GOVERNMENT OF 
THE VIRGIN ISLANDS OF THE UNITED STATES  
BUREAU OF MOTOR VEHICLES 
 
CHANGE OF NAME / ADDRESS NOTICE 
 
BMV FORM NO. 2021-21|REV. Feb-23-2021 
 
 
 
 
 
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 
8101 Sub-Base #72 
St. Thomas, V.I. 00802 
Tel: (340) 774-4268  
 
 
 
 
 
NOTICE: The LAW requires YOU to notify the BUREAU OF MOTOR VEHICLES  
within TEN (10) DAYS of any change of name and/or address.  
 
PREVIOUS 
FULL NAME 
 
FIRST NAME 
MIDDLE NAME 
 
 
LAST NAME 
 
PREVIOUS 
ADDRESS 
CITY & ISLAND 
ZIP CODE 
OLD 
RESIDENCE 
ADDRESS 
 
 
 
 
 
PREVIOUS 
ADDRESS / PO BOX 
CITY & ISLAND 
ZIP CODE 
OLD 
MAILING 
ADDRESS 
 
 
 
 
 
CHANGE OF NAME 
NEW 
FULL NAME 
 
FIRST NAME 
MIDDLE NAME 
 
 
LAST NAME 
 
CHANGE OF ADDRESS 
CURRENT 
ADDRESS 
CITY & ISLAND 
ZIP CODE 
NEW 
RESIDENCE 
ADDRESS 
 
 
 
 
 
CURRENT 
ADDRESS / PO BOX 
CITY & ISLAND 
ZIP CODE 
NEW 
MAILING 
ADDRESS 
 
 
 
 
 
 
HOME PHONE 
CELL PHONE 
BUSINESS PHONE 
TELEPHONE 
NUMBERS 
(          ) 
(          ) 
(          ) 
EMAIL 
ADDRESS 
 
 
 
I, ________________________________________________________________, the undersigned, declare 
under penalty of perjury that all statements made on this application for address change are true and 
complete to the best of my knowledge and belief. 
GOVERNMENT OF 
THE VIRGIN ISLANDS OF THE UNITED STATES  
BUREAU OF MOTOR VEHICLES 
 
CHANGE OF NAME / ADDRESS NOTICE 
 
BMV FORM NO. 2021-21|REV. Feb-23-2021 
 
 
 
 
 
 
 
 
 
 
REQUIRED DOCUMENTS 
 
NAME CHANGE 
o Original or certified copy of all marriage certificates, divorce decrees or court orders that show your 
name change(s). (Uncertified photocopies are not valid) 
 
ADDRESS CHANGE 
o Deed, mortgage, payment booklet, or rental agreement 
o Utility bill or hookup/work order 
o Property tax statement 
o Home Insurance Statement 
o Notarized statement from person you live with along with one address document (see above) in that 
person’s name. 
o NO TWO (2) DOCUMENTS FROM THE SAME SOURCE