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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.
VSA 10M English Vehicle

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.

VSA 10M English Vehicle

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.
VSA 11 English Vehicle

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.
VSA 12 English Vehicle

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).
VSA 122 English Vehicle

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 124 English Vehicle

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 125 English Vehicle

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.
VSA 12M English Vehicle

Converted Off-Road Motorcycle Certification

Use this form to certify that the converted motorcycle conforms to all applicable Federal Motor Vehicle Safety Standards.
VSA 130 English Vehicle

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.
VSA 131 English Vehicle