Dmv Form Obl210 PDF Details

The DMV form OBL210 is a request for an Organ Donor Card. This short form can be filled out by any New York State resident who wishes to donate their organs after death. The information requested on the form includes your name, address, and the type of donor you would like to be. Once the form is complete, it can be mailed or brought into any DMV office. Your Organ Donor Card will then be sent to you in the mail. It's that easy! Giving the gift of life is one simple way to make a difference.

Here's some facts that will help you establish how much time you will need to complete the dmv form obl210.

Form NameDmv Form Obl210
Form Length2 pages
Fillable fields27
Avg. time to fill out5 min 58 sec
Other names

Form Preview Example

Occupational and Business Licensing

555 Wright Way

Carson City, Nevada 89711

(775) 684-4690


Bond Number

License Type:








































Off-Highway Vehicle













, as principal,





(Individual or Corporate Name and Name Doing Business as)


located in the County of







, State of Nevada, obligee, and






, a corporation organized and existing under and by virtue of the


(Name of Surety)








laws of the State of


, and authorized to transact a surety business in the State of Nevada, as surety,






are held and firmly bound unto the State of Nevada in the penal sum of



payment of which well and truly to be made we hereby bind ourselves, our respective heirs, administrators, executors, successors and assigns jointly and severally, firmly by these presents:

To be effective on the


day of

, 20







WHEREAS, the above-named principal has been licensed to carry on or conduct in this State the business of buying, selling, transporting, manufacturing, distributing, brokering or dealing in new or used vehicles, trailers, motorcycles or semitrailers; and

WHEREAS, the above-named surety herein agrees that any consumer, as defined in NRS 482.345, injured by the action or actions of the principal and/or his salesmen involved in any fraud or fraudulent representation or in violation of any of the provisions of Chapter 482 or Chapter 490 of the Nevada Revised Statutes or Nevada Administrative Codes may bring action in said injured person’s own name against the said surety. This bond is continuous in form and the total aggregate liability of the bond is limited to the payment of the total amount of the bond. In the event of a dispute of a claim by the surety company, application may be made to the Director, Department of Motor Vehicles for good cause shown. After notice and hearing, the director may authorize payment of funds from here said surety coverage.

OBL210 (08/2013)

Page 1 of 2

Bond Number

This bond may be canceled by the surety at any time by giving written notice by registered mail of its desire and intention so to do. Said cancellation shall be effective thirty (30) days after the receipt of said notice by the State of Nevada Department of Motor Vehicles, Occupational and Business Licensing Section.

Signed, sealed and dated this


day of

, 20







(Principal’s Signature)


(Principal’s Printed Name)




Telephone Number of Surety: (




(Mailing Address of Surety Company, Street)

(City, State and Zip Code)


(Signature, Attorney-In-Fact for Surety)

(Printed Name, Attorney-In-Fact)

(Surety Seal)

Countersigned on behalf of:




day of

, 20






(Signature, Agent)

(Printed Name, Agent)

(Business Name, Agent)

(Business Address, Agent)

OBL210 (08/2013)

Page 2 of 2

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Make sure you enter the crucial information in the This bond may be canceled by the, Signed, day of, (Principal’s Signature), (Principal’s Printed Name), (Surety), Telephone Number of Surety: (, (Mailing Address of Surety, (City, and (Signature field.

This bond may be canceled by the, Signed, day of, (Principal’s Signature), (Principal’s Printed Name), (Surety), Telephone Number of Surety: (, (Mailing Address of Surety, (City, and (Signature in dmvnv

In the Countersigned on behalf of:, (Surety), this, day of, (Signature, (Printed Name, (Business Name, (Business Address, OBL210 (08/2013), and Page 2 of 2 part, describe the essential information.

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