
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.
DMV 25	Be an Online Dealer	This publication provides information on becoming an online motor vehicle dealer.
DMV 28	Farm Vehicle FAQs	This publication explains Virginia requirements for vehicles used on a farm.
DMV 32	Preferred Services Flyer	This publication describes DMV preferred service options (Internet, telephone, mail and self-service centers).
DMV 34	Alternative Motorcycle Skill Test	This publication describes the test exercises and scoring criteria for the Virginia motorcycle skills test.
DMV 34A	Virginia's Motorcycle Skills Test	This publication describes the test exercises and scoring criteria for the Virginia motorcycle skills test.
DMV 39	Driver's Manual	This publication provides all of the information needed to obtain a Virginia driver's license.
DMV 39-SP	Manual de Conductor de Virginia	This publication provides all of the information needed to obtain a Virginia driver's license (Spanish translation).
DMV 52	Virginia's Secure Driver's Licenses and ID Cards/Organ Donation	This 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.
DMV 53	Turning 80? Come See Us	This 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.
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.
DMV 60	Commercial Driver's Manual	This publication provides information for obtaining a commercial driver's license (CDL) in Virginia. The CDL general knowledge exam contains questions that have been selected from this manual.
DMV 65	Credit Card Charge Request	Use this form to authorize DMV to charge payments to a credit card.
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.
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.
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.
DMV 110	Coloring Book, Snap Dragon	This publication is available online only and provides coloring pages illustrating safety information for children.
DMV 114	A Different Kind of Crash Course DI Program	This publication describes the Virginia Driver Improvement Program.
DMV 114 S	Un Curso Intensivo Diferente Crash Course	This publication describes the Virginia Driver Improvement Program (Spanish translation).
DMV 115	Moving Violations and Point Assessment	This publication list the traffic violations that have demerit points assigned to them.
DMV 115 S	Infracciones de la Circulacion y Calculo de Puntos	This publication list the traffic violations that have demerit points assigned to them (Spanish translation).
DMV 134	Motor Vehicle Rental Regulations	This publication provides information concerning Virginia motor vehicle rental taxes and fees.
DMV 137	Renew your vehicle registration quickly and easily/Virginia special license plates	This publication is mailed with all Vehicle Renewal Notices. It provides information concerning saving time and money by renewing vehicle registrations online, by phone, by mail or by visiting a DMV Select office. Additionally, this publication provides information on Virginia special license plates.
DMV 140	Welcome to Virginia	This publication provides information needed to title and register your vehicle in Virginia.
DMV 140 S	Bienvenido a Virginia	This publication provides information needed to title and register your vehicle in Virginia (Spanish translation).
DMV 141	Acceptable Documents for Obtaining a Driver's License or Photo 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.
DMV 141-SP	Documentos Aceptables para Obtener una Licencia de Conductor...	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 (Spanish translation).
DMV 142	Basic Steps to your Driver's License	This publication describes the basic steps to obtain a Virginia driver's license or photo ID card.
DMV 142-SP	Pasos Basicos Para Obtener su Licencia de Conducir	This publication describes the basic steps to obtain a Virginia driver's license or photo ID card (Spanish translation)
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.
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.
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).
DMV 172	Children's Identification Card	This publication provides information for parents to obtain ID cards for their children under the age of 15.
DMV 172-SP	Tarjeta de indentificación de niños	This publication provides information for parents to obtain ID cards for their children under the age of 15 (Spanish translation).
DMV 173	What Can I Do Online?	This publication lists online transactions available at the DMV website.
DMV 177	Acceptable Documents	This publication identifies the documents needed to title a vehicle in Virginia.
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)
DMV 178	Clean Special Fuel License Plate	This publication describes Virginia clean special fuel plates and 1-95/395 HOV lane occupancy requirements.
DMV 181	Voter Registration Application Instructions	This publication provides large print instructions for voter registration.
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.
DMV 201	DMV Fees	This publication identifies fees for Virginia DMV transactions.
DMV 203	Testing Times	This publication informs DMV customers that no tickets for license testing will be issued 30 minutes before office closing.
DMV 206	A Guide for 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.
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.
DMV 222	Virginia's Secure Driver's Licenses and ID Cards	This publication describes the new application process and new secure card features of Virginia's driver's licenses and ID cards.
