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:

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

Download the original VSA 57 PDF (official source)