Form DCDMV-ADD-BEN-001 "Beneficiary Designation to Certificate of Title Application" - Washington, D.C.

What Is Form DCDMV-ADD-BEN-001?

This is a legal form that was released by the Washington DC Department of Motor Vehicles - a government authority operating within Washington, D.C.. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 17, 2020;
  • The latest edition provided by the Washington DC Department of Motor Vehicles;
  • 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 fillable version of Form DCDMV-ADD-BEN-001 by clicking the link below or browse more documents and templates provided by the Washington Dc Department of Motor Vehicles.

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Download Form DCDMV-ADD-BEN-001 "Beneficiary Designation to Certificate of Title Application" - Washington, D.C.

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GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF MOTOR VEHICLES
PO BOX 90120, WASHINGTON DC 20090
BENEFICIARY DESIGNATION TO CERTIFICATE OF TITLE APPLICATION
Please COMPLETE this application and submit it with the REQUIRED PROOF OF IDENTITY documents listed below.
Vehicle Owner - valid Driver License or Identification Card
Vehicle Information - at least one of the following items: Registration Renewal Notice, Registration or Title
Beneficiary - copy of valid State Issued Driver License or ID Card and copy of birth certificate
TYPE OF SERVICE REQUESTED
❑ Add Beneficiary to Vehicle Title
❑ Remove Beneficiary from Vehicle Title
or
APPLICANT INFORMATION (Must be non-leased vehicle)
OWNER FULL NAME
(Last, First, Middle)
DATE OF BIRTH
STATE DRIVER LICENSE OR ID CARD #
CO-OWNER FULL NAME
(Last, First, Middle)
BENEFICIARY FULL NAME
DATE OF BIRTH
STATE DRIVER LICENSE OR ID CARD #
(Last, First, Middle)
BENEFICIARY ADDRESS
(Address must match Driver License or Identification Card)
ADDRESS
CITY
STATE
ZIP CODE
VEHICLE INFORMATION
YEAR
MAKE
MODEL
DC TITLE #
VEHICLE IDENTIFICATION NUMBER
I certify, under penalty of perjury, that the statements on this form are true and correct, and I will
defend, indemnify, and hold the District of Columbia Department of Motor Vehicles harmless against
any claim from anyone contesting the validity of the named beneficiary and issuance of the title to that
beneficiary.
Signature of Owner(s):
Date:
OFFICIAL DMV USE
Required Supporting Documents Provided (Yes) or (No)
Beneficiary Added (Yes) or (No)
Beneficiary Deleted (Yes) or (No)
Operator’s Number
TITLE #
DC DMV Examiner
Date
If you have questions, please visit our website at
www.dmv.dc.gov
or call 311 in DC or 202-737-4404 outside the 202 area code.
To report waste, fraud, or abuse by any DC Government Agency or official, call the DC Inspector General at 1-800-521-1639.
DCDMV-ADD-BEN-001 Rev. 9/17/2020
GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF MOTOR VEHICLES
PO BOX 90120, WASHINGTON DC 20090
BENEFICIARY DESIGNATION TO CERTIFICATE OF TITLE APPLICATION
Please COMPLETE this application and submit it with the REQUIRED PROOF OF IDENTITY documents listed below.
Vehicle Owner - valid Driver License or Identification Card
Vehicle Information - at least one of the following items: Registration Renewal Notice, Registration or Title
Beneficiary - copy of valid State Issued Driver License or ID Card and copy of birth certificate
TYPE OF SERVICE REQUESTED
❑ Add Beneficiary to Vehicle Title
❑ Remove Beneficiary from Vehicle Title
or
APPLICANT INFORMATION (Must be non-leased vehicle)
OWNER FULL NAME
(Last, First, Middle)
DATE OF BIRTH
STATE DRIVER LICENSE OR ID CARD #
CO-OWNER FULL NAME
(Last, First, Middle)
BENEFICIARY FULL NAME
DATE OF BIRTH
STATE DRIVER LICENSE OR ID CARD #
(Last, First, Middle)
BENEFICIARY ADDRESS
(Address must match Driver License or Identification Card)
ADDRESS
CITY
STATE
ZIP CODE
VEHICLE INFORMATION
YEAR
MAKE
MODEL
DC TITLE #
VEHICLE IDENTIFICATION NUMBER
I certify, under penalty of perjury, that the statements on this form are true and correct, and I will
defend, indemnify, and hold the District of Columbia Department of Motor Vehicles harmless against
any claim from anyone contesting the validity of the named beneficiary and issuance of the title to that
beneficiary.
Signature of Owner(s):
Date:
OFFICIAL DMV USE
Required Supporting Documents Provided (Yes) or (No)
Beneficiary Added (Yes) or (No)
Beneficiary Deleted (Yes) or (No)
Operator’s Number
TITLE #
DC DMV Examiner
Date
If you have questions, please visit our website at
www.dmv.dc.gov
or call 311 in DC or 202-737-4404 outside the 202 area code.
To report waste, fraud, or abuse by any DC Government Agency or official, call the DC Inspector General at 1-800-521-1639.
DCDMV-ADD-BEN-001 Rev. 9/17/2020