VSA 31 (10/01/2018)
Check to verify that:
You are titling a moped which meets the following as defined by VA Code §46.2-100:
• has 2 or 3 wheels
• has a motor size that is 50 cc's or less /1500 watts or less
• Vehicle will be operated on public highways at speeds of 35 mph or less.
NOTE: Any moped operated at speeds exceeding 35 mph OR that has a motor displacement/input exceeding 50cc/1500
watts must be titled as a motorcycle. Additionally, operating a moped in excess of 35 mph requires the operator to
comply with all applicable motorcycle requirements and is a traffic infraction punishable by a fine.
MAKE
MODEL
BODY TYPE
COLOR
VEHICLE IDENTIFICATION NUMBER (VIN)
YEAR
OWNER INFORMATION
OWNER FULL NAME (last, first, middile initial) OR BUSINESS NAME (if business owned)
CO-OWNER FULL NAME (last, first, middile initial) (print)
OWNER TELEPHONE NUMBER
CO-OWNER TELEPHONE NUMBER
IMPORTANT INFORMATION
To operate a moped you are required to:
• Carry a government issued photo identification.
• Be at least 16 years of age.
• Wear a helmet (approved by the Virginia State Police) with face shield or safety glasses (not required if moped is equipped with a
windshield).
Odometer reading, proof of insurance, safety inspection, and electric fee, are NOT required to title a moped.
DATE (mm/dd/yyyy)
CO-OWNER SIGNATURE OWNER OR AUTHORIZED AGENT/REPRESENTATIVE SIGNATURE
CERTIFICATION
The owner(s) listed above certify and affirm that all information presented in this form is true and correct, that any documents I (we) have
presented to DMV are genuine, and that the information included in all supporting documentation is true and accurate. I (we) make this
certification and affirmation under penalty of perjury and I (we) understand that knowingly making a false statement or representation on
this form is a criminal violation.
DMV CUSTOMER NUMBER/FEIN/SSN
DMV CUSTOMER NUMBER/FEIN/SSN
OWNER'S RESIDENCE/HOME/BUSINESS ADDRESS (Apt # if applicable)
CITY
ZIP CODESTATE
CO-OWNER'S RESIDENCE/HOME/BUSINESS ADDRESS (Apt # if applicable)
CITY
ZIP CODESTATE
If this application is for joint ownership, do you wish clear rights of ownership to be transferred to
the surviving owner in the event of the death of either the owner or co-owner?
YES NO
Check
one:
Moped is owned by individual(s).
Moped is business owned.
MOPED INFORMATION
PURPOSE: Use this form to certify compliance with moped operation requirements as defined in VA Code §46.2-100.
INSTRUCTIONS: Complete form and submit with application for title to DMV when applying to title a moped. DMV may request proof of
any information provided.
MOPED OPERATION VERIFICATION
MOPED CERTIFICATION
MOTOR DISPLACEMENT/INPUT (check one)
50 cubic centimeters or less/1500 watts or less Greater than 50 cubic centimeters/greater than 1500 watts
NOTE: A moped must be titled as a motorcycle if the motor displacement or input is greater than 50 cubic centimeters/1500 watts.
