Mv 001 Form PDF Details

Mv001 form is a new accommodation form that the government released in February of 2019. The new form is designed to help collect information about accessibility needs for people with disabilities. Mv 001 Form should be completed by anyone who wishes to request an accommodation due to a disability. Completing the form is the first step in requesting an accommodation, and will help ensure that your requests are processed as quickly as possible.

Below, you may find a number of particulars about mv 001 form PDF. You may want to browse it before filling out the gaps.

Form NameMv 001 Form
Form Length1 pages
Fillable fields16
Avg. time to fill out3 min 31 sec
Other namesmv 001 a, statement facts general, statement of fact to correct error on title, statement of facts texas form

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State of Texas §

County of Harris §

I, the undersigned, hereby certify that:

Vehicle Information:



Vin #

Correct Date of Sale:

Buyer's Name and Address:

Reason for Statement of Fact:



Date of Statement

Printed Name (same as signature)

Phone Number

Name of Company, if signing as agent thereof

Please Note: Transportation Code 501.155: FALSE NAME, FALSE INFORMATION, AND FORGERY. (a) A person commits an offense if the person knowingly provides false or incorrect information or without legal authority signs the name of another person (b) An offense under this section is a felony of the third degree.


Rev. 12/14 v.4

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Entering details in statement of facts texas part 2

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