How to fill out Louisiana DPSMV 3002

For the car you are not selling yet. Louisiana requires liability cover on every registered vehicle, so dropping the insurance on something sitting on a driveway is what starts a cancellation notice moving against your name. This statement is the alternative to handing the plate in: it declares that the vehicle will not be operated on any road or highway until a date you choose, and it lets you keep the plate while the policy lapses.

Written against DPSMV 3002 (R11/14), issued under R.S. 32:861 et seq., compulsory motor vehicle liability security. Revised as R11/14 - a bare R-date in brackets, and the OMV has left this sheet alone since. The important condition is not on the form's face at all but in the department's policy: an owner may voluntarily surrender a plate and registration within ten days of the date of an insurance cancellation notice, and surrendering it later does not waive fees that are due.

Two documents, and they are not the same thing. Take the blank DPSMV 3002 from the public.powerdms.com copy so you get the revision that is current today.

Step 1 · the form itself Blank DPSMV 3002 — Statement of Non-Use PDF at public.powerdms.com · new tab

Filled in

What a completed one looks like

This is the actual DPSMV 3002, 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 3002 statement of non-use filled in: registered owner Roselle M. Boudreaux with her driver's licence number and Baton Rouge address, a 2012 Honda with VIN 1HGCP2F30CA150826, an ending date of 31 March 2027, and a signature date of 2 September 2026. — The actual DPSMV 3002 at revision R11/14, completed for a car standing idle rather than one that has been sold. The beginning date has no box on the form because the department sets it from the day the statement arrives.

Field by field

Every line, in the order you meet it

1
You fill this in
Registered Owner's Full Name
First box of the declaration, with the driver's licence number beside it.
Watch out: The registered owner and nobody else - the instruction under the heading says the statement must be signed by the registered owner, and a spouse or a relative signing on your behalf is not what the form allows.
2
You fill this in
VIN
The last of three boxes describing the vehicle, after Year and Make.
Watch out: Copy it from the registration certificate, which is where the plate number and the expiry date come from as well if you are filing this online instead.
3
You fill this in
The ending date
Three boxes after the words until, at the end of the declaration.
Watch out: Pick a date you can live with rather than the furthest one imaginable. If the car goes back on the road before it, the statement becomes void the moment it does, and if you need longer, the responsibility to file another one is yours.
4
You fill this in
Date
Beside the owner's signature rule at the foot.
Watch out: This is not the beginning date. The department starts the non-use from the day the statement reaches it - the day it is received in the office, or the postmark on the envelope - which is why filing it a week before the policy lapses is safer than filing it the morning of.

At a glance

What goes where

On the form	What to put in it
The heading	STATEMENT OF NON-USE - FOR THE PURPOSE OF CANCELING LIABILITY INSURANCE, with the instruction that it must be completed in its entirety and signed by the registered owner.
Registered Owner's Full Name, Driver's License Number	Two boxes on the first line of the declaration.
Address, City, State, Zip Code	The second line.
registered owner of a Year, Make, VIN	Three boxes inside the declaration sentence itself, after the words registered owner of a.
will not operate or allow this vehicle to be operated on any roads or highways until	The declaration, followed by three boxes for the ending date - month, day, year.
The beginning date	Not a box. The form explains it instead: the beginning date will be the date this statement is submitted to the Office of Motor Vehicles, which means the date received in office if hand delivered, or the postmark date on the envelope if mailed.
Four acknowledgments	That the statement is true and correct; that it is your responsibility to submit another statement if the ending date is extended; that it is your responsibility to obtain liability insurance before operating it again; and that when the vehicle is once again operating on the roads, this statement becomes void.
Registered Owner's Signature, Date	Two positions on the last ruled row before the closing warning.
The closing warning	For the purposes of canceling the liability insurance on this vehicle this statement must be submitted to the Office of Motor Vehicles on or prior to the cancellation date of the liability insurance policy. If not, this statement can not be used as compliance for purpose of canceling liability insurance.

What gets this one rejected

•Submitted after the insurance was cancelled. The warning at the foot is unambiguous - on or prior to the cancellation date, and a day late means it cannot be used as compliance at all.
•An ending date left blank, which turns a fixed declaration into an open-ended one.
•Signed by somebody other than the registered owner, which the instruction under the heading rules out.
•A VIN that does not match the plate the statement is meant to cover.
•Used to clear a cancellation that has already happened. The OMV's own note is that this statement cannot be used as compliance to clear a cancellation of liability insurance.

Rules that decide whether it is accepted

•Non-use keeps the plate, surrender gives it up. Those are the two routes. File this and you keep the plate and the registration while the vehicle stands idle. Hand the plate in instead and the registration ends - which is what you want once the car is actually sold.
•Extending it needs another one. The form makes this your responsibility in one of its four printed acknowledgments. A statement that has expired does not roll over.
•It can be filed three ways. Online through the OMV's own service, by post, or in person at a field office. The beginning date follows whichever route you take.

Every line here was read off DPSMV 3002 (R11/14) 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 3002

What a completed one looks like

Every line, in the order you meet it

Registered Owner's Full Name

VIN

The ending date

Date

What goes where

What gets this one rejected

Rules that decide whether it is accepted

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