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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 DMV forms, also known as Department of Motor Vehicles forms, that are documents used in various transactions and processes related to motor vehicles. The DMV is a government agency responsible for driver licensing, vehicle registration, and enforcing motor vehicle laws. The specific DMV forms available can vary by jurisdiction, but here are some common examples:

Driver's License Forms: These forms are used to apply for a driver's license or to request changes or renewals. They typically require personal information, proof of identity, and may include sections for medical information or driving history.

Vehicle Registration Forms: These forms are used to register a motor vehicle with the DMV. They require vehicle information, ownership details, and proof of insurance.

Title Transfer Forms: When buying or selling a vehicle, these forms are used to transfer ownership from one party to another. They require information about the buyer, seller, vehicle details, and may include a bill of sale.

Vehicle Release of Liability Forms: When selling or transferring ownership of a vehicle, these forms notify the DMV that the seller is no longer responsible for the vehicle. It helps protect the seller from liability for accidents or incidents involving the vehicle after the sale.

License Plate and Registration Renewal Forms: These forms are used to renew vehicle registration or request new license plates. They typically require information about the registered owner, current registration details, and payment of applicable fees.

Driving Records Request Forms: These forms allow individuals to request their driving records from the DMV, which provide information about driving violations, license status, and other relevant details.

Specialty or Personalized License Plate Forms: These forms are used to apply for personalized or specialty license plates, which allow individuals to customize their license plate with specific characters or designs.

These are just a few examples of the many forms that may be available through the DMV. The specific forms and requirements can vary by jurisdiction, so it is important to consult the local DMV website or visit a DMV office to obtain the correct forms for your particular needs.

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