Licensing and Titling Request Form | Parking and Transportation

UVA Email

Name

Department Name and Number

Phone Number

Delivery Address

Departmental Vehicle Number

Purchase Date

Year, Make, Model

VIN #

Body Type

Odometer Reading

Sale Price

Temporary tag expiration date - if no temp tags, put submission date.

Fuel Type

Fuel Card Needed?

Yes

Planned Drop-off Date of Certificate of Origin/Title/Odometer Disclosure/Bill of Sale

Have you informed the UVA Auto Insurance Program?

Yes

Have you contacted the Branding department to arrange installation of fleet marks?

Yes

What WorkTag should be charged the $30 titling fee?

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