How to fill out Louisiana DPSMV 1955

The form for getting money back out of the Office of Motor Vehicles, and the thing to know about it is that you do not fill it in. Read down to the bottom: Name of Employee Initiating Report, and an instruction to scan it with supporting documentation to the available Refunds batch class. It is completed at the counter by the person taking your claim. It is on this list because a seller searching for a Louisiana refund form will find it, and would otherwise spend an evening filling in an internal document.

Written against DPSMV 1955 (R08/20/2025), issued under R.S. 47:1621, refunds of overpayments. Revised 20 August 2025, which makes it one of the more recently updated sheets in this set. Do not confuse it with the department's public-facing services: cancelling a plate, filing a non-use statement and filing a notice of transfer are all things you do yourself, and none of them runs through this form.

Two documents, and they are not the same thing. Take the blank DPSMV 1955 from the public.powerdms.com copy so you get the revision that is current today.

Step 1 · the form itself Blank DPSMV 1955 — Request for Refund PDF at public.powerdms.com · new tab

Filled in

What a completed one looks like

This is the actual DPSMV 1955, rendered from the PDF the Louisiana Office of Motor Vehicles publishes and completed end to end: letterhead, every field, and the blocks at the foot.

Amber — you write it
Grey — not yours to fill
Numbered — explained below

A Louisiana DPSMV 1955 request for refund shown completed the way an OMV employee completes it: an amount of refund with the handling fee marked as charged, Roselle M. Boudreaux as both the person the refund is mailed to and the customer it relates to, a date accepted of 2 September 2026 with credit card as the payment type, a 2015 Nissan with VIN 1N6AD0EVXFN718435 and plate XKV 480, and a detailed reason describing a title fee collected twice on one transfer with both receipts attached. — The actual DPSMV 1955 at revision R 08/20/2025. Everything greyed on this sheet belongs to the department - the refund type dropdown, the office numbers, the batch and sequence boxes and both signature rows at the foot - which between them are most of the form.

Field by field

Every line, in the order you meet it

1
Somebody else fills this in
Amount of Refund
Top of the sheet, with two ticks beside it for whether the handling fee was charged or waived.
Watch out: Worked out by the employee from the receipts you hand over. If your own arithmetic differs from theirs, the reason box lower down is where the difference gets explained.
2
Somebody else fills this in
Mail Refund To: Name
The left-hand column of the middle block, with address, city, state and zip under it.
Watch out: This is the one part of the form worth checking over somebody's shoulder. It is the address the Treasury cheque goes to, and it is not automatically the address on your registration.
3
Somebody else fills this in
Vehicle Identification Number
The vehicle row, and the form marks it required for VRB.
Watch out: Bring the registration certificate or the receipt with you. A refund claim about a vehicle transaction with no vehicle identified on it has nothing for the department to match against its own record of what you paid.
4
Somebody else fills this in
Reason for Refund (in detail)
The deep box occupying the lower third of the page.
Watch out: Say what you paid, when, at which office, and why it was too much - and hand over the receipts that show it. This paragraph and the attachments are the whole of the claim; everything above it is routing.
5
Somebody else fills this in
Name of Employee Initiating Report and Date
Two rows at the foot, with a second signature row beneath.
Watch out: If you find yourself signing here, you are filling in the wrong form. These lines are what tell you the document belongs to the department rather than to the person owed the money.

At a glance

What goes where

On the form	What to put in it
Refund Type	A dropdown at the top left, marked Drop Down - must select. It is a list of the department's own refund categories.
Office # (Refunding)	Top right, prefilled with zeros in the published PDF.
Amount of Refund	The figure being claimed back.
Refund Amount Reflects That the Handling Fee Was: Charged / Waived	Two ticks, because the handling fee is treated separately from whatever else is being refunded.
If VR Office Error, Check Here	A single tick, and the answer to it decides which route the claim takes.
Mail Refund To: Name, Address, City, State, Zip Code	Three boxes down the left. This is the claimant.
Re: Customer's Name	A parallel column on the right, for the customer the money relates to where that is somebody else.
License #, DL Issuance Audit #, DMB Fee Receipt #, DMB Case # and Case Type	A row belonging to the driver-licence and reinstatement side of the department rather than to a vehicle.
Date Accepted, Payment Type, Remit Code, Refund From: Overage / Other	The transaction row: how the money came in, under which remittance code, and what kind of overpayment it was.
Make of Vehicle, Year, Vehicle Identification Number, Vehicle Plate #, Issuing Office	The vehicle row, with the VIN marked required for VRB.
I.R.P. USE ONLY	Account, unit and supplement numbers, for apportioned commercial fleets.
Reason for Refund (in detail)	A deep free-text box occupying the lower third of the sheet.
Name of Employee Initiating Report, Date, and a second signature row	Two rows at the foot, and both belong to the department.
Instructions After Completing This Form	Four numbered steps at the bottom, all internal: attach proof of the monies received, scan it into the Refunds batch class, and note that Office of Management and Finance requests the transfer weekly and the cheque is mailed to the applicant within four to six weeks of the date of request. The fourth is a formatting rule - this form shall be completed to its entirety and typed.

What gets this one rejected

•Filled in by a member of the public and posted in. There is no route on the sheet for that - the instructions after completing it are addressed to an employee with access to a scanning workflow.
•Submitted with no documentation of what was originally paid. The first instruction asks for a copy of the receipt, the registration certificate or other supporting documents.
•Handwritten. The fourth instruction says the form shall be completed to its entirety and typed.
•A vehicle refund with the VIN left out, which the form itself marks as required.
•A reason box with a phrase in it rather than an explanation. It is the largest box on the sheet for a reason.

Rules that decide whether it is accepted

•What you actually do is ask, in person or in writing. Take the receipt and whatever shows the overpayment to the office that took the money, or write to the department. Somebody there completes this on your behalf.
•Four to six weeks, and the cheque comes from the Treasury. The instruction on the form sets the expectation: Office of Management and Finance requests the transfer of monies from the State Treasurer's Office weekly, and the refund cheque is mailed to the applicant within four to six weeks from the date of the request.
•The handling fee is asked about separately. The two ticks near the top exist because the handling fee may have been charged or waived independently of whatever is being refunded, and the amount claimed has to reflect which.

Every line here was read off DPSMV 1955 (R08/20/2025) itself — the PDF is here — and off the Louisiana Office of Motor Vehicles pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.

Back to all Louisiana seller paperwork, or what selling a car in Louisiana involves.

How to fill out Louisiana DPSMV 1955

What a completed one looks like

Every line, in the order you meet it

Amount of Refund

Mail Refund To: Name

Vehicle Identification Number

Reason for Refund (in detail)

Name of Employee Initiating Report and Date

What goes where

What gets this one rejected

Rules that decide whether it is accepted

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