MARYLAND DEPARTMENT OF NATURAL RESOURCES
LICENSING AND REGISTRATION SERVICE
APPLICATION FOR REPLACEMENT OR CORRECTED CERTIFICATE OF TITLE,
REGISTRATION REPRINT AND/OR REPLACEMENT DECALS
Vessel Registration Number
Manufacturer
Length
Year
Ex: MD 1234 AB or USCG #123456
ft
in
PLEASE PRINT
OWNER # 1
OWNER # 2
DNRid# _____________________________________
__________________________________________
Full Name _____________________________________
__________________________________________
Mailing Address _____________________________________
__________________________________________
City, State, Zip _____________________________________
__________________________________________
County _____________________________________
__________________________________________
Daytime Telephone _____________________________________
__________________________________________
If you need to create a DNRid#, complete ALL information below
Date of Birth _____________________________________
__________________________________________
Last 4-digits of SSN/FEIN _____________________________________
__________________________________________
Driver’s License # _____________________________________
__________________________________________
__________________________________
__________________________________________
Email Address
ITEM REQUESTED
Fee
Amount
Replacement
Corrected
MAKE CHECK
Certificate of Title
$2.00
$ _________
Reprint
PAYABLE TO DNR
Registration Card
No Fee
$ __ __0.00_
Replacement Decals
$1.00
$ _________
State the reason for this application:
______
____
If applying for corrected title or registration, note corrections below (incorrect title must be returned with this application):
__________________________________________
Check if original title was lost.
If the vessel is jointly owned, this application must be signed by each party. If the applicant is a partnership or corporation, this
form must be signed by an officer and the signature must include his/her official capacity.
As owner of the vessel described above, I certify under penalty of perjury that the information
given is true and correct to the best of my knowledge, information and belief.
_
_
_______
__________
__
Date
Signature -- Owner #1
Signature -- Owner #2
YOUR APPLICATION CAN BE PROCESSED AT ANY OF THE FOLLOWING DNR SERVICE CENTERS
8:30 am to 4:30 pm Monday through Friday (except State holidays)
(410) 260-3220 Annapolis Service Center: 1804 West St #300, PO Box 1869, Annapolis, MD 21404
(410) 284-1654 Dundalk Service Center: 7701 Wise Ave, Baltimore, MD 21222 (Walk-In only: M/W/F)
(410) 819-4100 East Central Service Center: 120 Broadway Ave # 5, Centreville, MD 21617
(301) 777-2134 Western Service Center: 12500 Pleasant Valley Rd, Flintstone, MD 21530
(410) 535-3382 Southern Service Center: 6904 Hallowing Ln, Prince Frederick, MD 20678
(410) 836-4550 Central Service Center: 2 S Bond St, Suite 101, Bel Air, MD 21014
(410) 713-3840 Eastern Service Center: 201 Baptist St #22, Salisbury, MD 21801
DNR B-108 (Rev 4/16)