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Virginia VSA 10A – Gold Star / Next of Kin License Plate Certification

  1. 语言 英语
  2. 国家 美国
  3. 活动 车辆登记
  4. 状态 弗吉尼亚州
Virginia VSA 10A – Gold Star / Next of Kin License Plate Certification

The VSA 10A is the official Virginia Department of Motor Vehicles (DMV) form used by immediate family members of military personnel who have died in service to request a special Gold Star or Next of Kin license plate. This commemorative plate honors the sacrifice of the fallen service member and provides a visible tribute on the road.

What Is the VSA 10A Form?

The VSA 10A, titled “License Plate Applicant Certification,” collects the applicant’s information, the deceased service member’s details, and a certification that the applicant is an immediate family member. Once approved, the DMV issues a Gold Star or Next of Kin plate at no additional cost.

Who Is Eligible?

  • Parents, spouses, children, or siblings of a service member who died while on active duty.
  • Legal guardians of a deceased service member.
  • Anyone who can provide official proof of relationship and the service member’s death.

How to Complete the Form Online

Instead of downloading the PDF and editing it manually, simply click the "Fill out this form" button on this page. The Formize PDF Filler app will load the fillable VSA 10A document directly in your browser, allowing you to type, sign, and save without any extra software.

Common Mistakes to Avoid

  • Leaving any required field blank – the DMV will reject incomplete submissions.
  • Misspelling the deceased service member’s name or rank.
  • Failing to attach supporting documents (military death certificate, proof of relationship).
  • Signing the form with a stylus that does not create a digital signature; use the built‑in signature field in Formize.

Where to Submit Your Application

After completing the form online, you have two options:

  1. In‑person: Bring the printed, signed form and supporting documents to any Virginia DMV customer service center.
  2. Mail: Send the completed form and copies of all required documents to:
    Virginia Department of Motor Vehicles
    Vehicle Registration Division
    P.O. Box 27412
    Richmond, VA 23269.

Processing typically takes 7‑10 business days once the DMV receives a complete application.

常问问题
  • What is the purpose of the VSA 10A form?

    The VSA 10A certifies that an immediate family member of a fallen service member is eligible for Virginia’s Gold Star or Next of Kin license plate.

  • Do I need to pay a fee for the special plate?

    No. The Gold Star and Next of Kin plates are issued free of charge to eligible families.

  • Can I submit the form electronically?

    Virginia DMV still requires a printed, signed copy with supporting documents. The online filler only speeds up data entry.

  • What documents must I include with the VSA 10A?

    A certified death certificate, proof of relationship (e.g., birth or marriage certificate), and the service member’s DD‑214 or equivalent military record.

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

    Processing usually takes 7‑10 business days once a complete application reaches the DMV.

  • Can I apply for a Gold Star plate if the service member died outside the U.S.?

    Yes, as long as the death occurred while the service member was on active duty and you can provide official documentation.

  • Is the VSA 10A form available in other languages?

    The official form is only provided in English by the Virginia DMV.

如何

如何通过 5 个简单步骤在线免费填写 VSA 10A:

  1. 1
    Click the Fill‑out Button
    On this page, click the bright “Fill out this form” button. The Formize PDF Filler will open the VSA 10A document directly in your browser.
  2. 2
    Enter Your Information
    Type your name, address, and the deceased service member’s details into the highlighted fields. Use the drop‑down menus where provided.
  3. 3
    Add Your Digital Signature
    Select the signature field, draw or type your signature using the Formize tools, and confirm.
  4. 4
    Review & Save
    Double‑check every entry for accuracy, then click “Save” to download a completed PDF copy for your records.
  5. 5
    Submit to the DMV
    Print the saved PDF, attach required supporting documents, and submit in person or by mail as described above.
Formize PDF Filler 应用程序
关于

车辆登记表

VSA 10A 是一种车辆登记表,用于向相关政府机构(通常是机动车辆部 (DMV) 或同等机构)登记机动车辆的文件。当一个人购买新车或二手车、转让车辆所有权或携带车辆搬到新的司法管辖区时,需要这些表格。

具体的车辆登记表可能因司法管辖区而异,但通常需要以下信息:

车辆信息:这包括有关车辆的详细信息,例如制造商、型号、年份、车辆识别号 (VIN) 和里程表读数。

车主信息:该表格需要提供有关车主的信息,包括姓名、地址、联系信息和驾驶执照号码。

所有权证明:根据具体情况,可能需要所有权证明,例如所有权证书、销售单或制造商的原产地证书(适用于新车)。

保险信息:通常需要有效车辆保险的证明。这可能包括提供保险单号、承保日期和保险公司详细信息。

费用支付:车辆登记涉及支付各种费用,例如登记费、税费以及可能的其他特定于司法管辖区的费用。

除了这些基本要求外,某些司法管辖区可能还有其他表格或文件要求。例如,在某些地区可能需要排放测试结果、安全检查或居住证明。

完成并提交车辆登记表后,政府机构将颁发登记证、车牌和登记贴纸。这些文件表明该车辆已合法注册并有权在公共道路上运营。

值得注意的是,车辆登记要求可能因管辖区而异。因此,建议咨询当地 DMV 或同等机构,了解适用于您所在位置的具体表格和程序。

特征

PDF 填充器

在线填写 PDF 表单的最简单方法

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