USVI Public Records

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BMV FORM NO: (2019-04) – REV. Jun 10, 2026 LOST AFFIDAVIT – PAGE 1 NAME ADDRESS ISLAND NAME OF AUTHORIZED PERSON I, ________________________________________________________, who resides at __________________________________________, St. ________, U.S. Virgin Islands do hereby state that on or about the ____ day of ___________________, 20____, my _____________________________________ was Lost / Stolen / Destroyed. I hereby authorize __________________________________________ to act on my behalf in the process of replacing the above-listed document(s). REPLACEMENT INFORMATION (FOR DRIVER’S LICENSE / ID CARD / HANDICAP PLACARD REPLACEMENT) DATE OF BIRTH (MM/DD/YYYY) PLACE OF BIRTH (CITY, STATE, COUNTRY) EYE COLOR HAIR COLOR HEIGHT WEIGHT DATE OF ISSUE (IF KNOWN) DATE OF EXPIRATION (IF KNOWN) SOCIAL SECURITY NUMBER VEHICLE INFORMATION (FOR REGISTRATION / CERTIFICATE OF TITLE / VEHICLE STICKER REPLACEMENT) MAKE MODEL YEAR COLOR BODY STYLE VEHICLE IDENTIFICATION NUMBER (VIN) LICENSE PLATE NUMBER Sworn and subscribed to before me as true and correct, this _______ day of _____________________________, 20_____. _________________________________________ ________________________________________ OWNER’S SIGNATURE NOTARY PUBLIC FOR AUTHORIZED INSPECTOR USE ONLY VERIFIED LOST ITEM: VERIFIED BY INSPECTOR: DATE FOR AUTHORIZED USE ONLY VERIFIED BY DATE PROCESSED BY DATE REPLACED / ISSUED ITEM/S DRIVER’S LICENSE HANDICAP PLACARD LICENSE PLATE CERT. OF TITLE IDENTIFICATION CARD LEARNER’S PERMIT REGISTRATION VEHICLE STICKER TYPE OF LOST ITEM/S ______ LEARNER’S PERMIT ______ DL/ID/PLACARD ______ **LICENSE PLATE/S ______ REGISTRATION ______CERTIFICATE OF TITLE ______***VEHICLE STICKER GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES AFFIDAVIT FOR LOST, STOLEN, OR DESTROYED PLEASE READ THE INFORMATION ON THE BACK OF THIS SIGN BMV FORM NO: (2019-04) – REV. Jun 10, 2026 LOST AFFIDAVIT – PAGE 2 REPLACEMENT REQUIREMENTS: • The owner may be required to obtain a moving permit to bring the vehicle to the inspection station when the vehicle cannot otherwise be legally operated. • ** The vehicle must be brought to a BMV Inspector for verification that the plate(s) are not on the vehicle before a replacement plate may be issued. o If one (1) license plate is missing, the remaining plate must be surrendered after inspection and verification. o If two (2) license plates are lost, stolen, or missing, a Virgin Islands Police Department police report must accompany this affidavit. • *** For replacement of a vehicle sticker, the completed affidavit and vehicle must first be presented to a BMV Inspector for verification that the original sticker is not affixed to the vehicle. The Inspector must document the verification on the affidavit before the replacement transaction can be processed. • This document must be notarized in order to obtain a replacement for any of the items listed on page 1. • The owner’s unexpired valid ID must accompany this document to complete the transaction. • Anyone acting on behalf of the owner of the document must also show unexpired valid ID. IMPORTANT NOTE: Please ensure that all sections are completed accurately. Any incomplete or incorrect information may delay the replacement process and could result in additional fees for processing errors. Please double-check all details before submission to avoid further delays or charges. WE DO NOT ACCEPT FOOD HANDLERS CARDS OR VOTERS REGISTRATION CARDS FOR IDENTIFICATION