If the title is lost, unlawfully detained by someone who currently holds the title, or is otherwise "not available", the customer may file an affidavit instead of a certificate of title.
Page 2: the certification and indemnification section and affidavit verification section must be completed on page 2 or the form will not be processed.
With this form: the applicant must also complete and submit one of VSA 17A, VSA 17B, VSA 56 or VSA 57.
Law enforcement: if a title application results from a law enforcement investigation, Form VSA 12LE must be used; Form VSA 12 is not acceptable for this purpose.
Insurance companies: the affidavit must indicate the vehicle was acquired as a result of the claims process with attached documentation showing a claim was paid.
| Question | Answer |
|---|---|
| Form Name | VSA 12 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 51 |
| Avg. time to fill out | 9 min |
| Edition | 10/29/2025 |
| Where to send | DMV, attention "Titling Work Center" or any DMV Customer Service Center; insurance companies only: attention "Vehicle Branding Work Center" |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | VSA 12, VSA12, Form VSA 12, VSA 12 form, Virginia DMV VSA 12, Affidavit in Lieu of Title Certificate |
| Official source | VSA 12 (10/29/2025) |
Dmv Form Vsa 12 isn’t the one you’re looking for?