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NOTE:  All pages of the form(s) must be completed and submitted for application.
READ AND FOLLOW INSTRUCTIONS CAREFULLY.

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Unless otherwise specified, completed forms (together with necessary fees) should be mailed to:  Vermont Department of Motor Vehicles, 120 State Street, Montpelier, VT 05603-0001


Accident | Lemon Law | License/Permit/ID | Enhanced License/ID | Miscellaneous | Records | Registration | Tax | Title


Accident

Form/Document Name Number File Size
PDF document Accident Report (Operator's) VA004 312.82KB

 

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Lemon Law

Form/Document Name Number File Size
PDF document Demand for Arbitration VN219 330.31KB
PDF document Filing Instructions   50.37KB
PDF document Hearing Schedule - 2009 (Tentative)   35.23KB
PDF document Hearing Schedule - 2010 (Tentative)   37.8KB
PDF document Manufacturer's Response form   279.32KB
PDF document Manufacturer Zone Offices   206.26KB
PDF document Notice To Consumer   18.21KB
PDF document Order Transmittal Letter   38.51KB
PDF document Repair History (3-Times-Out Claim)   434.24KB
PDF document Repair History (30 Days Out-of-Service Claim)   276.38KB
PDF document Vehicle Refund Worksheet (sample)   51.44KB
PDF document Leased Vehicle Refund Worksheet (sample)   214.56KB

 

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License/Permit/ID

Form/Document Name Number File Size
 PDF document Address Change Form VL015  136.13KB
 PDF document Armed Forces Extension Letter VL023  57.22KB
 PDF document Driving Practice Log Sheet VN210  247.83KB
 PDF document Duplicate License or Permit Application VL015  136.13KB
  Enhanced License/ID    
  PDF document Enhanced License/ID Application VL011 143.51KB
  PDF document EDL Privacy Information VL016 37.15KB
  PDF document EDL Checklist VL018 58.67KB
 PDF document Identification Card (Non-Driver ID) Application VL017  349.58KB
 PDF document Identification Card (State Employee) Application VG098  224.33KB
 PDF document Junior Operator/Operator License/Learner Permit & VT Voter Registration Application VL021  547.93KB
 PDF document Learner Permit/Junior Operator/Operator License & VT Voter Registration Application VL021  547.93KB
 PDF document License (Operator's) & VT Voter Registration Application VL021  547.93KB
 PDF document Medical Evaluation Form VS113  289.52KB
 PDF document Motorcycle Learner Permit (New/Renewal) Application VL027  300.18KB
 PDF document Name Change Form VL015  136.13KB
 PDF document Name (Legal Name) Notice VT009  37.17KB
 PDF document Operator License/Junior Operator/Learner Permit & VT Voter Registration Application VL021  547.93KB
 PDF document Physical Report (Medical) Evaluation VS113  289.52KB
 PDF document Practice Driving Log Sheet VN210  247.83KB
 PDF document Residency Certification VL002 47.26KB
 PDF document School Bus License Endorsement Application VN139  101.48KB

 

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Miscellaneous (General Use)

Form/Document Name Number File Size
 PDF document Abandoned Vehicle Report  VN012  257.82KB
 PDF document Address Change Form  VL015  136.13KB
 PDF document Affidavit of Repossession  VT011  407.9KB
 PDF document Arbitration (Demand For) Application  VN219  330.31KB
 PDF document Demand for Arbitration Application  VN219  330.31KB
 PDF document Legal Name Notice  VT009  37.17KB
 PDF document Lemon Law (Demand for Arbitration) Application  VN219  330.31KB
 PDF document Light Permit (Fleet) Application  VP022a  223.92KB
 PDF document Light Permit (Individual) Application  VP022  300KB
 PDF document Medical Evaluation Form  VS113  289.52KB
 PDF document Name Change Form  VL015  136.13KB
 PDF document Name (Legal Name) Notice  VT009  37.17KB
 PDF document Physical Report (Medical) Evaluation  VS113  289.52KB
 PDF document Residency Certification  VL002 47.26KB
 PDF document Window Tint Permit (Medical Exemption) Application  VN022  204.02KB

 

 

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Records

Form/Document Name Number File Size
 PDF document DLS Packet Request (authorized usage only)  VS080  230.32KB
 PDF document DPPA Record Request (use this form to request a copy of your driving record)  VG116  257.01KB
 PDF document DPPA User Agreement (Non-Standard)  VG118a  48.84KB
 PDF document DPPA User Agreement (Standard)  VG118  258.92KB

 

 

