Form VR-102 "Address Certification - United States Government Employe" - Maryland

What Is Form VR-102?

This is a legal form that was released by the Maryland Department of Transportation - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 1, 2010;
  • The latest edition provided by the Maryland Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form VR-102 by clicking the link below or browse more documents and templates provided by the Maryland Department of Transportation.

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Download Form VR-102 "Address Certification - United States Government Employe" - Maryland

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VR-102 (10-10)
Motor Vehicle Administration
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
Address Certification - United States Government Employee
I certify that I am an employee of the United States Government and a resident of the State of Maryland. At present I am
officially assigned to duty at the following out-of-state location and do not have a current Maryland residence address. I further
certify that I will notify the Maryland Motor Vehicle Administration of my new Maryland residence address immediately upon my
return to this State.
Vehicle Description - Please use the reverse side for additional vehicles.
Year
Make
Vehicle Identification Number
Present Tag #
Present Sticker#
Maryland Title #
Name of Employee
Name of Registered Owner
Relationship to Employee
Mailing Address of Registered Owner
Name and Address of Out-of-State Location
Driver’s License or Soundex #
Signature of Employee
Printed/Typed Name of Employee
Date
I certify that the above named employee is assigned to official duty at the location named above.
Signature of Employer
Title
Date
For more information, please call: 1-800-950-1MVA (1682) (to speak with a customer service representative), From Out-of-State: 1-301-729-4550,
TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov
VR-102 (10-10)
Motor Vehicle Administration
6601 Ritchie Highway, N.E.
Glen Burnie, Maryland 21062
Address Certification - United States Government Employee
I certify that I am an employee of the United States Government and a resident of the State of Maryland. At present I am
officially assigned to duty at the following out-of-state location and do not have a current Maryland residence address. I further
certify that I will notify the Maryland Motor Vehicle Administration of my new Maryland residence address immediately upon my
return to this State.
Vehicle Description - Please use the reverse side for additional vehicles.
Year
Make
Vehicle Identification Number
Present Tag #
Present Sticker#
Maryland Title #
Name of Employee
Name of Registered Owner
Relationship to Employee
Mailing Address of Registered Owner
Name and Address of Out-of-State Location
Driver’s License or Soundex #
Signature of Employee
Printed/Typed Name of Employee
Date
I certify that the above named employee is assigned to official duty at the location named above.
Signature of Employer
Title
Date
For more information, please call: 1-800-950-1MVA (1682) (to speak with a customer service representative), From Out-of-State: 1-301-729-4550,
TTY for the hearing impaired: 1-800-492-4575. Visit our website at: www.MVA.Maryland.gov