555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
dmvnv.com
VP-30 Revised 9/2019
NR
S 482.2155
MOPED REGISTRATION APPLICATION/INSPECTION
Requirements for registration:
• Displacement of not more than 50 cc
• Not more than 2 gross brake horsepower or 1500
Watts final output
• Motor-driven scooter, motor-driven cycle with not
more than three (3) wheels in contact with the
ground
• Capable of maximum speed of not more than 30 miles per hour on a flat surface with not more than 1% grade
in any direction when the motor is engaged
Please Type or Print Using Blue or Black Ink
Ve
hicle Owner Information
Full Legal Name: __________________________________________________________________________________
As it appears on the Nevada Driver’s License or Identification Card, or Business Name
Nev
ada Driver’s License Number or Identification Card Number or FEIN for a Business: ___________________________
Dat
e of Birth: _______________ Phone Number: _________________ E-Mail (Optional): _________________________
Ph
ysical Address:
______________________________________________________________________________________________________
Address City State Zip Code
Mail
ing Address:
________________________________________________________________________________________________________
Address City State Zip Code
County moped will be based in: _______________________________ MSRP: ______________________
I her
eby certify, under penalty of perjury, under the laws of the State of Nevada that all statements in this application and
any accompanying documents are true and correct. I further understand that any misstatement of facts may be a
misdemeanor or felony and may be punishable pursuant to NRS 193.130.
Applicant’s Signature: ____________________________________________ Date: ______________
(To be completed by an Authorized Nevada DMV Representative, Sheriff, Deputy Sheriff, or NV dealer at time of purchase)
Please Print or Type
I certify that I have examined the following vehicle:
Veh
icle Identification Number
Engine Displacement CCs: ______________ Engine Output: Watts: ___________ Horsepower: ______________
Authorized Inspector - Printed Name
Authorized Inspector - Signature