Fillable Printable Boat Registration Application - Alaska
Fillable Printable Boat Registration Application - Alaska
Boat Registration Application - Alaska
STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
BOAT REGISTRATION APPLICATION
Notice: A copy of this application may be used as a temporary registration for up to 60 days. The
temporary registration becomes invalid when a certificate of number is issued by DMV.
BASIC BOAT INFORMATION - MUST BE COMPLETED IN FULL ON ALL APPLICATIONS
PRESENT AK BOAT NUMBER
AK
REASON FOR APPLICATION
oNEWoTRANSFER OF OWNERSHIPoDUPLICATE DECAL ($5)
oRENEWALoDUPLICATE CERTIFICATE ($5)
BOAT NAME (IF APPLICABLE)
CLASS OF BOAT
oPOWER BOAT(B1)$24
oNON-POWER BOAT(B2)$10 (Registration is optional for non-powered)
COMPLETE FOR NEW BOATS, TRANSFERS, OR WHEN INFORMATION HAS CHANGED
HULL IDENTIFICATION NUMBER (HIN)ADF&G # (IF ANY)LENGTH (FT)YEARMAKE/BUILDER OF BOAT
BOAT TYPE
oA.RUNABOUT/SKIFF
oB.CABIN CRUISER
oC.PWC (i.e. JET SKI)
oD.HOUSEBOAT
oE.SAILBOAT
oF.OTHER
PROPULSION
oA.OUTBOARD
oB.INBOARD
oC.INBOARD/OUTDRIVE
oD.SAIL ONLY
oE.OARS/PADDLES
USE
oA.PLEASURE
oB.COMMERCIAL PASSENGER
oC.COMMERCIAL FISHING
oD.RENTAL
oE.OTHER
FUEL TYPE
oA.GAS
oB.DIESEL
oC.OTHER
oD.NONE
HULL MATERIAL
oA.ALUMINUM/METAL
oB.FIBERGLASS/PLASTIC
oC.WOOD
oD.INFLATABLE
oE.OTHER
HULL COLORTRIM COLORCABIN COLORCONTACT TELEPHONE NUMBER
OWNER NAME AND ADDRESS INFORMATION - MUST BE COMPLETED IN FULL ON ALL APPLICATIONS
MAILING
ADDRESS:
STREET/PO BOXCITYSTATEZIP CODE
RESIDENCE
ADDRESS:
PHYSICAL LOCATION (NO PO BOX OR MAIL CACHE)CITYSTATEZIP CODE
OWNERFULL NAME (FIRST, MIDDLE, LAST, SUFF.) OR COMPANY NAMESSN*DOBDRIVER LICENSE #
#1
#2
#3
#4
I certify under penalty of law that I am the legal owner of the boat described in this application, that this boat is
used primarily in Alaska and that all statements in this application are true and correct. I also acknowledge that I
must notify DMV within 15 days of change of address or if the boat is destroyed, abandoned or becomes
documented.
PRINTED NAME AND SIGNATURE OF APPLICANTDATE
DMV USE ONLY
PREV. STATESTICKER NUMBERBATCHAMVC DOCS. ACCEPTED:
AK REGMCO
CARP. CERT.BOS
OWNER AFF.TITLE
FEES:
$5$10$24
PAYMENT TYPE:
CACCCK
DATE
*The Social Security Number (SSN) will be used only for DMV purposes and will not be disclosed as part of a boat record. Disclosure of the SSN is not required by law.
Form 841 (Rev. 10/2009)
Alaska.gov/dmv
This application may be submitted in person or mailed to any DMV for processing.
Division of Motor Vehicles
ATTN: Correspondence Unit
1300 W Benson Blvd., STE 200
Anchorage AK 99503-3600
