
The most common Louisiana Office of Motor Vehicles and Louisiana Department of Public Safety forms. These forms are created and maintained by the Louisiana Office of Motor Vehicles and Louisiana Department of Public Safety.
NOTE: Some forms are available to be filled out online and then printed out with the information. The information does not save so if you close or lose the online session, the data will be lost.
Motor Vehicles – Common Forms
These are the most common forms utilized when dealing with the purchasing and selling of motor vehicles and the like in the state of Louisiana. For best practices, if there is anything that has the word ‘Affidavit’ in the title, you will need to visit a Louisiana Notary Public to complete the paperwork.
Affidavit of Heirship
A document stating that someone is the rightful heir to a deceased person’s movable property (like a vehicle). Requires Notary, Death Certificate, and more
View Form | Download Form
Affidavit of One and the Same
Used to verify that two names or variations (e.g., “John Smith” and “J. Smith”) belong to the same person.
View Form | Download Form
Affidavit of Non-Residency*
A declaration stating that an individual does not reside in Louisiana, often used to confirm tax or registration exemptions.
View Form | Download Form
Bill of Sale of Motor Vehicle*
A legal document proving the sale and transfer of ownership of a motor vehicle from the seller to the buyer.
View Form | Download Form
Chattel Mortgage of a Motor Vehicle*
A legal agreement where a motor vehicle is used as collateral for a loan, with the lender holding a lien until the loan is paid off.
View Form | Download Form
Notice of Transfer of Vehicle (ONLINE Option)
Filed to notify the Louisiana Office of Motor Vehicles (LA DMV) that a vehicle has been sold or transferred, protecting the seller from future liability.
File Online | View Form | Download Form
Odometer Disclosure Statement
Permission to Process Transaction
Allow a fellow citizen of your choosing to visit the Louisiana Office of Motor Vehicles or any Public Tag Agency and process the paperwork for title and registration purposes. All of the documents must be signed in advance and the authorized person is only allowed to serve as a courier. This is not the same as a Power of Attorney
View Form | Download Form
Statement of Non-Use (ONLINE Option)
You may notify the Office of Motor Vehicles when you will not be using your vehicle on any road or highways and wish to cancel the liability insurance. The non-use filing will prevent you from receiving an insurance cancellation notice for the period the non-use is in effect. Non-use filings can be submitted online, by mail or in person at your local OMV location. In order to submit the Vehicle Statement of Not Use, the following information is needed. This information can be found on your vehicle registration certificate.
- License plate number
- Registration expiration date
- Vehicle identification number
- Model year
Title History Request Form
Power of Attorney for Motor Vehicle*
Gives another person legal authority to handle motor vehicle-related transactions on your behalf.
View Form | Download Form
College/University Special License Plate Consent
When requesting a specialty plate that is associate with a College or University you are more than likely to have to fill one of these forms out also.
View Form | Download Form
Motor Vehicles – Advanced Level
These forms require some specialized knowledge and will more than likely require the help of a Notary Public, Tag Agent, or Motor Vehicle Agent at the Office of Motor Vehicle. Remember that if there is anything that needs to be notarized, it will need to be completed before visiting the Office of Motor Vehicle
Act of Donation of a Movable
A notarized document transferring ownership of a movable item (e.g., a car) as a gift, without monetary compensation. Requires Notary and Witnesses
View Form | Download Form
Affidavit of Heirship
A document stating that someone is the rightful heir to a deceased person’s movable property (like a vehicle). Requires Notary, Death Certificate, and more
View Form | Download Form
Affidavit of Non-Residency*
Bill of Sale of Motor Vehicle*
View Form | Download Form
Consignment of Motor Vehicle*
An agreement where the owner authorizes someone else (usually a dealer) to sell their vehicle on their behalf.
View Form | Download Form
Chattel Mortgage of a Motor Vehicle*
View Form | Download Form
Designation of Mobility Impaired License Plate
A form used to request special license plates for individuals with permanent disabilities. A Permanently Disabled (4 Year Expiration) person is entitled to two license plates. Temporary disabled (1 Year Expiration) only receives hanging blue tags.
View Form | Download Form
Expedited Title Request
A request for faster processing of a vehicle title, often for an additional fee.
View Form | Download Form
Justice of the Peace Request for Review Prior to Judgement
Filed to request a justice of the peace to review a matter, such as a property dispute, before issuing a formal judgment.
View Form | Download Form
Lien Continuation Statement
Filed to extend the validity of a lien on a vehicle or other movable property beyond the standard period.
View Form | Download Form
Lien Termination
Filed to release a lien on a vehicle once the associated debt has been fully repaid.
View Form | Download Form
Memorialization of Manual Gift of a Motor Vehicle*
View Form | Download Form
Power of Attorney for Motor Vehicle*
Gives another person legal authority to handle motor vehicle-related transactions on your behalf.
View Form | Download Form
Promissory Note*
Promissory Note
View Form | Download Form
Request for Personalized License Plate
A form to request a custom design or wording for a license plate.
View Form | Download Form
Statement of Golf Carts
Want to get a registered tag for your golf cart to legally drive on the roads. Especially for events like Mardi Gras and Halloween and everything in between. This document affirms that a golf cart meets specific conditions for legal operation on certain roads and Affiant make acknowledgements.
