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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 4 English Other

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.
FR 521 English Other

Indemnification and Hold Harmless Agreement

Non-state entities use this form to request use of state property (ie: building, room or parking lot).

FSPA 3 English Other

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 214 English Fuels Tax

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
FT 226 English Fuels Tax

Assignment of Securities in Lieu of Surety Bond

Customers use this form to submit collateral (certificate of deposit) in lieu of a bond.
FT 459 English Fuels Tax

Fuels Tax Bond

Customers use this form to submit collateral (bond) in lieu of a certificate of deposit.
FT 462 English Fuels Tax

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

HP 15 English Hauling Permits

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.

HP 17 English Hauling Permits

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.

HP 404 English Hauling Permits