BMV FORM NO. (2019-13) – REV. Jun.24-2020 
GOVERNMENT OF THE VIRGIN ISLANDS  
OF THE UNITED STATES 
BUREAU OF MOTOR VEHICLES 
 
DOCUMENT TRANSMITTAL MEMO 
 
 
BUSINESS NAME: 
 
BUSINESS PHONE #: 
 
PLATE  # 
VIN 
CUSTOMER NAME 
TRANSACTION 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Submitted By  
Received By  
 
Name: 
 
 
Name: 
 
 
Signature: 
 
 
Signature: 
 
 
Date: 
 
 
Date: 
 
 
Plate #: plate number of the vehicle to be processed 
VIN: vehicle identification number of the vehicle to be processed 
Customer Name: name of the customer whose vehicle is to be processed 
Transaction: renewal, duplicate, information update, transfer (provide the name of the 
customer the vehicle is to be transferred to), etc.  
SIGN
SIGN