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Application for Personalized License Plates

Use this form to request souvenir, standard, personalized, or special license plates.

VSA 10 English Vehicle

Gold Star or Next of Kin License Plate Applicant Certification

Immediate family members of individuals who have died in military service use this form (and the License Plate Application, VSA 10) to request a Gold Star or Next of Kin license plate.
VSA 10A English Vehicle

Antique License Plate Applicant Certification

Owners of antique motor vehicles, antique trailers and antique motorcycles use this form to certify compliancewith Code of Virginia requirements for use of antique plates.

VSA 10B English Vehicle

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