选择语言

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 DMV 表格之一,也称为机动车辆部表格,是与机动车辆相关的各种交易和流程中使用的文件。 DMV 是负责驾驶执照、车辆登记和执行机动车辆法的政府机构。可用的具体 DMV 表格可能因司法管辖区而异,但以下是一些常见示例:

驾驶执照表格:这些表格用于申请驾驶执照或请求更改或续签。它们通常需要个人信息、身份证明,并且可能包括医疗信息或驾驶历史部分。

车辆登记表:这些表格用于向 DMV 登记机动车辆。他们需要车辆信息、所有权详细信息和保险证明。

所有权转让表格:购买或出售车辆时,这些表格用于将所有权从一方转让给另一方。他们需要有关买方、卖方、车辆详细信息的信息,并且可能包括销售单。

车辆责任免除表:在出售或转让车辆所有权时,这些表格通知 DMV 卖方不再对车辆负责。它有助于保护卖方免受涉及售后车辆的事故或事件的责任。

车牌和登记更新表格:这些表格用于更新车辆登记或申请新的车牌。他们通常需要有关注册所有者、当前注册详细信息以及适用费用支付的信息。

驾驶记录申请表:这些表格允许个人向 DMV 索取驾驶记录,其中提供有关驾驶违规、驾照状态和其他相关详细信息的信息。

专业或个性化车牌表格:这些表格用于申请个性化或专业车牌,允许个人使用特定字符或设计定制他们的车牌。

这些只是 DMV 提供的多种表格中的几个示例。具体表格和要求可能因司法管辖区而异,因此请务必咨询当地 DMV 网站或访问 DMV 办公室,以获得适合您特定需求的正确表格。

特征

PDF 填充器

在线填写 PDF 表单的最简单方法

  • 快速填写VSA 10A
    正在寻找一种在线快速填写 VSA 10A 的方法?使用我们的在线免费 PDF 填表工具,您将在不到一分钟的时间内了解如何编辑和填写此 pdf 文档。
  • 易于使用的在线 PDF 编辑器
    是否厌倦了打印 PDF 文件以便在重新扫描并发回之前对其进行编辑?免费在线编辑 PDF 文档。使用我们的在线 pdf 编辑器可以节省时间和纸张。
  • 伟大的工具,所有平台
    想知道如何在 Mac 上填写 VSA 10A,或者如何免费使用 PDF 填充程序?我们的在线 PDF 工具适用于所有平台。
  • 安全文件存储
    完成的“VSA 10A”文件存储在由亚马逊云托管管理的安全数据库中。您可以随时从我们的系统中删除您的文件。在任何情况下,这些文件都会在 24 小时后自动删除。
  • 与 VSA 10A 聊天
    Chatize 上与“VSA 10A”聊天,这是一个免费的 PDF 阅读器助手。提出问题并从“VSA 10A”获得答案。只需点击上面的与文档聊天按钮即可。

删除填充会话

删除选定的填充会话?在这种情况下,您填写表格的进度将丢失。

删除编辑会话

删除选定的编辑会话?在这种情况下,您创建和编辑表单的进度将会丢失。