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Application for Disabled Veteran Qualification

  1. The State Code of Virginia and ordinance of the City of Newport News provide that veterans who have been rated by the United States Department of Veteran affairs, or its successor agency, pursuant to federal law, to have a one hundred (100) percent service-connected total and permanent disability for exemption of one motor vehicle owned and used personally by the veteran as provided by Section 40-7.06 of the City Code.

  2. Veteran Information

  3. Vehicle Information - Vehicle Primarily Used by or for the Veteran

  4. Benefits Summary Letter Required

  5. Spouse (Military Dependent) ID Required (If Married)

  6. Subject to the penalty prescribed by Virginia Code §58.1-11, I certify that the information contained on this form is complete and accurate. By typing my name below I certify that the information provided is accurate to the best of my knowledge and is in regards to the vehicle listed above that I own.

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  8. This field is not part of the form submission.