Forms

Displaying 391 - 400 of 404

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 57 English Vehicle

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.
VSA 58 English Vehicle

Rebuilt Salvage Vehicle Disclosure Statement

Use this form to provide brand information when selling a rebuilt vehicle.
VSA 59 English Vehicle

Report of Levied and Seized Vehicle

Use this form to report a levied and seized vehicle.
VSA 62 English Vehicle

Application for Transfer and Supplemental Liens

Use this form to apply for a lien transfer or supplemental lien,
VSA 66 English Vehicle

Application for a Replacement or Substitute Title

Use this form to apply for a replacement title certificate or substitute title certificate.
VSA 67 English Vehicle

Voluntary Communication Impairment Indicator Application

Use of this form is to authorize a change to a motor vehicle record only.
VSA 68 English Driver

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 70 English Vehicle

Change of Record, Application for

Use this form to change information on an existing vehicle record.
VSA 71 English Vehicle

Electronic Lien Program Application

Lienholders use this form to apply to the Electronic Lien Program.

VSA 78 English Dealer