Fillable Form New Jersey Vehicle Registration Application Request
DO-11A is also known as New Jersey Vehicle Registration Application Request that serves as an application for a registered business or an additional location. The business owner can legally obtain profit as soon as the registration certificate and pays state taxes is received.
What is the New Jersey Vehicle Registration Application Form?
Form DO-11A, New Jersey Vehicle Registration Application Request, or the New Jersey Vehicle Registration Form is a New Jersey Motor Vehicle Commission (NJMVC) form used by New Jersey residents to register a vehicle.
NJ Vehicle Registration Form serves as an application for a registered business or an additional location. Business owners can legally obtain profit as soon as the registration certificate and the payment of state taxes are received.
Aside from its use as an application form to register a vehicle, you may also use it to request vehicle records. A separate form must be completed for each record requested. There’s a $15 fee for every record request which is payable via check or money order. The New Jersey Motor Vehicle Commission doesn’t accept cash. Once you completed the form, you can mail it to the NJMVC, Business and Government Services Unit at the address below:
New Jersey Motor Vehicle Commission
Business & Government Services
P.O. Box 146
Trenton, NJ 08666-0146
For any questions or queries about the status of your request, you may reach the NJMVC at 609-292-4102.
How to fill out the New Jersey Vehicle Registration Application Form?
Filling out Form DO-11A is quick and simple. You can download and print a PDF copy of the NJ Vehicle Registration Form from the New Jersey Motor Vehicle Commission (NJMVC) website that you can manually complete. But for your convenience, you can also fill out the document electronically on PDFQuick. By following the instructions below, you can accomplish the form in minutes.
Section A – Requestor Information
Applicant’s Name
Enter your full name.
Business Name
Enter your business name, if applicable.
Phone Number
Enter your phone number.
Your File or Claim Number
Enter your file or claim number.
Street Address
Enter your residential street address.
City
Enter your residential city.
State
Enter your residential state.
ZIP Code
Enter your residential ZIP code.
Applicant’s Driver License Number
Enter your driver’s license number. Attach a photocopy of your driver’s license.
Section B – Information Requested
I am requesting information on
Mark the appropriate box if you’re requesting information for your own records or for another’s. You may select:
Date You Want Covered
Enter the date you want the information covered following the format: Month, Day, Year.
New Jersey License Plate Number
Enter your New Jersey license plate number.
Vehicle/Hull Identification Number (VIN/HIN)
Enter your vehicle identification number (VIN) or your hull identification number (HIN).
Please indicate below the information that you require
Mark the boxes indicating the information you require. You may select:
Section C – Purpose For The Request
Complete this section only if you are requesting a record that is not your own.
Uses Permitted By N.J.S.A. 39:2-3.4(c)
Read this section of the New Jersey Driver Privacy Protection Act, initially next to the permitted uses that apply to your specific use of the MVC records.
For use by any government agency or any private person or entity
Mark the box if the purpose of the request is for use by any government agency including any court or law enforcement agency carrying out its functions, or any private person or entity acting on behalf of a federal, state, or local agency in carrying out its functions.
If acting on behalf of a federal, state, or local agency, attach a copy of an individual release consent form, the agreement with the client, or other proof that you have been retained to conduct an investigation.
For use in connection with matters of motor vehicle
Mark the box if the purpose of the request is for use in connection with matters of the motor vehicle or driver safety and theft; motor vehicle emissions; motor vehicle product alterations, recalls or advisories; performance monitoring of motor vehicles; motor vehicle parts and dealers; motor vehicle market research activities, including survey research; and the removal of non-owner records from the original owner records of motor vehicle manufacturers.
Attach any documentation that supports your request if the information is to be used for motor vehicle emissions, recalls, or advisories, and others.
For use in the normal course of business
Mark the box if the purpose of the request is for use in the normal course of business by a legitimate business or its agents, employees, or contractors, but only;
Attach a copy of the individual release consent form.
For use in connection with any civil, criminal, administrative or arbitral proceeding
Mark the box if the purpose of the request is for use in connection with any civil, criminal, administrative, or arbitral proceeding in any federal, state, or local court or agency or before any self-regulating body, including service of process, investigation in anticipation of litigation, and the execution or enforcement of judgments and orders, or pursuant to an order of a federal, state, or local court.
Attach the Docket number and a letter from the client confirming that you have been retained. You are required to provide an explanation if no docket number has been assigned.
For use in educational initiatives
Mark the box if the purpose of the request is for use in educational initiatives, research activities, and for use in producing statistical reports, so long as the personal information is not published, redisclosed, or used to contact individuals and, in the case of educational initiatives, only to organ procurement organizations as aggregated, non-identifying information.
Attach a description of the initiative or research on official letterhead.
For use by any insurer or insurance support organization
Mark the box if the purpose of the request is for use by any insurer or insurance support organization, or by a self-insured entity, or its agents, employees, or contractors, in connection with claims investigation activities, anti-fraud activities, rating, or underwriting.
Attach supporting documents for the intended use.
For use in providing notice to the owners of towed or impounded vehicles
Mark the box if the purpose of the request is for use in providing notice to the owners of towed or impounded vehicles.
Attach proof of authorization to tow or impound vehicles.
For use by an employer or its agent or insurer
Mark the box if the purpose of the request is for use by an employer or its agents or insurer to obtain or verify information relating to a holder of a commercial driver’s license that is required under the “Commercial Motor Vehicle Safety Act,” 49 U.S.C. App. §2710 et seq.
Attach a copy of an individual release consent form, a copy of the insurance policy, and a copy of the agreement if done on behalf of a client.
For use in connection with the operation of private toll transportation facilities
Mark the box if the purpose of the request is for use in connection with the operation of private toll transportation facilities.
If your request does not fall under one of the above reasons
For use by any requestor
Mark the box if the purpose of the request is for use by any requestor, if the requestor demonstrates it has obtained the notarized written consent of the individual to whom the information pertains.
For use by an organ procurement organization
Mark the box if the purpose of the request is for use by an organ procurement organization designated pursuant to 42 U.S.C. §1320b-8 to serve in the State of New Jersey, or any donor registry established by any such organization, exclusively for the purposes of determining, verifying, and recording organ and tissue donor designation and identity.
Attach proof that your organization is authorized to serve in one of the capacities listed.
Explanation of reason
Explain in detail your reason for requesting the information and how you plan to use it.
If involving a lawsuit, state the type of lawsuit and your relationship to the case.
Section D – Terms and Conditions
Before signing the form, read and comprehend the terms and conditions.
Signature of Applicant
Affix your signature.
Only the original signature is accepted. Signature stamps are unacceptable.
Date
Enter the date you signed the form.