Mva Form Vr 009 PDF Details

When filing for motor vehicle accident-related compensation, having accurate information is essential. A key piece of information to have on hand before submitting your paperwork is the MVA Form VR 009. This form must be obtained from the Maryland Motor Vehicle Administration (MVA) and provides details about who was involved in the accident, any damage to vehicles, who was responsible for the incident, and more. In this post, we'll explain what an MVA Form VR 009 is, how you can obtain one, and why it's needed so that you can confidently submit all relevant documentation when seeking compensation related to a motor vehicle crash.

QuestionAnswer
Form NameMva Form Vr 009
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmva bill of sale, mvavr 009, vr 009, vr 009 mva

Form Preview Example

MOTOR VEHICLE ADMINISTRATION

6601 Ritchie Highway, N.E.

Glen Burnie, Maryland 21062

VR-009 (10-12)

Application for Substitute Plates/Stickers/Moped Motor-Scooter Off-Road Vehicle Decal/Duplicate Registration Card

Substitute Plates with Stickers

$20.00 (Specialty Plate fees are on the back)

Substitute Sticker or Moped Motor-Scooter Off-Road Vehicle Decal

$5.00

Duplicate/Additional Registration Card Only.

$5.00

(Registration card is issued with plates and stickers)

MVA Use Only: Gratis

Approved by:

ID:

I am applying for: Substitute plates with stickers Substitute year sticker only Substitute month sticker only (No fee required)

Substitute decal for Moped/Motor-Scooter/Off-Road Vehicle

Duplicate Registration Card Additional Registration Cards. Reason:

Plate #

Validation Sticker #

Exp. Date

Fee

Title #

Exceptions

Decal #

Year

Make

Body Style

Class

Vehicle Identification Number

Owner's Name

Owners Driver's License #

Co-Owner's Name

Co-Owners Driver's License #

Owner's Street Address

City

County

State

Zip Code

 

 

 

 

 

Name of Insurance Company

Agent or Broker

Policy/Binder #

 

 

I/We certify, under penalty of perjury, that the statements made herein are true and correct and the vehicle described above is covered by the minimum amounts of insurance as required by law.

Signature of Owner

Date

Signature of Co-Owner

Date

 

 

 

 

For more information, please call: 410-768-7000 (to speak with a customer service representative).

TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov

Complete the face of this application in detail. All information requested is necessary in order to process your request. A copy of the registered owner’s driver’s license must accompany this application. If your original plate(s)/sticker(s)/moped, motor-scooter, off-road vehicle decal or registration card has become lost, stolen or mutilated, check the proper block and give reason for applying for replacement plate(s)/sticker(s)/moped, motor-scooter, off-road vehicle decal or registration card.

There will be an additional fee for the substitution of specialty plates, even if they have been reported stolen. Organization/Organization Logo plates have a $15.00 or $25.00 fee respectively. Personalized and Ham Radio Operator plates have an additional $20.00 fee.

If you desire an additional registration card, check the proper block. The fee is ive dollars ($5.00) for each card.

Only one owner is required to sign the application. If the vehicle is company-owned, the person signing the application must list their oficial capacity. If you are not a company oficial, do not own the vehicle or you have

leased the vehicle, a power of attorney certiicate must accompany the application.

Please do not send cash. Make check or money order payable to Motor Vehicle Administration. The check must include

(1)Imprinted Name and Address, (2) Drivers License Number (Soundex Number), (3) Home and/or Work Phone Number.

You may either mail your application with appropriate fees to: Motor Vehicle Administration - Registration Renewal Section 6601 Ritchie Highway, N.E.

Glen Burnie, Maryland 21062

or

Visit your local MVA full service ofice and have your plate(s)/sticker(s)/moped, motor-scooter, off road vehicle decal or registration card issued to you.

Need assistance, please call 410-768-7000, TTY for the Hearing Impaired: 1-800-492-4575.

Apply to...

Apply to register to vote with your driver’s license transaction. For details ask your customer service representative.

to Vote Now!

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When it comes to blank fields of this specific PDF, this is what you want to do:

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Stage # 1 for filling out vr009 form

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