DMV Forms

Form Name/Link

Purpose

Format

DMV Select Customer Form

To give to a Select customer in the event of system issue preventing transaction.  Waives $5 fee for using CSC.

DMV Select's Order Form

[ASA 10A]

Use this form to order any of the listed stock or print-on-demand (POD) items from DMV.

Plate/Decal Transfer Form

[ASA 42]

Use this form to transfer plates and/or decals from one office to another.

Decal & Miscellaneous Order Form

[VSA 32DC]

Use this form to order decals, VIN plates and VSA 25 receipts.

License Plate Order Form

[VSA 32LP]

Use this form to order license plates.

Key Responsibilities for DMV Select Employees

[CSMA 502]

This form is to be reviewed and signed by any new employee that you are requesting access to the DMV system. This form is also to be reviewed and signed by all employees with DMV access at contract time. (July 1) These forms are to be sent into the DMV Select HQ team.

Affidavit for a criminal background check

[CSMA 503]

This form is to be completed for any new employee that you are requesting access to the DMV system. This form certifies to the Agency you have completed a criminal background check on the new hire through the Virginia State Police (VSP) or a vendor that utilizes the VSP and that they do not have convictions that would prevent them from being hired. These forms are to be sent into the DMV Select HQ team.

Odometer Discrepancy Acknowledgment

[VSA 11]

Vehicle owners use this form to acknowledge that the odometer information on their vehicle title certificate is branded "NOT ACTUAL".

Logon ID Request

[US 002]

DMV customers use this form to request new user access or delete existing user access to the Extranet or MoveIt system. Customers can also request to change a current user's last name or reassign a current user's identification and token to a new user.

Records Transfer to Dead Storage

[ASA 12]

Use this form to track the chain of custody (transfer, pick-up, release and receipt) of records scheduled for Dead Storage and/or Destruction.

Document Imaging Service Order

[CRD 100]

Use this ONLINE form to route prepared daily work for document imaging.

Quality Review Discrepancy Summary

[CSMA 40]

This form is used to record discrepancies found in the daily work during document preparation.

Law Enforcement Action Report

[LE 019]

This form is for the Select Offices to report items to DMV's Law Enforcement.

Chain of Custody Record

[LE 026]

This form is for the Select Offices to document evidence collected.

General Complaint

[LE 022]

This form is for customers to make complaints to DMV's Law Enforcement.

DMV Select's Visitor Sign-in Register

[CSMA 74]

Use this form to record office visitors.