VEHICLE 1
GARAGE JURISDICTION (city, county, or town where your vehicle is
located)
To record additional vehicles, complete the reverse side of this form
VEHICLE MAKE TITLE NUMBER
LAST FOUR DIGITS OF VEHICLE IDENTIFICATION
NUMBER (VIN)
STATEMAILING ADDRESS CITY ZIP CODE
COUNTRY
DATE VEHICLE FIRST LOCATED HERE (mm/dd/yyyy)
GARAGE JURISDICTION (city, county, or town where your vehicle is
located)
VEHICLE MAKE TITLE NUMBER
LAST FOUR DIGITS OF VEHICLE IDENTIFICATION
NUMBER (VIN)
STATEMAILING ADDRESS CITY ZIP CODE
COUNTRY
DATE VEHICLE FIRST LOCATED HERE (mm/dd/yyyy)
VEHICLE 2
VEHICLE REGISTRATION MAILING ADDRESS
• Use this section if you own a vehicle that is not located at your residence address and you want DMV to mail the vehicle registration renewal notice to an
address different from those recorded above or if you want to notify DMV of a vehicle that is garaged somewhere other than where you live.
• If you need to change the address of more than two vehicles, use the additional space on the back of this form
NEW RESIDENCE/HOME ADDRESS
• Enter the address where you actually live. Do not enter a post office box number. Virginia law requires you to provide this address to DMV.
• If you change either your residence/home address or mailing address to a non-Virginia address, your driver's license and/or photo identification (ID) card
may be canceled.
STATESTREET ADDRESS (no P.O. Box) CITY ZIP CODE
COUNTRY RESIDENCE LOCATION (city or county in which you live)
NEW MAILING ADDRESS
• The address shown on your driver's license may be either a post office box, business or residence address in Virginia.
• If you choose to have a mailing address that is different from your residence address, DMV will send all of your documents to the mailing address.
• If you change your residence/home address or mailing address to a non-Virginia address, your driver's license and/or photo identification (ID) card may be canceled.
STATEMAILING ADDRESS CITY ZIP CODE
CERTIFICATION
I certify and affirm that all information presented in this form is true and correct, that any documents I have presented to DMV are genuine, and that
the information included in all supporting documentation is true and accurate. I make this certification and affirmation under penalty of perjury and I
understand that knowingly making a false statement or representation on this form is a criminal violation.
DAYTIME TELEPHONE NUMBER
DATE (mm/dd/yyyy)
SIGNATURE
Do you want to register to vote or change your voter registration
address?
INFORMATION FOR THE DEPARTMENT OF ELECTIONS - Mail In / DMV Connect / DMV Select Only
ADDRESS CHANGE REQUEST
ISD 01 (07/01/2020)
Purpose: Use this form to report a change of address to the Virginia Department of Motor Vehicles.
Instructions: Complete this form and submit it to DMV. The Virginia Department of Motor Vehicles is able to capture and store three different addresses
(residence, mailing, and vehicle registration). It is very important to DMV that we capture your correct address(es).
You may also update your records immediately by changing your address online at www.dmvNOW.com
.
Are you a citizen of the United States of America?
Completion of this section is requested but not required. (Virginia Code §2.2-3806)
YES
(INITIAL BOX)
NO
(INITIAL BOX)
NO
(INITIAL BOX)
CUSTOMER INFORMATION
CUSTOMER NUMBER (as it appears on your driver's license or identification card) CUSTOMER BIRTH DATE (mm/dd/yyyy)
FULL LEGAL NAME (last, first, middle, suffix)
MOVED
CORRECTION (typographical error, new 911 address, etc.)
REASON FOR ADDRESS CHANGE (check one)
ADDRESS FIELD EFFECTIVE DATE (mm/dd/yyyy)
YES
(INITIAL BOX)
