Vehicle Registration Authorization - Alberta

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Vehicle Registration
Affix Document Label Here
Authorization
A Vehicle Registration Authorization form is used when the owner(s) of the
vehicle is/are unable to apply in person for vehicle registration services.
PART 1
/
I/We,
Name of Owner/Lessee
Name of Joint Owner/Lessee
of
,
Address (include postal code)
give consent to
,
Name of Authorized Representative
with a driver's licence or MVID number of
, to act on my/our behalf to process the following
transaction for the vehicle specified in Part 2:
Register in the name of the owner(s)/lessee(s) as shown above.
New Vehicle - The following documents must be provided:
1) Proof of Insurance ; 2) NVIS; and
3) either a Bill of Sale or Lease Agreement or Confirmation of Lease Agreement
Used Vehicle - The following documents must be provided:
1) Proof of Insurance ; and 2) Bill of Sale or Lease Agreement; or
3) Other ownership document (probated will, letter from lawyer).
Transfer the licence plate(s).
Issue new licence plate(s).
Renew registration(s).
Cancel/Modify Registration.
PART 2
Licence Plate Number
Make
Model
Year
Vehicle Identification Number (VIN)
Driver's Licence or MVID Number of Owner/Lessee
Driver's Licence or MVID Number of Joint Owner/Lessee
/
Signature of Owner/Lessee
Signature of Joint Owner/Lessee
Date
If joint ownership, the signatures of Owner and all Joint Owners are required. New or used
vehicles coming from another province or from another country may require further
documentation and/or inspections. Consult with any Alberta registry agent for more details.
This information is being collected for the purposes of motor vehicle records in accordance with the Traffic Safety Act.
Questions about the collection of this information can be directed to the Freedom of Information and Protection of Privacy
Coordinator for the Alberta Government, Box 3140, Edmonton, Alberta T5J 2G7 780-427-7013.
REG0169 (2009/05)
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