BMV FORM NO. 2021-21|REV. May-21-2021 
 
 
 
 
 
GOVERNMENT OF 
THE VIRGIN ISLANDS OF THE UNITED STATES  
BUREAU OF MOTOR VEHICLES 
 
APPLICATION FOR RENTAL VEHICLES QUOTA 
 
BMV STX - Patrick Sweeny Headquarters 
RR-01 Box 10065 
St. Croix, V.I. 00850-9705 
Tel: (340) 713-4268  
BMV STJ - Government Complex 
Cruz Bay 
St. John, V.I. 00831 
Tel: (340) 776-6262 
BMV STT 
4605 Tutu Park Mall - Ste. 231 
St. Thomas, V.I. 00802 
Tel: (340) 774-4268  
 
 
 
 
  
 
 
 
 
 
APPLICANT 
NAME OF 
APPLICANT 
 
FIRST NAME 
MIDDLE NAME 
 
 
LAST NAME 
 
CITIZENSHIP  
DATE OF 
BIRTH 
       /       /           
Email 
Address 
 
Phone 
Number 
 
 
ADDRESS 
CITY & ISLAND 
ZIP CODE 
PHYSICAL 
ADDRESS 
 
 
 
 
ADDRESS |PO BOX 
CITY & ISLAND 
ZIP CODE 
MAILING 
ADDRESS 
 
 
 
BUSINESS 
BUSINESS 
NAME 
 
LICENSE 
NUMBER 
 
TRADE 
NAME 
 
 
ADDRESS 
CITY & ISLAND 
ZIP CODE 
PHYSICAL 
ADDRESS 
 
 
 
 
ADDRESS / PO BOX 
CITY & ISLAND 
ZIP CODE 
MAILING 
ADDRESS 
 
 
 
 
   
 
   
 
 
 
 
 
 
Quota Amount 
Requested 
 
Additional Quota Amount 
Requested 
 
PAGE 1 OF 2 
PAGE 2 OF 2 
BMV FORM NO. 2021-21|REV. May-21-2021 
 
 
 
 
 
GOVERNMENT OF 
THE VIRGIN ISLANDS OF THE UNITED STATES  
BUREAU OF MOTOR VEHICLES 
 
APPLICATION FOR RENTAL VEHICLES QUOTA 
 
 
 
 
 
 
 
 
 
 
  
 
 
DO NOT WRITE BELOW    
 
 
 
DO NOT WRITE BELOW 
 
 
 
 
 
 
_________________________________ 
  
 
 
_______/________/___________ 
  
Authorized Signature   
 
 
 
 
 
Date   
 
 
 
REQUIRED DOCUMENTS 
 
o Articles of Incorporation  
o Certificate of Formation from the Corporations 
and Trademarks office 
o Proof of physical address of the business 
 
o Valid IDs of the owners of the business 
o Copy of Valid Business License 
o Completed Application 
o Fees
 
NEW QUOTA ISSUED 
 
 
 
 
 
 
 
 
 
 
 
 
 
In making this application I swear or affirm that I am familiar with the requirements of 20 V.I.C. Chapter 38, § 415-
425, Regulation of Car, Rental Business. I understand that should I violate any provisions of this section of the VI 
Code that I will be fine, or the business license can be revoked.  
 
______________________________ 
        _____________________________ 
_________________________ 
 
Print Name 
 
 
 
        Applicant Signature  
 
 
Date 
______________________________ 
        _____________________________ 
_________________________  
Print Name 
 
 
 
        Applicant Signature  
 
 
Date 
______________________________ 
        _____________________________ 
_________________________  
Print Name 
 
 
 
        Applicant Signature  
 
 
Date 
 
DLCA Business License # _________________________   Cashier Receipt #___________________________ 
Application Fee  
 __________________________  
  
Date   
    ______/_______/___________  
 
 
SIGN
SIGN
SIGN
SIGN