Forms Library (TC 96)

 Motor Vehicle Licensing

​Welcome to the forms resource page for the Division of Motor Vehicle Licensing.  The links below provide access to both electronic and print-only versions of the forms.​  Adobe Reader is required for all PDF files and Microsoft Excel and Word or Open Office for all Excel and Word documents.

Assistance

If you need assistance with completing any of the forms below, visit the Division of Motor Vehicle Licensing homepage for contact information.

Technical support contact information and answers to common technical questions are available here.

Form Number
Title
Electronic
Print
Instructions

TC 96-3​

Affidavit of Incomplete Transfer​

Word

PDF

TC 96-4​

Odometer Disclosure Statement - Leased Vehicle​

Word

PDF

TC 96-5​

Odometer Disclosure Statement​

Word

PDF

TC 96-10A​

KY Motor Vehicle Dealer or Manufacturer Temporary Employee Transportation Permit for Dealer Plate Usage

Word

PDF

TC 96-10B

Motor Vehicle Dealer or Manufacturer's Dealer Plate
Usage Authorization Register

Word

PDF

TC 96-16A​

Request for Motor Vehicle or Boat Record that Includes Personal Information

Word

PDF

TC 96-16B​

Request for Personal Information Pursuant to
KRS 411.402 & 411.406 Theft of Motor Fuel

Word

PDF

TC 96-16G​

Request for Motor Vehicle or Boat Record that Includes
Personal Information - Government Agency Use Only

Word

PDF

TC 96-16T​

Request by Towing & Storage Companies & Lien Holders for Motor Vehicle or Boat Records that Include Personal Information​

Word

PDF

TC 96-150TF​

Transit Tag Application​

Word

TC 96-153​

Affidavit Supporting Application for License Plates for
Manufacturers & Dealers

Word

PDF

TC 96-155F​

Application for Commercial Temporary Trailer or Motor Vehicle Registration

TC 96-159​

Affidavit of Motor Vehicle Sale​

Word

PDF

TC 96-159M​

Mechanic's Lien​

PDF

​​​TC 96-159S

​Affidavit Supporting Title Application by an Insurance Company

Word

PDF

TC 96-159T​

Towing and Storage Lien​

​TC 96-159VT

​Voluntary Towing & Storage Lien

TC 96-167​

Affidavit for Replacement or Non-Exchange​

Word

PDF

TC 96-169​

Application for Vehicle or Hull Identification Number​

Word

PDF

​TC 96-169 Spanish

​Application for Vehicle or Hull Identification Number

TC 96-170​

Claim for Refund of Truck License Fee​

Word

PDF

TC 96-171​

Claim for Refund of Motor Vehicle License Fee​

Word

PDF

TC 96-179​

Kentucky Self-Service Storage Act​

Word

PDF

TC 96-182​

Application for Kentucky Certificate of Title or Registration​ (For KY POA, use TC 96-336.)

Word

PDF

TC 96-183​

Notice to County Clerk of Vehicle Acquisition​

Word

PDF

TC 96-184​

Motor Boat Transaction Record / Application for Title and/or Registration​

PDF

​TC 96-187

​Title Lien Statement

TC 96-191​

Affidavit Supporting Vehicle License Application​

Word

PDF

TC 96-192​

Affidavit Supporting Repossession and Disposition of a Vehicle​

Word

PDF

TC 96-209​

Temporary Tag Application​

Word

PDF

TC 96-210​

Temporary Tag Log​

Word

PDF

TC 96-215​

Affidavit of Motor Vehicle Assembled from Wrecked or Salvaged Motor Vehicles​

Word

PDF

​TC 96-215 Spanish

​Affidavit of Motor Vehicle Assembled from Wrecked or Salvaged Motor Vehicles

TC 96-217​

Application for Disabled Veterans Free Certificate of Registration and License Plates​

PDF

TC 96-222​

Application for Dealer Demonstrator License Plates​

Word

PDF

TC 96-228​

Application for Disaster and Emergency Services Plate​

PDF

TC 96-229​

Kentucky Motor Vehicle Inspection Performed in Another State​

PDF

TC 96-322​

Affidavit of Mileage Correction​

Word

PDF

TC 96-323​

Kentucky Mandatory Insurance Reporting Enrollment​

PDF

TC 96-324​

Attestation​

PDF

TC 96-328​

Special Event License Plate​

Word

PDF

TC 96-330​

Affidavit to Grant/Revoke Permission for a Person to Pick Up Certificates of Title​

Word

PDF

​TC 96-331

​Police Impounded Vehicle

TC 96-333​

Organization Application for Special License Plate​

TC 96-336​

Limited Power of Attorney to Transfer Ownership & Disclose Mileage​

​TC 96-338

​Affidavit to Remove Title from Archive

​TC 96-339

​Application for Vehicle Identification Number (VIN) Removal

Word

PDF

​TC 96-339 Spanish

​Application for Vehicle Identification Number (VIN) Removal

TC 96-340​

Commercial Trailer Temporary Tag Log​

TC 96-341​

Affidavit for Motor Vehicle Usage​

Word

PDF

​TC 96-343

​Affidavit for Boat Hull Identification Number

Word

​TC 96-344

​Military Surplus Vehicle Inspection

​TC 96-345

​Application for National Guard Plate

Word

PDF

​TC 96-346

​Rebuilt Application Drop-Off Packet Log

Word

​TC 96-346 Spanish

​Rebuilt Application Drop-Off Packet Log

Word

​TC 96-347

​Application for Disabled License Plate or Parking Placard

​TC 96-349

​Fraud Complaint

Word

​TC 96-350

​Affidavit to Grant or Revoke Permission to Process a Rebuilt Application

Word

​TC 96-351

​Application to Junk a Vehicle Title

PDF

​TC 96-352

​Affidavit to Reactivate a Junked Vehicle Title

TC 96-353​

​Labor Statement for Rebuilt or Total-Loss Vehicle

​TC 96-355

​Affidavit Attesting to Military License Plate Eligibility

​TC 96-358

​Applicant Communication Request 

Word

PDF

​TC 96-359

​National Motor Vehicle Title Information Systems (NMVTIS) Change Request

​TC 96-361

​Application to Become a KYElt Approved Entity

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