DMV-98-TRB WEST VIRGINIA DMV

7/03 CHANGE OF ADDRESS FORM

Address Change in DMV System Only (Registration Cards, Driver’s License and Handicap Placards will be updated in the DMV System) No Fee Required

Please mail this form to the address below:

DMV

Building 3

Capitol Complex

Charleston WV 25317

Driver’s License Information

Drivers License Number Social Security Number Date Of Birth

Name (first, middle, last)

Mailing Address

City State Zip Code

Residential Address (if not same as above)

City State Zip Code

Vehicle/Boat Information

Title Number Plate Number /Boat Number Make Year

Title Number Plate Number / Boat Number Make Year

Title Number Plate Number / Boat Number Make Year

Handicap Placard Information

Handicap Placard Number Social Security Number

Handicap Placard Number Social Security Number

Signature of Applicant Date