Section 1: The person or authorized agent in possession of the vehicle, trailer or manufactured home completes the vehicle and applicant information, and signs.
Towed vehicle: The licensed vehicle remover completes and signs Section 2 if the vehicle is towed.
Original: DMV must receive the original VSA 40 form.
Instructions: Complete and submit this form following the instructions on the back of the form.
| Question | Answer |
|---|---|
| Form Name | Form VSA 40 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 64 |
| Avg. time to fill out | 11 min |
| Edition | 11/10/2017 |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | VSA 40, VSA40, VSA-40, Virginia VSA 40, Vehicle Removal Certificate |
| Official source | Form VSA 40 (Rev 11/10/2017), Virginia Department of Motor Vehicles |
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