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Request for Repaired or Rebuilt Salvage Vehicle Examination - dmv virginia 2026

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The document IS 22A is a request form for the examination of repaired or rebuilt salvage vehicles in Virginia. It requires detailed information about the vehicle, including its make, model, year, and VIN, as well as a description of repairs made. The form must be completed by the rebuilder prior to examination and includes a certification statement affirming the accuracy of the provided information.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your company or individual name at the top of the form, followed by your rebuilders certificate number and address details.
Provide the contact name and telephone number, ensuring all fields are filled accurately for effective communication.
In the vehicle information section, input the make, year, color, model, VIN (Vehicle Identification Number), and Virginia salvage certificate number.
Describe the repairs made to the vehicle in detail. Use the provided sections to circle numbers indicating specific repair areas and check whether parts were replaced or repaired.
Finally, certify that all information is true by printing your name, signing, and dating the form before submission.

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2018	4.8 Satisfied (176 Votes)
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