How to Fill Out Form VTR-436

Form VTR-436 at a glance

What it is: The Owner Retained Report is required to be submitted by an insurance company paying a claim on a vehicle deemed salvage or nonrepairable that is retained by the owner.

Who signs: The authorized agent signs, then enters the Printed Name (Same as Signature) and the Date.

Where and when to file: This report must be filed within 30 days if the insurance company does not acquire ownership of the vehicle. This report may be submitted electronically through webSALVAGE for insurance companies that create or have an account. Otherwise, this completed form must be submitted to the department by email (TCS_Mailbox@txdmv.gov), fax ((512) 465-4124) or mail (Texas Department of Motor Vehicles, Vehicle Titles and Registration Division, ATTN: Title Control Systems, Austin, Texas 78779-0001).

A filled-in Form VTR-436 example: an insurer reports a wrecked car the owner kept

Form VTR-436 example filled out, example: an insurer reports a wrecked car the owner kept
An authorized agent of an insurance company completes the report. The insurer paid a claim on March 3, 2026 and the owner kept the wrecked salvage vehicle. The picture shows page 1 and none of its entries is real. The agent signs on March 20, 2026, within 30 days. The car is not burned or flooded and not stripped of parts, so Burned, Flood Damage and Stripped of Major Component Parts stay empty. The car is a salvage vehicle, so Nonrepairable Vehicle stays empty. Only the front bumper is damaged and replaced, so every other Repair and Replace box stays empty.

How to fill out Form VTR-436, box by box

Vehicle Information

Form VTR-436 example filled out, vehicle Information

Under Vehicle Information, enter the Vehicle Identification Number, Year, Make, Body Style and Model.

Enter the Title/Document Number, and leave it blank if unknown. Enter the License Plate State and Number, if any.

Insurance Company Information

Form VTR-436 example filled out, insurance Company Information

Under Insurance Company Information, enter the Insurance Company Name and its Address, City, State and Zip.

Enter the Authorized Agent First Name, Middle Name, Last Name and Suffix (if any). The Email and the Phone Number are optional.

Claim Information

Form VTR-436 example filled out, claim Information

Under Claim Information, enter the Insured or Claimant's First Name (or Entity Name), Middle Name, Last Name and Suffix (if any), then the Address, City, State and Zip.

Enter the Date of Claim Payment and the Insurance Claim Number.

Damage Disclosure, the type of damage and the definition

Form VTR-436 example filled out, damage Disclosure, the type of damage and the definition

Under Damage Disclosure, Type of Damage (Check all that apply): check each box that applies.

Check One: the motor vehicle described above meets the following definition as defined in Texas Transportation Code, Section 501.091, Salvage Vehicle or Nonrepairable Vehicle.

A salvage motor vehicle has damage to or is missing a major component part to the extent that the cost of repairs exceeds the actual cash value of the motor vehicle immediately before the damage, or comes into this state under an out of state salvage motor vehicle title or similar out of state ownership document. Cost of repair calculations may include parts and labor, but must exclude the cost of materials and labor for repainting the motor vehicle and sales tax on the total cost of repairs.

A salvage motor vehicle is not an out of state motor vehicle with a “rebuilt,” “prior salvage,” or similar notation, a nonrepairable motor vehicle, or a motor vehicle which an insurance company has paid a claim for the cost of repairing hail damage or theft unless the motor vehicle was damaged during the theft to the extent that the cost of repair exceeds the actual cash value immediately before the damage.

A salvage motor vehicle may not be registered or operated on a public highway until the vehicle has been repaired/rebuilt and a certificate of title branded “Rebuilt Salvage” has been issued.

A nonrepairable motor vehicle is damaged, wrecked, or burned to the extent that the only residual value of the vehicle is as a source of parts or scrap metal, or comes into this state under a title or other ownership document that indicates the vehicle is nonrepairable, junked, for parts or dismantling only, or a similar notation.

A nonrepairable motor vehicle may not be repaired, rebuilt, reconstructed, or made operable for use on a public highway.

Major Component Part, Repair or Replace

Form VTR-436 example filled out, major Component Part, Repair or Replace

Please identify whether any damaged major component part(s) can be repaired or must be replaced: for each Major Component Part, check Repair or Replace.

The Major Component Parts are Engine, Transmission, Frame, Front Driver Side Fender, Front Passenger Side Fender, Hood, Driver Side Door, Driver Side Passenger Door, Front Passenger Door, Rear Passenger Door, Cargo Box (gross vehicle weight of 10,000 lbs. or less, including a truck), Front Bumper, Rear Bumper, Rear Driver Side Quarter Panel, Rear Passenger Side Quarter Panel, Deck (Trunk) Lid, Tailgate, Hatchback, Truck Cab, Body of Passenger Vehicle, Roof of Passenger Vehicle (if separate from the body), Floor Pan of Passenger Vehicle (if separate from the body).

