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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
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