Fill Out Your Alaska 812 Form Customize Alaska 812

Fill Out Your Alaska 812 Form

The Alaska 812 form is a vehicle transaction application used by residents to manage various vehicle-related requests, including title changes, registration, and exemptions. This form captures essential information about the vehicle and its owner, ensuring compliance with state regulations. For assistance in completing the form, please click the button below.

Alaska 812 Sample

812

STATE OF ALASKA

 

 

DIVISION OF MOTOR VEHICLES

 

VEHICLE TRANSACTION APPLICATION

APPLICATION

TYPE

 

 

 

 

VEHICLE

INFORMATION

 

 

 

 

OWNER

INFORMATION

 

 

 

 

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

FULL FIRST NAME

FULL MIDDLE NAME

 

FULL LAST NAME

 

SUFFIX

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER LICENSE #

 

STATE

 

DATE OF BIRTH

 

ORGAN DONOR

SOCIAL SECURITY NO.

 

 

 

 

 

 

 

YES NO

 

 

 

 

 

 

 

 

 

 

 

 

 

LEASING COMPANY, COMPANY, OR TRUST (If applicable)

 

 

TAXPAYER ID NUMBER

Are you an Alaska

฀YES

 

 

 

 

 

 

 

 

Resident?

฀NO

 

 

 

 

 

 

 

 

 

 

 

CONTACT

INFORMATION

OWNER MAILING ADDRESS

CITY

STATE

ZIP

 

 

 

 

OWNER RESIDENCE ADDRESS

CITY

STATE

ZIP

 

 

 

 

EMAIL ADDRESS

PHONE #

I WANT TO RECEIVE NOTIFICATIONS BY:

 

 

฀ REGULAR MAIL ฀ E-MAIL

 

 

 

 

LEASING COMPANY MAILING ADDRESS

CITY

STATE

ZIP

 

 

 

 

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

YES

TAX ID ASSOC. WITH DOT NO.

DUAL REGIST. REQUESTED

 

 

 

 

EXPECTED TO CHANGE DURING THE REGISTRATION PERIOD?

NO

 

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

YES NO

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: _______________________

 

 

 

 

 

 

 

X

/

/

 

LOGIN ID: _______________________

 

SIGNATURE OF OWNER / AGENT (INCLUDE TITLE)

 

DATE

 

 

 

 

 

 

 

FORM 812 (REV. 01/2018)

www.alaska.gov/dmv

Common mistakes

When filling out the Alaska 812 form, individuals may encounter several common mistakes. These errors can lead to delays or complications in processing their applications. Below is a list of six frequent mistakes made during this process:

  1. Incomplete Information:

    Many applicants forget to fill in all required fields. Missing details, such as the full name or vehicle identification number (VIN), can result in processing delays.

  2. Incorrect Vehicle Information:

    Errors in vehicle details, such as the year, make, or model, can lead to issues with registration. Double-checking this information is essential.

  3. Failure to Indicate Exemptions:

    Some applicants neglect to check the appropriate boxes for exemptions, like military or senior status. This oversight may affect eligibility for certain benefits.

  4. Signature Issues:

    Missing signatures or incorrect titles can cause significant delays. Ensure that all required parties sign the application as needed.

  5. Incorrect Contact Information:

    Providing an incorrect mailing address or phone number can hinder communication from the DMV. Always verify that this information is accurate.

  6. Not Certifying the Application:

    Applicants often forget to certify their application by signing and dating it. This step is crucial to validate the information provided.

Being aware of these common mistakes can help ensure a smoother application process for the Alaska 812 form. Taking the time to carefully review each section before submission can prevent unnecessary delays and complications.

Detailed Steps for Filling Out Alaska 812

Completing the Alaska 812 form is essential for various vehicle transactions. Follow these steps carefully to ensure all necessary information is provided accurately.

  1. Begin by selecting the application type at the top of the form. Check the appropriate box for your request: Change of Ownership, Registration, Lost Tab, Lost Plate, Replacement Title, or Other.
  2. If applicable, indicate if you are applying for an exemption. Check any relevant boxes, such as Senior, Military, or Disability.
  3. Enter the vehicle information, including the Serial Number (VIN), Year, Make, Model, Body Style, Color, Odometer reading, and Weight.
  4. Specify if the vehicle is used for commercial purposes by checking yes or no.
  5. Provide the owner information. Fill in your full name, driver’s license number, date of birth, and social security number. Indicate if you are an Alaska resident.
  6. If there is a co-owner, fill out their information in the co-owner section similarly.
  7. Complete the contact information section, including mailing address, email address, and phone number. Choose how you want to receive notifications.
  8. If applicable, fill out the section for commercial vehicles, including details about the Heavy Vehicle Use Tax and DOT number.
  9. Certify the information by signing and dating the form at the bottom.
  10. If there is a lienholder, provide their name and address in the lienholder section.
  11. Decide if you wish to donate to the Organ and Tissue Donation Program and fill in the amount if applicable.

After completing the form, review all entries for accuracy. Make sure to sign where required before submitting it to the appropriate DMV office. Keeping a copy for your records is also advisable.

Dos and Don'ts

When filling out the Alaska 812 form, it’s important to ensure accuracy and completeness. Here are some essential dos and don’ts to keep in mind:

  • Do read the instructions carefully before starting.
  • Do provide your full legal name as it appears on your identification.
  • Do double-check the Vehicle Identification Number (VIN) for accuracy.
  • Do include all required signatures, especially if the ownership type is “AND.”
  • Don’t leave any sections blank; fill out all applicable fields.
  • Don’t forget to provide your contact information for notifications.
  • Don’t submit the form without reviewing it for any errors or omissions.

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