DT1435 Request for Forms



|REQUEST FOR FORMS |(Area Code) Telephone Number |

|Wisconsin Department of Transportation |      |

|DT1435 10/2013 |(Area Code) FAX Number |

| |      |

|Send Your Order To: | |

|Fax: (608) 246-5632 |Contact Name, Company / Organization, Street Address, City, State, ZIP Code |

| | |

|Mail: Maps and Publications Sales |      |

|Wisconsin Department of Transportation |      |

|PO Box 7713 |      |

|Madison, WI 53707-7713 |      |

| |      |

|Email: materials-mgt.dbm@dot. | |

| |Check if this is a residential address. |

|All forms listed are available for free distribution. | |

|For a complete list of forms go to: |Questions about completing a form, or its content, contact: |

| |(608) 266-1466 about Vehicle Information Forms |

| |(608) 266-2353 about Driver Information Forms |

| |(608) 267-9760 about SP Forms = Law Enforcement |

| |(608) 246-3265 about Your Order |

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QUAN. FORM # TITLE

     MV1 Wisconsin Title and License Plate Application

     MV1252 Division of Motor Vehicle Return Envelope – #10

     MV2119 Replacement Title Application

     MV2184 Salesperson/Representative License Application

     MV2488 Vehicle Transfer and Odometer Mileage Statement

     MV2502 Notice of Unpaid Citation, continuous,

3-ply (police only)

     MV2505 Temporary License Plate Application

     MV2652 Civilian License Plate Application

     MV2673 Major Parts Statement, Repaired Salvage

Vehicle or Homemade

     MV2679 Notice of Unpaid Citation, continuous,

1-part (police only)

     MV2833 Vehicle Action Notice (police only)

     MV2858 Endangered Resources License Plate Application

     MV2859 Salvage Vehicle Pictures Statement (police only)

     MV2916 Ducks Unlimited License Plate Application

     MV2917 Green Bay Packers License Plate Application

     MV2929 WI National Guard License Plate Application

     MV2930 U.S. Veteran Motorcycle License Plate Application

     MV2948 Title Mailing Label (Limit 200 labels)

(Authorized Agent)

     MV2951 Gold Star License Plate Application

     MV2954 Wisconsin Salutes Veterans License

Plate Application

     MV2957 Wisconsin Women’s Health Foundation License

Plate Application

     MV2960 Golf Wisconsin License Plate Application

     MV2961 Civil Air Patrol License Plate Application

     MV3001 Wisconsin Driver License (DL) Application

     MV3004 Wisconsin Identification Card (ID) Application

     MV3027 Occupational Operator License Application

     MV3030B Physical Examination Report for S or P Endorsement

     MV3030V Certificate of Vision Examination by

Competent Authority

     MV3058 Address Change Notice

     MV3118 Sponsorship Withdrawal

QUAN. FORM # TITLE

     MV3141 Driver Condition or Behavior Report

     MV3230 Commercial Driver Certification Tier of Operations

     MV3396 Notice of Intent to Revoke (police only)

     MV3505 Occupational License Information

     MV3530 Administrative Review Request

(Includes MV3519) (police only)

     MV3581 Voluntary Temporary Surrender of License

     MV3592 Request to Withhold Name and Address

     MV3598 Ignition Interlock Device Installation/Removal Record

     MV3631 Driver Safety Plan Report (assessment agencies)

     MV3632 Court Order for Intoxicated Driver Assessment and Driver Safety Plan (courts or assessment agencies)

     MV3633 Driver Safety Plan Order (assessment agencies)

(also in Spanish)

     MV3634 Order for Assessment and Driver Safety Plan Report (assessment agencies) (also in Spanish)

     MV3644 Medical Examination Report

     MV3649 WI Assessment of the Impaired Driver

(assessment agencies)

     MV3735 Hazardous Material Endorsement Application

     MV3740 Wisconsin School Bus Disqualifications

     MV4000 Numbered - Police Report of Motor Vehicle Traffic Accident (pads of 25) (police only)

     MV4002 Driver’s Report of Accident (police only)

     MV4004 WI Motor Vehicle Accident Report Supplement

(police only)

     MV4061 Motorcycle Inspection Certification

(privately owned only)

     SP4005 Alcohol/Drug Influence Report (police only)

     SP4127 Bail Bond Envelope (police only)

     SP4162 Motor Bus / Human Service Vehicle Inspection

(police only)

     SP4197 Informing the Accused (police only)

     SP4337 Agreement to Undertake Responsibility (police only)

     SP4356 Field Sobriety Test Record Notebook

(police only)

     DT1435 Request for Forms

     DT1692 State Highway Property Damage Tag (police only)

REQUEST FOR FORMS (continued)

Wisconsin Department of Transportation DT1435

OTHER PUBLICATIONS

QUAN. FORM # TITLE

     8340-C130 Manual for Motor Vehicle Salesperson

     BDS126 Wisconsin Motorist Handbook

(available only on line and at DMV service centers)

     BDS316 Acceptable Documents for Driver License / ID card

     BDS347 Be A Rebel, Wear Your Seatbelt

QUAN. FORM # TITLE

     BDS348 Be A Rebel, Drive Safely

     BDS349 Be A Rebel, Drive Sober

     BDS352 Motor Vehicle Insurance Requirements

     OPA0311 Flashing Yellow Arrow Info at a glance

     OPA0511 511 Traveler Info at Your Fingertips

FORMS NO LONGER PRINTED

The following forms are no longer printed. They are available only online at:

MV2016 Substitute Renewal Notice/Non-Operation Statement

MV2026 Duplication Certificate of Registration Application

MV2118 Replacement License Plate Information and Application

MV2172 U.S. Disabled Veteran Parking License Plate

Information and Application

MV2300 Statement of Transfer of Vehicles to a Surviving Spouse, Domestic Partner or Heir

MV2323 Collector License Plate Information and Application

MV2388 Hobbyist License Plate Information and Application

MV2419 Abandoned/Unregistered Vehicle Transfer Certificate (available on WILENET)

MV2428 Personalized License Plate Information and Application

MV2459 Junked Vehicle Bill of Sale

MV2489 Statement of Intent

MV2505 Temporary License Plate Application

MV2514 License Plate Cancellation Application

MV2548 Permanent Disability Parking ID Application

MV2653 Military License Plate Information and Application

MV2724 University License Plate Application

MV2752 Information on Parking Privileges for Persons

with Physical Disabilities

MV2849 Title Application/Notice (Insurance companies only)

MV2881 Involuntary Lien Transfers and Abandonment of

Property to a Landlord (Combines MV2878, MV2879, MV2880 and MV2887)

MV2899 Celebrate Children License Plate Application

MV2933 Temporary Disability Parking ID Application

MV3480 Wisconsin Motor Vehicle Fatal Supplement Report

MV3617 Order for Ignition Interlock Exemptions and Removing

Title Transfer Stops (police/courts only)

MV4062 Milwaukee Brewers License Plate Application

BDS122 Instructions for completing a traffic accident report

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Obtain Traffic Citation Books (MV4016) or order

24 Hour Out-of-Service Motor Vehicle (MV3546) from Traffic Citation Unit: (608) 266-8793.

Dealers obtain License Plates and Date/Month stickers from Plate Issue Unit: (608) 266-1471.

Comments or write in documents not listed above:

     

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