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Virginia VSA 57 – Non‑Repairable Certificate Application (Fillable PDF)

  1. Language English
  2. Country USA
  3. Activity Vehicle Registration
  4. State Virginia
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Virginia VSA 57 – Non‑Repairable Certificate Application (Fillable PDF)

The VSA 57 is the official Virginia Department of Motor Vehicles (DMV) application used to obtain a Non‑Repairable Certificate. This certificate proves that a vehicle has no value other than parts or scrap metal, allowing it to be sold only to licensed dismantlers or scrap processors.

What Is Form VSA 57?

Form VSA 57, titled Non‑Repairable Certificate Application, is a free, downloadable PDF provided by the Virginia DMV. It is required when a vehicle is declared a total loss and cannot be repaired safely or economically.

When Do You Need a Non‑Repairable Certificate?

  • The vehicle has been deemed a total loss by an insurer or the owner.
  • Repair costs exceed the vehicle’s actual cash value.
  • You intend to sell the vehicle for parts, scrap metal, or to a licensed dismantler.

How to Complete the VSA 57 Form Online

Instead of downloading the PDF and editing it with a separate program, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load the fillable version of VSA 57 directly in your browser.

  1. Click the Fill out this form button.
  2. The Formize PDF Filler loads; the form fields become editable.
  3. Enter the required information (owner details, vehicle description, VIN, reason for non‑repairable status, etc.).
  4. Review the data for accuracy and click Submit to download a completed PDF.
  5. Print the completed form, sign where required, and submit it to your local Virginia DMV office.

Common Mistakes to Avoid

  • Leaving fields blank: Every field marked with an asterisk (*) is mandatory.
  • Incorrect VIN: Double‑check the 17‑character Vehicle Identification Number.
  • Missing signatures: Both the owner and, if applicable, the insurer must sign.
  • Using the wrong form version: Ensure you are using the latest VSA 57 PDF (the link below is always up‑to‑date).

Where to Submit the Completed Form

After printing and signing, mail or deliver the form to the Virginia DMV Vehicle Branding Work Center:

Virginia Department of Motor Vehicles
P.O. Box 27412
Richmond, VA 23269
Phone: (804) 497‑7100

For any questions, contact your local DMV office during business hours.

Download the original VSA 57 PDF (official source)

FAQ
  • Is the VSA 57 form free?

    Yes. The Virginia DMV provides the Non‑Repairable Certificate Application at no cost.

  • Can I submit the form electronically?

    Virginia DMV currently requires a printed, signed copy. Use the online filler for convenience, then print the final version.

  • What documents must accompany the VSA 57 form?

    You need the original vehicle title and, if applicable, a signed statement from your insurance company confirming total loss.

  • How long does it take to receive the certificate after submission?

    Processing usually takes 5‑7 business days once the DMV receives the completed, signed form.

  • Can I use the VSA 57 form for a rebuilt vehicle?

    No. The VSA 57 is only for vehicles that will be scrapped or used for parts. Rebuilt vehicles require a different application (Form VSA 56).

  • What happens if I sell a non‑repairable vehicle without the certificate?

    Selling without the certificate is illegal in Virginia and can result in fines and penalties. The certificate is required to transfer ownership to a licensed dismantler.

HOW TO

How to fill out VSA 57 for free, online in 4 easy steps:

  1. 1
    Open the Fillable Form
    Click the "Fill out this form" button on the page. The Formize PDF Filler will open the VSA 57 form directly in your browser.
  2. 2
    Enter Required Information
    Fill in every highlighted field: owner name, address, VIN, make/model/year, and reason for the non‑repairable status.
  3. 3
    Review and Submit
    Check all entries for accuracy, then click the Submit button to generate a completed PDF you can download.
  4. 4
    Print, Sign, and Mail
    Print the completed form, add the required signatures, and send it to the Virginia DMV Vehicle Branding Work Center.
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ABOUT

Vehicle Registration Forms

VSA 57 is one of Vehicle registration forms that are documents used to register a motor vehicle with the relevant government authority, typically the Department of Motor Vehicles (DMV) or equivalent agency. These forms are required when a person purchases a new or used vehicle, transfers ownership of a vehicle, or moves to a new jurisdiction with a vehicle.

The specific vehicle registration forms can vary by jurisdiction, but they generally require the following information:

Vehicle Information: This includes details about the vehicle, such as the make, model, year, vehicle identification number (VIN), and odometer reading.

Owner Information: The form will require information about the vehicle's owner, including their name, address, contact information, and driver's license number.

Proof of Ownership: Depending on the circumstances, proof of ownership may be required, such as a title certificate, bill of sale, or manufacturer's certificate of origin (for new vehicles).

Insurance Information: Proof of valid vehicle insurance coverage is typically required. This may include providing the insurance policy number, dates of coverage, and insurance company details.

Payment of Fees: Vehicle registration involves payment of various fees, such as registration fees, taxes, and possibly other charges specific to the jurisdiction.

In addition to these basic requirements, some jurisdictions may have additional forms or documentation requirements. For example, emissions test results, safety inspections, or proof of residency might be necessary in certain areas.

Once the vehicle registration forms are completed and submitted, the government authority will issue a registration certificate, license plates, and registration stickers. These documents indicate that the vehicle is legally registered and authorized to be operated on public roads.

It is important to note that vehicle registration requirements can vary significantly by jurisdiction. Therefore, it is recommended to consult the local DMV or equivalent agency for the specific forms and procedures applicable to your location.

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