Get AK Form 841 2009-2024

STATE OF ALASKA DIVISION OF MOTOR VEHICLES BOAT REGISTRATION APPLICATION After printing please check the information carefully and sign the form. 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 REASON FOR APPLICATION AK o BOAT NAME IF APPLICABLE CLASS OF BOAT NEW TRANSFER OF OWNERSHIP RENEWAL DUPLICATE DECAL 5 DUPLICATE CERTIFICATE 5 POWER BOAT B1 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 BOAT TYPE o A. RUNABOUT/SKIFF o B. CABIN CRUISER o C. PWC i*e* JET SKI o D. HOUSEBOAT o E* SAILBOAT o F* OTHER PROPULSION o A. OUTBOARD o B. INBOARD o C. INBOARD/OUTDRIVE o D. SAIL ONLY o E* OARS/PADDLES USE o A. o B. o C. o D. o E* HULL COLOR TRIM COLOR LENGTH FT CABIN COLOR PLEASURE COMMERCIAL PASSENGER COMMERCIAL FISHING RENTAL OTHER YEAR MAKE/BUILDER OF BOAT FUEL TYPE o A. GAS o B. DIESEL o C. OTHER o D. NONE HULL MATERIAL o A. ALUMINUM/METAL o B. FIBERGLASS/PLASTIC o C. WOOD o D. INFLATABLE CONTACT TELEPHONE NUMBER OWNER NAME AND ADDRESS INFORMATION - MUST BE COMPLETED IN FULL ON ALL APPLICATIONS MAILING ADDRESS STREET/PO BOX CITY STATE ZIP CODE RESIDENCE PHYSICAL LOCATION NO PO BOX OR MAIL CACHE OWNER FULL NAME FIRST MIDDLE LAST SUFF* OR COMPANY NAME SSN DOB DRIVER LICENSE 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 APPLICANT DATE DMV USE ONLY PREV. STATE STICKER NUMBER BATCH AMVC DOCS* ACCEPTED AK REG CARP. CERT. OWNER AFF* MCO BOS TITLE FEES PAYMENT TYPE CA CC CK 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. 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 REASON FOR APPLICATION AK o BOAT NAME IF APPLICABLE CLASS OF BOAT NEW TRANSFER OF OWNERSHIP RENEWAL DUPLICATE DECAL 5 DUPLICATE CERTIFICATE 5 POWER BOAT B1 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 BOAT TYPE o A. RUNABOUT/SKIFF o B. CABIN CRUISER o C. PWC i*e* JET SKI o D. HOUSEBOAT o E* SAILBOAT o F* OTHER PROPULSION o A. .