The Alaska 812 form is a vital document used for various vehicle transactions within the state, including title changes, registrations, and replacements. This form ensures that all necessary information regarding vehicle ownership and specifications is accurately captured, facilitating a smooth process for both the owner and the Division of Motor Vehicles. To begin your vehicle transaction, fill out the Alaska 812 form by clicking the button below.
The Alaska 812 form is a crucial document for vehicle owners in the state, facilitating various vehicle transactions such as title changes, registrations, and replacements for lost items like plates or tabs. This form serves multiple purposes, allowing individuals to apply for exemptions based on specific criteria, including senior status, military service, or disability. The form captures essential vehicle information, including the vehicle identification number (VIN), make, model, and weight, ensuring that all necessary details are documented. It also requires personal information from the owner, such as their full name, driver's license number, and contact details, to establish ownership and facilitate communication with the Division of Motor Vehicles. Additionally, the form addresses co-ownership situations, specifying whether signatures from all owners or just one are needed for transactions. For commercial vehicles, there are additional requirements, including declarations related to the Heavy Vehicle Use Tax and compliance with federal safety regulations. By providing a comprehensive structure for these transactions, the Alaska 812 form aims to streamline the process while ensuring that all legal and regulatory standards are met.
812
STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
VEHICLE TRANSACTION APPLICATION
APPLICATION
TYPE
VEHICLE
INFORMATION
OWNER
TITLE
REGISTRATION
CHANGE OF OWNERSHIP
REGISTRATION LOST TAB
LOST PLATE
OTHER _______________
REPLACEMENT TITLE
I AM ALSO APPLYING FOR AN EXEMPTION:
CORRECTION / ADD OR REMOVE LIENHOLDER
SENIOR (65+)
MILITARY GUARD
DISABILITY
CHARITABLE/GOVERNMENT
PERMANENT REGISTRATION (I LIVE IN AN ELIGIBLE AREA) OTHER ________________
SERIAL NUMBER (VIN)
SECONDARY SERIAL NUMBER (VIN)
YEAR
MAKE
MODEL
BODY STYLE
COLOR
ODOMETER (MILES)
WEIGHT
ACTUAL
IS VEHICLE USED
YES
AK LICENSE PLATE #
NEW PLATES
ESTIMATED
COMMERCIALLY
NO
REQUESTED
FULL FIRST NAME
FULL MIDDLE NAME
FULL LAST NAME
SUFFIX
DRIVER LICENSE #
STATE
DATE OF BIRTH
ORGAN DONOR
SOCIAL SECURITY NO.
YES NO
YES
COMPANY OR TRUST NAME (If applicable)
TAXPAYER ID NO.
Are you an Alaska
Resident?
NO
CONJUNCTION TYPE
“AND”
requires the signatures of ALL owners to sell / transfer
“OR”
requires the signature of a single owner to sell / transfer
CO-OWNER INFORMATION
LEASING COMPANY, COMPANY, OR TRUST (If applicable)
TAXPAYER ID NUMBER
CONTACT
OWNER MAILING ADDRESS
CITY
ZIP
OWNER RESIDENCE ADDRESS
EMAIL ADDRESS
PHONE #
I WANT TO RECEIVE NOTIFICATIONS BY:
REGULAR MAIL E-MAIL
LEASING COMPANY MAILING ADDRESS
COMMERCIAL VEHICLES, LEASED VEHICLES, VEHICLES OWNED BY A COMPANY, OR VEHICLES WEIGHING MORE THAN 10,000 POUNDS
DURATION OF REGISTRATION
Heavy Vehicle Use Tax Declaration
DOT NO.
NO. OF AXLES
COMMERCIAL
ANNUAL BIENNIAL
IRS 2290 ATTACHED EXEMPT
IS THE CARRIER RESPONSIBLE FOR SAFE OPERATION
TAX ID ASSOC. WITH DOT NO.
DUAL REGIST. REQUESTED
EXPECTED TO CHANGE DURING THE REGISTRATION PERIOD?
CURR REG. IN ______________
PRISM SUBJECT TO
EXEMPT Must Certify below*
* I certify under penalty of perjury that I am the owner of the vehicle listed above; AND the vehicle does not require a USDOT number.
Owner’s/Agent’s Printed Name
Owner’s/Agent’s Signature
Date
OTHER INFORMATION
LIENHOLDER NAME (If vehicle is paid in full – write “NONE”)
LIENHOLDER ADDRESS: (PO Box or Street Address)
CITY / STATE / ZIP CODE
DO YOU WISH TO DONATE $1 OR MORE TO SUPPORT THE
Personalized Plate Transfer
I would like to transfer my personalized plate to this vehicle
ORGAN AND TISSUE DONATION PROGRAM?
Plate #:
AMOUNT $ ____________
AFFIDAVIT
I certify under penalty of law there is a liability insurance policy for this vehicle if required by AS 28.22.011 and this policy will be
DMV USE ONLY
DOCUMENTS ACCEPTED
maintained during the entire registration period. The address shown is my true legal address and the vehicle will be operated on
Alaska roadways. If this is a commercial vehicle, I am familiar with and have knowledge of the Federal Motor Carrier Safety
Regulations 49 CFR, Hazardous Materials Regulations and applicable Federal/state CMV safety laws and regulations. I certify
CLASS CODE: _________________
under penalty of perjury that all information is true and correct. False statements are punishable under AS 11.56.210.
X
/
BATCH NO: ___________________
SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)
DATE
DATE: _______________________
LOGIN ID: _______________________
FORM 812 (REV. 01/2018)
www.alaska.gov/dmv
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