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VEIP Extension

If you are unable to have your vehicle tested by the due date, you may request an extension online at:
h�ps://mva.maryland.gov/vehicles/Pages/veip.aspx

VEIP Waiver
For quickest processing, complete and email the form below to: veiponline@mdot.maryland.gov
To request a waiver by mail, send form to: VEIP, Motor Vehicle Administra�on, 6601 Ritchie Highway NE, Glen Burnie, MD 21062

Current Odometer Reading:

 1. Senior ci�zen waiver request.  2. Disabled ci�zen waiver request. 3. Out of Area/Military Waiver:
All owners listed on the registra�on are All owners listed on the registra�on meet the For more informa�on, visit:
70 years of age or older and the vehicle requirements of Maryland Vehicle Law for disabili�es. h�ps://mva.maryland.gov/
is driven less than 5,000 miles per year. The vehicle is registered with disabled plates and the vehicles/Pages/veipwaiver.aspx
vehicle is driven less than 5,000 miles per year.

I/We hereby cer�fy under penal�es provided by law that the informa�on given is true and correct to the best of my knowledge and belief.

Title Number: Email: Phone Number:

Signature of Owner: Signature of Co-Owner: Date:

For additional information on the VEIP program visit: mva.maryland.gov/vehicles/pages/veip.aspx


View your MVA correspondence Online anytime! Visit our website at: mva.maryland.gov
EP-001A (09-21)

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