STATE OF TENNESSEE
DEPARTMENT OF REVENUE
TAXPAYER AND VEHICLE SERVICES DIVISION
Low Speed Vehicle Affidavit
Name of Applicant: __________________________ VIN: _______________________________________
As outlined in Tenn. Code Ann. § 55-1-122, a vehicle may be registered as a low speed vehicle if all the following
conditions are met:
• The vehicle’s top speed is greater than twenty miles per hour (20 mph) but not more than twenty-five miles per
hour (25 mph)
• The vehicle contains the following required items, as outlined in 49 CFR 571 (Code of Federal Regulations):
Headlamps Parking brake
Stop lamps
One exterior mirror on the driver’s side and one additional
mirror, either on the passenger side or in the interior
Front and rear turn signal lamps
Windshield that conforms to the Federal motor vehicle safety
standard on glazing materials (49 CFR 571.205)
Tail lamps Seat belts (Type 1 or 2) located at each seating position
Reflex reflectors, one red on each side near
the rear and one on the rear
Vehicle ID Number (VIN), conforming to 49 CFR 565
Certification
Under penalties of perjury, I hereby certify that the vehicle whose vehicle identification number (VIN) is shown above is
equipped with the above listed items and meets all safety standards as required by the National Highway Traffic Safety
Administration, 49 CFR 571, and the vehicle’s top speed is greater than twenty miles per hour (20 mph) but not more
than twenty-five miles per hour (25 mph).
__________________________________________ _______________________________
Signature of Certifier Date
RV-F1314301 (Rev. 9-2008)
IMPORTANT INFORMATION REGARDING LOW SPEED VEHICLES
Tenn. Code Ann. § 55-8-191 allows low speed vehicles to be operated at a speed not exceeding twenty-five miles
per hour (25 mph) only on streets where the posted speed limit is thirty-five miles per hour (35 mph) or less. A low
speed vehicle is permitted to cross streets that exceed this thirty-five mile per hour limit.
In the interest of safety, counties in Tennessee or the Tennessee Depa
rtment of Transportation may prohibit the
operation of low speed vehicles on any road in its jurisdiction.
Operators of low speed vehicles must have a Class D driver license in their
possession when operating these
vehicles on Tennessee’s roads.