DMV 222S	Las Licencias de Conducir y las Tarjetas de Identidad de Virginia son de alta seguridad	This publication describes the new application process and new secure card features of Virginia's driver's licenses and ID cards. (Spanish Translation)
DMV 223	Vehicle Safety Inspection/Virginia Insurance Requirements	This publication describes Virginia's vehicle safety inspection program and vehicle insurance requirements.
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).
DMV 226	Virginia Rider Training Program Policy and Procedures	This publication contains Virginia Rider Training Program site policy and procedures.
DMV 234	Hauling Permits Manual	This publication describes Virginia hauling permit regulations.
DSD 2	Motorcycle, Trailer or T&M Vehicle Dealer Bond	An 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.
DSD 4	Dealer Application for Temporary Registration/Transport Plates	Motor vehicle dealers use this form to apply to purchase temporary registration/transport plates.
DSD 5	Temporary Certificate	Motor vehicle dealers use this form to issue temporary proof of ownership and registration for a vehicle, so that the owner may operate the vehicle while waiting for a permanent title.
DSD 5A	Temporary Transport Certificate	Motor vehicle dealers use this form to issue a temporary certificate to transport a vehicle to a specified location.
DSD 7	Certificate of Qualification/Salesperson's license, Application for	Use this form to apply for qualification as a salesperson, or to apply for or renew a factory, distributor representative, or sales person license.
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.
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.
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.
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.
DSD 13	Temporary or Permanent Dealer License, Application for	Motor 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.
DSD 14	Foreign Motor Vehicle Dealer Cert. of Reg. Appl. for Initial or Ren.	Non-Virginia motor vehicle dealers use this form to apply for an initial certificate of registration or to renew an existing registration.
DSD 14-A	Manufactured Home Dealer Cerificate of Registration Application	Use this form to apply for a certificate of registration for a manufactured home.
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.
DSD 21	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, for submission to DMV.
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.
DSD 27-A	Permission to Use Dealer Transport License Plates...	Motor vehicle dealers use this form to request permission for authorized individuals to use dealer or transport plates on laden vehicles for a specified period of time or mileage.
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.
DSD 36	Dealer Request for DMV Forms	Motor vehicle dealers use this form to order DMV forms.
DSD 40	Motor Vehicle Dealer Board Application - Subsequent 30 Day Plates	Motor 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.
DSD 42	Motor Vehicle Dealer Board Application - Increase 30-Day Plate Purchase	Motor 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.
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.
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
DTS 1	Driver Training School License, Application for	Use this form to apply for a driver training school license for passenger vehicle training or occupational commercial vehicle weighing over 20,000 pounds.
DTS 2	Driver Training Instructor License, Application for	Use this form to apply for a driver training instructor license.
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.
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.
DTS 17	Instructions for Completing the Classroom Instruction Attendance Roster	Use this form to document classroom instruction sessions, instructors and student attendance.
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.
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.
DTS 30	Class A Driver Training School Curriculum Requirements	This publication describes curriculum requirements for Class A driver training instructional courses.
DTS 100	Monthly School Training Completion Report	Use this form to document each student's completion of a driver training course.
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.
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.
DTS 34A	Instructor License Application for Commercial Vehicle	Use this form to apply for a driver training instructor license.(commercial vehicles)
DTS 34B	Instructor License Application for Passenger Vehicle	Use this form to apply for a driver training instructor license. (passenger vehicles)
DTSA I	Virginia Commercial Driver Training Certificate Instructions	Use this document as a guide for completing the Virginia Commercial Driver Training Certificate (DTS-A)
DTSB I	Virginia Driver Training Certificate Instructions	Use this document as a guide for completing the Virginia Driver Training Certificate (DTS B)
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)
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
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.
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.
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.
FR 1	Insurance Coverage Report	Use this form to report vehicle-specific and non-vehicle specific insurance coverage policies.
FR 3	Insurance Verification Annual Report	This annual publication provides a summary of DMV's insurance verification activities during each fiscal year.
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.
FR 200	Voluntary Report of a Crash	Use this form to voluntarily submit a report on a vehicle(s) crash.
FR 302	Self Insurance, Application for
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.
FSPA 2	Architect/Engineer Services Invoice	Architect/Engineer companies use this form to bill DMV for services.
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).
FT 213	Virginia Fuels Tax Application	Use this form to obtain a Virginia Fuels Tax license to conduct business in Virginia.
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.
FT 218	Tax and Tank Fee Assessment	Use this form to report fuel purchased tax unpaid and then used for in a taxable manner.
