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Salvage Certificate, Application for
Use this form to apply for a salvage certificate and/or to report water damage to a vehicle.
VSA 56
English
Vehicle
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