VEHICLE TITLE OR REGISTRATION
DEPARTMENT OF TRANSPORTATION
DRIVER AND MOTOR VEHICLE SERVICES
1905 LANA AVE NE, SALEM OREGON 97314
I am requesting a refund of fees paid to Oregon DMV for a vehicle title or registration. I believe
that I am entitled to be refunded the amount of $ ________.
Reason(s) I am entitled to this refund:
Description of the vehicle:
Plate No. _____________ VIN _______________________________________
Year ________ Make __________________
I am returning all license plates, registration stickers and/or temporary registration permits that
have been issued to me. These items are new and have not been used on any vehicle. I
understand that I am not eligible for a refund if I do not return these items.
Printed Name: __________________________________________________________
Telephone Number: _____________________________________________________
*Please note: All requests for refund are subject to review. You will be notified in writing whether
you are eligible for a refund.
Refunds are NOT available for unused or partial registration periods.
Mail this completed request for vehicle refund, along with any license plates, registration stickers
and/or temporary registration permits to:
Oregon DMV Vehicle Refund Desk/VP4
1905 Lana Ave NE
Salem OR 97314