FT 219	Schedule of Diversion Corrections	Use this form to report fuel diverted from Virginia to another state, or from another state to Virginia.
FT 220	Interstate Fuel Diversion Fax Notification Application	Companies use this form to sign up with the National Fuel Diversion Registry (NFDR) and receive faxed notifications of fuel diversions.
FT 441	Fuel Alcohol Provider's Report	Customers licensed as a fuel alcohol providers use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 442	Fuel Alcohol Provider's Schedule of Disbursements	Customers licensed as fuel alcohol providers use this form to report details of fuels transactions (disbursed/sold) that were listed on their monthly reports.
FT 443	Fuel Alcohol Provider's Schedule of Receipts	Customers licensed as fuel alcohol providers use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 445	Alternative Fuel Report	Customers licensed as alternative fuel providers use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 446	Alternative Fuel Schedule of Disbursements	Customers licensed as alternative fuel providers use this form to report details of fuels transactions (disbursed/sold) that were listed on their monthly reports.
FT 447	Alternative Fuel Schedule of Receipts	Customers licensed as alternative fuel providers use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 448	Distributor's Report	Customers licensed as distributors use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 449	Distributor's Schedule of Disbursements	Customers licensed as distributors use this form to report details of fuels transactions (disbursed/sold) that were listed on their monthly reports.
FT 450	Distributor's Schedule of Receipts	Customers licensed as distributors use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 451	Supplier's Report	Customers licensed as suppliers use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 455	Supplier's Schedule of Disbursements	Customers licensed as suppliers use this form to report details of fuels transactions (disbursed/sold) that were listed on their monthly reports.
FT 456	Supplier's Schedule of Tax-Paid Receipts(1)	Customers licensed as suppliers use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 457	Terminal Report	Customers licensed as terminal operators use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 458	Terminal Operator's Schedule of Disbursements(4A)	Customers licensed as terminal operators use this form to report details of fuels transactions (disbursed/sold) that were listed on their monthly reports.
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.
FT 460	Terminal Operator's Schedule of Receipts(2A)	Customers licensed as terminal operators use this form to report details of fuels transactions (received) that were listed on their monthly reports.
FT 461	Motor Fuel Transporter's Report	Customers licensed as transporters use this form to report total amounts of all fuel transported for hire into or exported from Virginia.
FT 462	Fuels Tax Bond	Customers use this form to submit collateral (bond) in lieu of a certificate of deposit.
FT 463	Motor Fuel Transporter's Schedule of Deliveries	Customers licensed as transporters use this form to report details of fuels transactions (deliveries) that were listed on their monthly reports.
FT 464	Alternative Fuel License Certificate Application	Customers who own vehicles that run on alternative fuels use this form to submit an application and a $50 tax per vehicle in order to be issued an alternate fuel decal.
FT 465	Aviation Consumer's Report	Customers licensed as aviation consumers use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 466	Aviation Consumer's Schedule of Disbursements	Customers licensed as aviation consumers use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 467	Aviation Consumer's Schedule of Receipts	Customers licensed as aviation consumers use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 468	Importer's Report	Customers licensed as importers use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 469	Importer's Schedule of Disbursements	Customers licensed as importers use this form to report details of fuels transactions (disbursed/sold) that were listed on their monthly reports.
FT 470	Importer's Schedule of Receipts	Provides Information On Fueling Certain Vehicles From Bulk Storage
FT 471	Blender's Report Form	Customers licensed as blenders use this form to report total amounts of all fuel transactions disbursed/sold and/or purchased.
FT 472	Blender's Schedule of Receipts(2B)	Customers licensed as blenders use this form to report details of fuels transactions (purchased) that were listed on their monthly reports.
FT 474	Fuels Tax Payment Form	Use this form to denote payment amounts submitted for all fuels tax payments.
FT 486	Schedule of Defaulted Tax Payments Receipts	Licensed suppliers/providers of alternative fuel use this form to report a distributor who fails to pay for fuel purchased from the supplier.
FT 510	Fuels Tax Electronic/Internet Filing Application	A licensee uses this form to denote the method of electronic filing: WEB, ASCII, or DEI.
HP 400	Single Trip or Superload Hauling Permit Application	Use this form to apply for a single trip or superload hauling permit. See additional instructions on page 3 of this application.
HP 401	Blanket Hauling Permit Application	Use this form to apply for a hauling permit covering multiple moves. See additional instructions on page 3 of this application.