View Form | Download Form
Statement of Utility Terrain Vehicles
Confirms that a utility terrain vehicle (UTV) meets requirements for road use or off-road purposes.
View Form | Download Form
Street Cruiser Affidavit
Formal Statement: That this vehicle is classified as a “Street Cruiser” as defined under R.S.32:455. That the vehicle has been safely modified and constructed, and meets the safety standards as required under state law.
View Form | Download Form
Street Rod Affidavit
Formal Statement: That this vehicle is classified as a “Street Rod” as defined under R.S.32:452 and R.S.463.12.
View Form | Download Form
SALVAGE & RECONSTRUCTED VEHICLES
Salvage Affidavit
A statement confirming that a vehicle has been declared a salvage (damaged to the extent of being uneconomical to repair). Requires Notary
View Form | Download Form
Notification of Salvage Retention
Filed to notify the Office of Motor Vehicles that the insurance carrier/owner intends to keep possession of a salvage vehicle instead of surrendering it.
View Form | Download Form
Salvage to Reconstructed Parts List
A detailed list of parts used to repair a salvage vehicle to make it roadworthy again.
View Form | Download Form
Application for Salvage-Reconstructed Motor Vehicle
A form to apply for a title for a vehicle that has been repaired after being declared salvage. This is in addition to the Vehicle Application form.
View Form | Download Form
Affidavit of No Receipts*
Used when a person repairing a vehicle does not have receipts for some or all of the parts used. Requires Notary
View Form | Download Form
Department of Public Safety Motor Vehicles (DPSMV)
Below are the same documents listed elsewhere but arranged by their respective Louisiana Department of Public Safety Motor Vehicle Code (DPSMV).
DPSMV 1606 Odometer Disclosure Statement
DPSMV 1619 Request for Personalized License Plate
A form to request a custom design or wording for a license plate.
View Form | Download Form
DPSMV 1635 Reconstructed Parts List
A detailed list of parts used to repair a salvage vehicle to make it roadworthy again.
View Form | Download Form
DPSMV 1637 Application for Salvage-Reconstructed Motor Vehicle
A form to apply for a title for a vehicle that has been repaired after being declared salvage. This is in addition to the Vehicle Application form.
View Form | Download Form
DPSMV 1696 Affidavit of Heirship
A document stating that someone is the rightful heir to a deceased person’s movable property (like a vehicle). Requires Notary, Death Certificate, and more
View Form | Download Form
DPSMV 1697 Notice of Transfer of Vehicle
Filed to notify the Louisiana Office of Motor Vehicles (LA DMV) that a vehicle has been sold or transferred, protecting the seller from future liability.
File Online | View Form | Download Form
DPSMV 1698 Memorialization of Manual Gift of a Motor Vehicle
DPSMV 1699 Act of Donation of a Movable
A notarized document transferring ownership of a movable item (e.g., a car) as a gift, without monetary compensation. Requires Notary and Witnesses
View Form | Download Form
DPSMV 1799 Vehicle Application Form
DPSMV 1807 Salvage Affidavit
A statement confirming that a vehicle has been declared a salvage (damaged to the extent of being uneconomical to repair). Requires Notary
View Form | Download Form
DPSMV 1808 Notification of Salvage Retention
DPSMV 1809 Statement of Golf Carts
Want to get a registered tag for your golf cart to legally drive on the roads. Especially for events like Mardi Gras and Halloween and everything in between. This document affirms that a golf cart meets specific conditions for legal operation on certain roads and Affiant make acknowledgements.
View Form | Download Form
DPSMV 1810 Statement of Utility Terrain Vehicles
Confirms that a utility terrain vehicle (UTV) meets requirements for road use or off-road purposes.
View Form | Download Form
DPSMV 1811 Street Cruiser Affidavit
Formal Statement: That this vehicle is classified as a “Street Cruiser” as defined under R.S.32:455. That the vehicle has been safely modified and constructed, and meets the safety standards as required under state law.
View Form | Download Form
DPSMV 1812 Street Rod Affidavit
Formal Statement: That this vehicle is classified as a “Street Rod” as defined under R.S.32:452 and R.S.463.12.
View Form | Download Form
DPSMV 1814 College/University Special License Plate Consent
DPSMV 1820 Vehicle Appraisal
DPSMV 1821 First Notice
DPSMV 1822 Final Notice
DPSMV 1823 Expedited Title Request
A request for faster processing of a vehicle title, often for an additional fee.
View Form | Download Form
DPSMV 1824 Justice of the Peace Request for Review Prior to Judgement
DPSMV 1901 Lien Termination
DPSMV 1902 Lien Continuation Statement
DPSMV 1976 Hold Harmless Affidavit
DPSMV 1958 Title History Request Form
DPSMV 3002 Statement of Non-Use
DPSMV 4222 Designation of Mobility Impaired License Plate
A form used to request special license plates for individuals with permanent disabilities. A Permanently Disabled (4 Year Expiration) person is entitled to two license plates. Temporary disabled (1 Year Expiration) only receives hanging blue tags.
View Form | Download Form
