Nevada Department of Motor Vehicles · Nevada state form
NVL-019 Declaration of Responsibility
NVL-019 is a declaration for a registered vehicle owner accepting responsibility for maintaining required motor vehicle liability insurance or qualifying as a self-insurer.
- What this form is
- Use NVL-019 to declare responsibility for keeping required security in the registered owner's name while a vehicle is registered. The form asks for vehicle and owner details, insurance responsibility terms, and the owner's signature. It describes consequences for insurance lapses, including fees, fines, possible license suspension, and SR-22 requirements. A notary public or authorized DMV representative completes the sworn statement section.
- Who needs it
- A registered vehicle owner, or an authorized person with power of attorney, who must declare responsibility for the vehicle's required insurance.
- Why it needs a notary
- The signature must be notarized; this can be done online with a commissioned online notary. The form also provides for an authorized DMV representative.
- How to submit it
- Submit it to the Nevada agency named on the form.
Questions
Does NVL-019 need to be notarized?
Yes. The form includes a section stating that the declaration was signed and sworn to before a notary public or authorized DMV representative. Online notarization is available with a commissioned online notary.
What does the vehicle owner declare on NVL-019?
The registered owner declares that they will continuously provide required security in their name while the vehicle is registered, through an insurance policy or by qualifying as a self-insurer.
What information does NVL-019 request?
The form requests the vehicle identification number, year, make, model, owner's legal name, Nevada license or identification number or date of birth, addresses, telephone number, email, signature, and date.