HP 402	Exempt Blanket Hauling Permit Application	Use this form to apply for an exempt (no-cost) hauling permit covering multiple moves.
HP 403	Hauling Permit Addendum Additional Axle Form	Use 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).
HP 404	Vehicle Escort Driver Application	Use this form to apply to become a certified vehicle escort driver.
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.
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.
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.
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.
IRP 1	Virginia International Registration Plan (IRP) Application	Use this form to establish a new, renew or make changes to an existing Virginia IRP account.
IRP 1I	Virginia International Registration Plan (IRP) Application - Instructions	Use these instructions to complete the Virginia International Registration Plan (IRP) Application (IRP 1).
IRP 5	International Registration Plan Guide	This publication provides information for registering and complying with the International Registration Plan (IRP).
ISD 01	Address Change Request Form	Use this form to notify DMV of your most current correct address or addresses.
LES 22A	Request for Repaired or Rebuilt Salvage Vehicle Examination	Use this form to document an examination of a repaired or rebuilt salvage vehicle.
MCS 100	Motor Carrier Cover Fax Sheet	Use this form as the cover sheet to fax forms/documents to DMV, Motor Carrier Services.
MCTS 247	Motor Carrier Guidelines	This publication contains guidelines for interstate carriers applying for the International Registration Plan (IRP), International Fuel Tax Agreement (IFTA), Single State Registration (SSRS), and for intrastate carriers applying for For-Hire Intrastate Operating Authority.
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.
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.
MED 2	Customer Medical Report	Use this form to request a medical review and information from your physician/nurse practitioner or ophthalmologist/optometrist.
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.
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.
MED 10	Disabled Parking Plates or Placard Application	Use this form to apply for disabled parking placards or license plates.
MED 11	Institutional/Organizational Disabled Parking Placard Application	Use this form to apply for institutional/organizational disabled parking placards.
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.
MED 20	Sun-Shading Medical Waiver Application	Use this form to apply for a sun-shading medical waiver or to add additional vehicle(s) to an existing sun-shading medical waiver.
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.
MED 30	CDL Disability Waiver or Hazardous Materials Variance Application	Use 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.
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.
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.
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.
MED 44	Driver Licensing Information for Bioptic Telescopic Lens Wearers	This publication provides driver licensing information for bioptic telescopic lens wearers.
MED 80	Medical Fitness for Safe Driving	This publication describes the reporting and review process of individuals who may have health or medical.
MVB 21	Criminial History Check Data Form	A 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.
OA 141	For-Hire Intrastate Operating Authority Certificate or License Appl.	Use this form to apply for an original certificate/license operating authority to operate any of the following types of for-hire services in Virginia: Broker-Passenger, Broker-Property, Common Carrier- Irregular Routes, Common Carrier-Regular Routes, Contract Bus, Contract Passenger, Household Goods and Sightseeing.
OA 141A	For_hire Intrastate Operating Authority Certificate or License Application	Use this form to apply for Common Carrier Irregular Route Non-Emergency Medical Transportation Authority to transport recipients of Medicaid and/or the Family Access to Medical Insurance Security (FAMIS) program arranged through LogistiCare Solutions, LLC for the Virginia Department of Medical Assistance Services.
OA 142	For-Hire Intrastate Operating Authority Permit and/or Decal Appl.	Use this form to obtain an operating authority decal only for those vehicles that are registered under IRP (apportioned plates).
OA 143	Intrastate Operation of Rental Vehicle Authorization Appl.	Motor carriers use this application to obtain authorization to use rental vehicles.
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.
OA 145M	For Hire Intrastate Operating Authority Decal Renewal Appl.	Motor carriers use this form to renew their Intrastate Operating Authority decals and provide business operations information.
OA 411	Household Goods Mover Complaint Form	Use this form to file a complaint against a household goods carrier.
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.
OA 436	Households Goods Carrier Bond	Required bond to protect public against fradulent activity by a carrier.
OA 437	Broker for the Transportation of Property Bond	Required bond to protect public against fradulent activity by a carrier.
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)
OA 448	Sample Tariff for Common Carriers Over Irregular Routes	This publication provides information on tariffs for common carriers over irregular routes.
OA 449	Sample Tariff and Time Sch. for Common Carriers...Regular Routes	This publication provides information on tariffs for common carriers over regular routes.
OA 450	Sample Tariff for Household Goods Carriers	This publication provides information on tariffs for household goods carriers.
