West Virginia Division of Motor Vehicles · West Virginia state form

DMV-126-I-DS Application for License Service License Certificate

Apply for a license service license certificate by providing business, location, ownership, employee, operating-hours, and bond-agent information.

What this form is
The DMV-126-I-DS application collects information about the license service business, its locations, owners or company members, authorized employees or agents, regular business hours, and the bond company’s local agent. It asks applicants to confirm that required records will be maintained. The form requests a $25 check or money order and $1 for each additional location listed. The applicant’s sworn signature must be notarized.
Who needs it
A person or business applying for a license service license certificate and listing its business locations, responsible people, authorized staff, and bond agent.
Why it needs a notary
The applicant’s signature must be notarized because the form includes a sworn certification. This can be done online with a commissioned online notary.
How to submit it
Enclose a $25 check or money order with the application and $1 for each additional location listed. Submit it to the West Virginia agency named on the form.

Questions

Who uses the DMV-126-I-DS application?

A person or business applying for a license service license certificate uses this form to provide business details, locations, responsible people, authorized employees or agents, operating hours, and bond-agent information.

Does this application need to be notarized?

Yes. The form contains a notary certification and requires the applicant’s sworn signature. Notarization can be completed online with a commissioned online notary.

What payment does the application request?

The form asks applicants to enclose a $25 check or money order and $1 for each additional location listed.