Spouse Declaration and/or Plate Transfer Declaration

This form is a dual purpose form used to declare that a vehicle is being transferred to an eligible spouse in order to exempt them from the Safety Standards Certificate and the Drive Clean emissions test requirements. This form is also used to declare that a plate is being transferred to an eligible family member.

Need help downloading or filling forms?

Please check our Help page for solutions to common issues.

Alert!

PDF Forms will no longer work with older versions of Adobe Reader including Adobe Reader XI. Please update your free Adobe Reader to the latest version from the Acrobat Reader download page so that you can continue to access these forms.


Download Adobe Reader Free Version

Make the most of your experience with accessing, downloading, and filling forms acquired from the Central Forms Repository by watching this brief video overview.

single frame of the linked video. Click to begin playback in a new browser window
Download English Transcript

 

Central Forms Repository (CFR) Notice of Upcoming Maintenance

The system will be temporarily down for maintenance during the following period:

2025-04-07 17:00 - 19:00 EDT

During this time, the system will be unavailable until maintenance is complete. Please ensure you have completed your work prior to that time.

The maintenance is complete if this message is no longer displayed.

Forms, Links, and Information

Additional Information

Form Number 023-sr-lv-139
Title Spouse Declaration and/or Plate Transfer Declaration
Description This form is a dual purpose form used to declare that a vehicle is being transferred to an eligible spouse in order to exempt them from the Safety Standards Certificate and the Drive Clean emissions test requirements. This form is also used to declare that a plate is being transferred to an eligible family member.