OA 451	Sample Tariff and Time Schedule for Sight-Seeing Carriers	This publication provides information on tariffs for sight-seeing carriers.
OA 455	For Hire Intrastate Operating Authority Decal Renewal Information	Use this information sheet to properly renew For Hire Intrastate Operating Authority decals.
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)
PPTR 9	Personal Property Tax Relief Guidelines	This publication provides guidelines used by local Commissioner's Of The Revenue, Treasurers and leasing companies for the implementation of Personal Property Tax Relief.
PPTR 10	Personal Property Tax Relief Technical Reference Guide	This publication is a technical reference guide for localities regarding Personal Property Tax Relief data.
PPTR 11	Personal Property Tax Relief - Paper Submission Instructions	This publication is a technical reference guide for localities regarding Personal Property Tax Relief data.
RDT 120	IFTA Licensing Application	Use this form to apply for or renew IFTA licenses and decals and to order additional decals for a qualified motor vehicle.
RDT 121	IFTA Quarterly Tax Report	IFTA carriers use this form to complete and submit the required quarterly tax report.
RDT 125	IFTA Renewal Notice Information Sheet	This info sheet provides information about renewing an IFTA account and IFTA record-keeping requirements.
RDT 131	IFTA Guidebook	This publication describes the International Fuel Tax Agreement (IFTA) including guidelines, recordkeeping requirements, and tax reporting.
RDT 382	IFTA Fee Schedule	Use this chart to calculate the amount of road tax due to each state or jurisdiction in which you traveled.
RT 420	Motor Vehicle Rental Tax Return	Use this form to report motor vehicle rental taxes to Department of Motor Vehicles (DMV).
RT 421	Rentor's Tax Bond	Use this form to submit a surety bond to assure the collection of money due to Virginia.
RT 422	Assignment of Security in Lieu of Surety Bond	A company uses this form when submitting securities as collateral in lieu of a surety bond. This form authorizes the Commissioner to use the assigned collateral for the purpose of paying any liability of the rentor.
RT 423	Motor Vehicle Rental Tax Application	Use this form to apply for a license to operate a motor vehicle rental business in Virginia.
RT 424	Motor Vehicle Rental Tax Schedule Of Additional Tax	Motor Vehicle Rental businesses that rent in more than one location in Virginia use this form to report the city, county or town in which they rented motor vehicles to DMV. Each quarter DMV distributes the additional rental tax to the localities.
SUT 1	(A)Suppl. Info. for Procurement of Title (B) Seller's Statement...	A vehicle seller and the buyer use this form to serve as a formal bill of sale when a vehicle has been purchased or sold with a questionable sales price.
SUT 1A	Affidavit for Procurement of Title	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.
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.
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.
SUT 4	Transfer of Certification of Lien Information	A lienholder uses this form to transfer a certificate of title with a lien.
SUT 5	Cert. of exemption from Sales and Use Tax for Special Equip.	Use this form to certify the installation of special equipment to vehicle to enable its operation by a handicapped person and that the vehicle is exempt from sales and use taxes.
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
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.
TPT 567	Monthly Report of Examinations	Use this form to document test results.
TS 216	Application for Fuels Tax Refund	Use this form to apply for a refund of the Virginia Fuels Tax.
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.
TS 218	Itemized Statement of Bulk Storage Fuel Used	Use this form to document all fuel withdrawn from bulk storage.
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.
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.
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.
TSS 1	Virginia Traffic Crash Facts	Annual Publication Summarizing Detailed Crash Statistics For Virginia
TSS 2	Alcohol-Related Motor Vehicle Statistics	This publication provides Virginia alcohol-related motor vehicle crash, fatality, injury and conviction statistics for calendar years 1980-2005.
TSS 3	Motor Vehicle Statistics in Va.	This publication provides Virginia motor vehicle and driver statistics for years 1970-2005.
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.
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
TSS 14A	Grantee Progress and Monitor Report for Law Enforcement	Use this form to monitor/evaluate projects and document contact with grantee. (Law Enforcement).
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).
TSS 15	Reimbursement Voucher for Highway Safety Project Costs	Grantees use this form to submit expenditures for reimbursement.
TSS 15A	Salary Reimbursement(s) Reporting	Use this form to monitor reimbursement payments made to grant recipients.
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.
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 site.
TSS 98	Instructor/Rider Coach Application	Use this form to apply to become a Virginia Motorcycle Rider Training Program Instructor/Rider Coach.