Certification and signature

Form VTR-436 example filled out, certification and signature

Certification - State law makes falsifying information a third degree felony. The authorized agent of the insurance company certifies this.

The authorized agent of the insurance company listed in Insurance Company Information certifies the insurance company paid a claim for the motor vehicle described in Vehicle Information, the owner has retained the motor vehicle, and the motor vehicle meets the definition of a salvage or nonrepairable vehicle as indicated in Damage Disclosure. The authorized agent further certifies the owner of the motor vehicle has been notified of this report and the requirements for operation or transfer of ownership of the motor vehicle.

The authorized agent signs, then enters the Printed Name (Same as Signature) and the Date.

Submitted through webSALVAGE, email, fax or mail

This report may be submitted electronically through webSALVAGE for insurance companies that create or have an account.

Otherwise, this completed form must be submitted to the department at one of the following: Email: TCS_Mailbox@txdmv.gov Fax: (512) 465-4124 Mail: Texas Department of Motor Vehicles, Vehicle Titles and Registration Division, ATTN: Title Control Systems, Austin, Texas 78779-0001.

This report must be filed within 30 days if the insurance company does not acquire ownership of the vehicle.

When not to use this form

Do not submit this form if the motor vehicle is not damaged to the extent that it meets the definition of a salvage or nonrepairable vehicle.

The notice the insurance company sends the owner

Insurance companies must send a notice to owners who retain a salvage or nonrepairable vehicle following payment of a claim. The notice to the owner must include the following information:

The vehicle was reported to the Texas Department of Motor Vehicles as an owner retained salvage or nonrepairable vehicle, as applicable. The owner is required to apply for the appropriate salvage or nonrepairable title prior to selling or otherwise transferring ownership of the motor vehicle. The type of title the owner must obtain (Salvage Vehicle Title or Nonrepairable Vehicle Title). The registration to the motor vehicle is no longer valid, and the owner may not operate or permit operation of the motor vehicle on the public roads.

If the vehicle is nonrepairable, the vehicle may never be registered, operated, or permitted to operate on public roads; may only be used as a source for used parts or scrap metal; may not be repaired, rebuilt, or reconstructed; and may only be issued a Nonrepairable Vehicle Title.

If the vehicle is salvage, the owner must apply to the Texas Department of Motor Vehicles for a Salvage Vehicle Title prior to repairing/rebuilding the vehicle, and may not operate the motor vehicle on the public roads until it has been repaired/rebuilt and retitled as a rebuilt salvage motor vehicle and properly registered, and will be required to pay a $65 Rebuilt Fee, $28 or $33 title application fee, and any applicable registration fees (if registering) at the time of application for a rebuilt salvage Texas title (checked November 1, 2026).

More rules for Form VTR-436

The insurance company must provide notice of this report to the vehicle owner and advise the owner of the conditions regarding the vehicle operation.

Sources

[1] Form VTR-436 (Rev 01/25), Owner Retained Report, Texas Department of Motor Vehicles (the Official source link on this page).

Form VTR-436 PDF Details

This report must be filed within 30 days if the insurance company does not acquire ownership of the vehicle.

Do not submit: Do not submit this form if the motor vehicle is not damaged to the extent that it meets the definition of a salvage or nonrepairable vehicle

webSALVAGE: This report may be submitted electronically through webSALVAGE for insurance companies that create or have an account

Owner notice: Insurance companies must send a notice to owners who retain a salvage or nonrepairable vehicle following payment of a claim

Nonrepairable: A nonrepairable motor vehicle may not be repaired, rebuilt, reconstructed, or made operable for use on a public highway

QuestionAnswer
Form NameForm VTR-436
Form Length2 pages
Fillable?Yes
Fillable fields68
Avg. time to fill out12 min
Edition01/25
Filed within30 days if the insurance company does not acquire ownership of the vehicle
Where to sendEmail: TCS_Mailbox@txdmv.gov Fax: (512) 465-4124 Mail: Texas Department of Motor Vehicles Vehicle Titles and Registration Division Austin, Texas 78779-0001
Matches the agency's fileYes, checked October 1, 2026
Other namesVTR-436, VTR436, VTR 436, Texas VTR-436, Owner Retained Report
Official sourceForm VTR-436 (Rev 01/25), Texas Department of Motor Vehicles