State of New Hampshire
DEPARTMENT OF SAFETY
DIVISION OF MOTOR VEHICLES
23 HAZEN DRIVE, CONCORD, NH 03305
Telephone: (603)227-4000 TDD Access Relay NH 7-1-1
RDMV110 (Rev. 12/2018)
Owners Name
DOB
Address
City
State
Zip
Telephone Number
E-Mail Address
Lost:
Stolen:
Illegible:
Change:
Plate Number or NH Bow Number
Type of Plate
Decal Number
Expiration Date
DESCRIPTION OF VEHICLE/BOAT
Year
Make
Model
Color
Cylinder
Fuel
Body Style
Gross Weight
Vehicle ID# or Hull ID#
Owner’s Signature
Date
Signed under penalty of unsworn falsification pursuant to RSA 641:3
DO NOT MAIL CASH Fee $15.00
Application For Copy of Registration