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Registration

Form/Document Name Number File Size
 PDF document Assignment of Vehicle Identification Number Application  VT003  258.36KB
 PDF document Bill of Sale  VT005  291.91KB
 PDF document Building Bright Futures Plate Application  VD102  89.91KB
 PDF document Conservation Plate Application  VD154  130.84KB
 PDF document Dealer Appraisal Form  VD012  269.43KB
 PDF document Death (Transfer On) VT007 62.78KB
 PDF document Deceased Owner of VEHICLE (Informational Bulletin)  VT021a  52.31KB
 PDF document Disabled Parking Placard Application (Permanent)  VD120  263.61KB
 PDF document Disabled Parking Placard Application & Medical Form (Temporary)  VL038  233.3KB
 PDF document Disclosure Relating to Amount to be Financed in a Motor Vehicle Retail Installment Contract (Vermont)  VD126  34.37KB
 PDF document Duplicate Registration Application  VL015  136.13KB
 PDF document Homemade Vehicle - Manufacturers Statement of Origin  VD027  251.69KB
 PDF document Lost or Unavailable Registration Certificate  VR105  37.93KB
 PDF document Low Number Plate (Family/Specific Number) Application  VD167  41.06KB
 PDF document Low Number Plate (Non-Family/Non-Specific Number) Application  VD166  221.31KB
 PDF document Manufacturers Statement of Origin - Homemade Vehicle  VD027  251.69KB
 PDF document Medical Evaluation Form  VS113 299.49KB
 PDF document Odometer Disclosure Statement  VD083  245.65KB
 PDF document Personalized (Vanity) Plate Application  VD017  84.94KB
 PDF document Physical Report (Medical) Evaluation  VS113 299.49KB
 PDF document Plate Replacement Application (Non-Commercial)  VD016  275.42KB
 PDF document Registration/Tax/Title Application  VD119  424.7KB
 PDF document Registration/Tax/Title Application INSTRUCTIONS  VD119  334.3KB
 PDF document Replacement Plate Application (Non-Commercial)  VD016  275.42KB
 PDF document Safety/Service Organization Special License Plate Application  VD128  90.72KB
 PDF document Temporary Disabled Parking Placard Application & Medical Form  VL038  233.3KB
 PDF document Trade-In Allowance Certification of Qualification Application  VD115  278.61KB
 PDF document Transfer On Death VT007 62.78KB
 PDF document Vanity (Personalized) Plate Application  VD017  84.94KB
 PDF document Vehicle Identification Number Assignment Application  VT003  258.36KB
 PDF document Verification of VIN (Vehicle Identification Number)  VT010  219.98KB
 PDF document Vermont Veteran's Plate Application  VD159  39.92KB
 PDF document Vermont Veteran's Recognition Plate Application  VD153  38.65KB

 

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Tax

Form/Document Name Number File Size
 PDF document Controlling Interest (Tax Exemption Statement)  VT029  34.4KB
 PDF document Gift Tax Exemption Form  VT013  273.2KB
 PDF document Registration/Tax/Title Application  VD119  424.7KB
 PDF document Registration/Tax/Title Application INSTRUCTIONS  VD119 334.3KB
 PDF document Rental Vehicle Tax Exemption Application  VD039  43KB
 PDF document Tax & Title Application  VT028  88.83KB
 PDF document Tax Exemption (Disabled Person) Application  VD050  70.15KB
 PDF document Tax Exemption (Rental Vehicle) Application  VD039  43KB
 PDF document Tax Exemption Statement - Controlling Interest  VT029  34.4KB
 PDF document Trade-In Allowance Certification of Qualification Application  VD115  278.61KB
 PDF document USE TAX RETURN - VT Department of Taxes  SU-452  303.73KB

 

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Title

Form/Document Name Number File Size
 PDF document Affidavit of Repossession  VT011  407.9KB
 PDF document Application for Vehicle Identification Number Assignment VT003 258.36KB
 PDF document Assignment of Title & Authorization for Pay-off  VT023  265.38KB
 PDF document Bond (Title), Motor Vehicle/Vessel  VT020  251.86KB
 PDF document Death (Transfer On) VT007 62.78KB
 PDF document Deceased Owner of VEHICLE (Informational Bulletin)  VT021a  52.31KB
 PDF document Deceased Owner of VESSEL/ATV/SNOWMOBILE (Informational Bulletin)  VT021b  51.9KB
 PDF document Disclosure Relating to Amount to be Financed in a Motor Vehicle Retail Installment Contract (Vermont)  VD126  34.37KB
 PDF document Duplicate Title Application (Includes TA-VT-016 Personal Delivery of Title Request)  VT004  330.55KB
 PDF document Filing Notice of Security Interest Application  VT019  62.36KB
 PDF document Lien Release  VT008  225.49KB
 PDF document Motor Vehicle/Vessel Title Bond  VT020  251.86KB
 PDF document Notice of Security Interest (Filing)  VT019 62.36KB
 PDF document Personal Delivery of Title Request (Includes TA-VT-04 Request For Duplicate Title)  VT016  330.55KB
 PDF document Registration/Tax/Title Application  VD119  424.7KB
 PDF document Registration/Tax/Title Application INSTRUCTIONS  VD119  334.3KB
 PDF document Release of Lien  VT008  225.49KB
 PDF document Repossession (Affidavit of)  VT011  407.9KB
 PDF document Salvage Title Application  VT017  268.27KB
 PDF document Security Interest (Filing Notice of)  VT019  62.36KB
 PDF document Title & Tax Application  VT028  88.83KB
 PDF document Title Alteration Affidavit  VN020  30.23KB
 PDF document Title Assignment & Authorization For Pay-off  VT023  265.38KB
 PDF document Title Bond (Motor Vehicle/Vessel)  VT020  251.86KB
 PDF document Title Bond Instruction Sheet  VT020a 52.1KB
 PDF document Titling Requirements - Deceased Owner of VEHICLE (Informational Bulletin)  VT021a  52.31KB
 PDF document Titling Requirements - General (Informational Bulletin)  VT015a  38.02KB
 PDF document Transfer On Death VT007 62.78KB
 PDF document Vehicle Identification Number Assignment Application VT003 258.36KB

 

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