Virginia DMV DMS-004 Fillable PDF – Payment Authorization Form

The DMS-004 is the official Virginia Department of Motor Vehicles (DMV) form used to authorize payment for a driver's license, ID card, or records request. This fillable PDF lets you complete the payment authorization quickly, without printing or faxing.

Our online Formize PDF Filler loads the DMS-004 directly in your browser, so you can type, sign, and submit the form in minutes. No additional software is required.

What Is the DMS-004 Form?

The DMS-004, titled "License, ID Card and Records Payment Authorization," captures:

• Applicant’s personal information (name, address, driver’s license number)
• Details of the requested service (license renewal, new ID, record copy)
• Payment method and authorization signature

It is required whenever you need to pay the DMV for a license, ID card, or official record request.

How to Fill Out DMS-004 Online with Formize

Follow the simple steps below to complete the form without ever leaving the page.

Common Mistakes to Avoid

Even a tiny error can delay processing. Keep these tips in mind:

• Double‑check the driver’s license number – a single digit off will cause a rejection.
• Use a valid credit or debit card number; the form does not accept expired cards.
• Sign exactly where the signature box appears; digital signatures are accepted.
• Do not leave any mandatory fields blank; the Formize validator will highlight them.

Where to Submit the Completed Form

After you finish, you have two options:

• Fax – The form automatically generates a fax‑ready PDF you can send to the number listed in the “Transaction/Fax Information” section.
• Upload – Use the Virginia DMV online portal to upload the completed PDF directly.

Both methods are accepted, but the online upload is faster and provides an instant confirmation.