DMV-98-TRB 9/98

West Virginia Division of Motor Vehicles CHANGE OF ADDRESS FORM

PLEASE CHECK THE TYPE OF CHANGE REQUESTED
	Address Change In DMV System Only (Registration Cards, Driver's Licenses and Handicap Placards Will be Updated in the System) - No Fee
	New Registration Card - $5.00 for Each Card Requested
	New Handicap Card - $5.00 for Each Card Requested To Change Your Address In the System or to Receive a New Registration or Handicap Card, Mail This Form to:  Division of Motor Vehicles, Building 3, Capitol Complex, Charleston, WV  25317
	New Driver's License - $5.00 for Each Card Requested To Obtain a new Driver's License you must submit this form in person to any DMV office.

Name (First, Middle, Last)
NEW Mailing Address
City	State	Zip

Driver's License Information

Driver's License Number

Social Security Number

Date of Birth

 Vehicle/Boat Information

Title Number	Vehicle Identification Number (VIN)/Hull Identification Number(HIN)	Make	Year
Plate Number
Title Number	Vehicle Identification Number (VIN)/Hull Identification Number(HIN)	Make	Year
Plate Number
Title Number	Vehicle Identification Number (VIN)/Hull Identification Number(HIN)	Make	Year
Plate Number

 Handicap Placard Information

Handicap Placard Number	Social Security Number
Handicap Placard Number	Social Security Number

Signature of Applicant

Date