Robert L. Quinn
Commissioner of Safety
State of New Hampshire
Depar
tment of Safety
Division of Motor Vehicles
Bureau of Registration
Concord, N.H. 03305 (603) 227-4030
Elizabeth A. Bielecki
Director of Motor Vehicles
VERIFICATION OF VESSEL IDENTIFICATION
This is to certify that I have physically examined in
, N.H., the boat described herein:
Location
Make
Style
HP
NH BOW Number
and found the hull identification number (HIN) to be
Not
e: The HIN can most often be found on the upper right hand side of the transom on vessels manufactured in 1973 or after
The hull identification number appears to be
Altered
Unaltered
Changed
Missing
Owner of Boat
Address
I further certify that the above referred to Hull Identification Number was not obtained from any registration or documents relative to this boat
and was obtained by a visual inspection of the actual vessel. Any alterations to the information contained in this form shall make it invalid.
Date
Officer’s Signature
This application is signed under penalty of unsworn falsification
pursuant to RSA 641:3.
Agency
Address
By
This form may only be completed by:
New Hampshire Law Enforcement Officer - Badge #
RDMV690 (Rev. 5/2021)
Tel. No.
*