UCR 100	Unified Carrier Registration - Unified Motor Registration	Individuals and companies that operate commercial motor vehicles in interstate or international commerce 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.
US 002	Extranet LogonID Request Form	Use this form to request an Extranet Logon ID.
US 531A	Information Use Application	Use 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.
US 531C	DMV Information Use Criteria	Use this information to complete parts 8 and 9 of the Information Use Application, US 531A.
US 531E	Extranet Transaction Access, Application for	Use 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).
VSA 01	Temporary Certificate of Registration	Dealers selling automobiles or trucks must complete this form to issue a temporary certificate of registration.
VSA 4	Dealer Transaction Recap Sheet	Dealers use this form to maintain a record of titling work submitted to DMV for processing
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.
VSA 6	Vehicle Color Codes	Use this information to record a vehicle's exterior color(s).
VSA 10	Application for Personalized License Plates	Use this form to request souvenir, standard, personalized, or special license plates.
VSA 10A	Gold Star 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 license plate.
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.
VSA 12	Affidavit in Lieu of Title Certificate	Use 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.
VSA 14	Registration, Application for	Use this form to apply for registration of your vehicle.
VSA 14 I	Registration Information Sheet	Use this information to complete the Application for Registration, VSA 14.
VSA 17A	Certificate of Title and Registration, Application for	Use this form to apply for a title and/or to register a passenger vehicle, truck, motor home (RV), or for-hire vehicle.
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.
VSA 22	Assigned Vehicle Identification Number, Application for	Use this form to apply for an assigned vehicle identification number.
VSA 24	Statement of Authority to Assign Title	Adult legal heirs use this form to obtain a title for a deceased person's vehicle.
VSA 40	Vehicle Removal Certificate	Use this form is to record compliance with the Abandoned Motor Vehicle Act.
VSA 41	Mechanics' or Storage Lien Title Application	Use 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.
VSA 44	Vehicle Disposition History	This form is used only by localities to track and record the disposition of inoperable motor vehicles (Virginia Code § 46.2-1207).
VSA 44A	Demolisher and Mercury Switch Removal Declaration	Use this form to record the demolition of a vehicle and the dispostion of a vehicle's mercury switches.
VSA 45	Rate Schedule for Private Carriers
VSA 45A	Rate Schedule for Private Carriers: Multi-Year
VSA 46	Rate Schedule for For Rent or For Hire Carriers
VSA 46A	Rate Schedule for For Rent or For Hire Carriers: Multi-Year
VSA 47	Pro-Rated License Fees for Tow Trucks for Hire
VSA 48	Rate Schedule for Rental Passenger Vehicles
VSA 48A	Rate Schedule for Rental Passenger Vehicles: Multi-Year
VSA 49	Fee Chart for Common Carrier and City Bus
VSA 49A	Fee Chart for Common Carrier and City Bus	Fee Chart for Common Carrier and City Bus: Multi-Year
VSA 50	Pro-Rated License and Miscellaneous Fees
VSA 50A	Pro-Rated License and Miscellaneous Fees: Multi-Year
VSA 51	Rate Schedule for Private Carriers and Tractors: Quarterly
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.
VSA 56	Salvage Certificate, Application for	Use this form to apply for a salvage certificate.
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.
VSA 58	Notification of Owner Retained Late Model 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.
VSA 59	Rebuilt Salvage Vehicle Disclosure Statement	Use this form to provide brand information when selling a rebuilt vehicle.
VSA 62	Report of Levied and Seized Vehicle	Use this form to report a levied and seized vehicle.
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.
VSA 69	Verification of Vehicle Identification Number	A DMV representative uses this form when inspecting a vehicle to verify that the vehicle identification number (VIN) entered on the form matches the VIN plate attached to the vehicle.
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.
VSA 71	Change of Record, Application for	Use this form to change information on an existing vehicle record.
VSA 86	How to Title and License a Motor Vehicle	This publication provides information for titling a motor vehicle and purchasing license plates.
VSA 94	License Plates or Decals for Deaf Person, Application for	Use this form to apply for license plates and/or decals for a deaf person.
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.
VSA 99	Certification of Recovered Stolen Vehicle	Used by a lienholder or lienholder's authorized agent to apply for a Virginia repossession title (in the lienholder's name) for a repossessed vehicle titled in another state.
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.
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.
VSA 145	Overload Permit Application	Use this form to apply for a permit to legally operate a vehicle that exceeds gross and axle weight limits.