VSA‑22 Application for Assigned Vehicle Identification Number (Fillable PDF)

What Is the VSA‑22 Form?

The VSA‑22 is the Virginia Department of Motor Vehicles (DMV) application used to request an assigned vehicle identification number (VIN). It is required for homemade trailers, custom‑built vehicles, and any vehicle that does not already have a DMV‑assigned VIN.

How to Fill Out VSA‑22 Online with Formize

Instead of downloading the PDF and editing it in a separate program, you can complete the form directly on our site. Follow the simple steps below and the Formize PDF Filler will load the fillable document in your browser.

• Step 1 – Open the Form: Click the "Fill out this form" button on this page.
• Step 2 – Load the PDF: The Formize PDF Filler app loads the VSA‑22 PDF automatically.
• Step 3 – Enter Your Information: Fill in vehicle details, owner information, and the reason for the VIN request.
• Step 4 – Sign & Date: Use your mouse or touch screen to add a digital signature and date.
• Step 5 – Download or Email: Save the completed form as a PDF or email it directly to the Virginia DMV.

Common Mistakes to Avoid

Even a small error can delay processing. Make sure you:

• Enter the exact vehicle make, model, and construction date.
• Provide a complete mailing address for the owner and co‑owner.
• Check the correct box for the reason you need a VIN (e.g., homemade trailer, custom build).
• Attach the required supporting documents, such as receipts for materials or a builder’s affidavit.
• Sign in the Applicant Certification section and, if applicable, have a law‑enforcement officer sign the VIN installation certification.

Where to Submit the Completed Form

After you have saved the filled PDF, mail it to:

Include any required fees and supporting documentation. The DMV will assign a VIN and send you a VIN plate to install on your vehicle.

FAQs About the VSA‑22 Application

Below are the most frequently asked questions about the VSA‑22 form.