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Document Library

The forms and documents listed below are the most frequently used. You may view, download and print them as needed. These forms are in Adobe Portable Document Format (PDF) and must be viewed using Adobe Acrobat Reader. Some of these forms require vehicle class codes. Reference the first document below to view the codes.

Downloadable Forms and Documents

Vehicle Class Codes

This is a list of codes used to classify vehicles and transponders based on of the number of axles, tire configuration, gross vehicle weight and vehicle type.

Non-Revenue Tag Application: Permanent Upper Limb Mobility Impairment

This form is for patrons who are severely physically disabled resulting in permanent upper limb mobility or dexterity impairment(s).

Bumper Mounting Instructions

Installation instructions for a bumper transponder.

Business Account Application

This form is used for customers that would like to open a business account.  Completed applications can be sent to the Service Center using the following methods:

Mail:
E-ZPass Customer Service Center
P.O. Box 1234
Clifton Forge, VA 24422-1234

E-Mail:
customerservice@ezpassva.com
Fax: 540-302-4773

Customer Service Agreement

The Customer Service Agreement details the policies and procedures that each customer agrees to, and provides guidelines for keeping the account in good standing and working order.

Personal Account Application

This form is used for customers that would like to open a personal/private account. Completed applications can be sent to the Service Center using the following methods:

Mail:
E-ZPass Customer Service Center
P.O. Box 1234
Clifton Forge, VA 24422-1234

E-Mail:
customerservice@ezpassva.com
Fax: 540-302-4773

Privacy Statement

This document details the E-ZPass Virginia Privacy Policy.

Transponder Transfer

This form is used to transfer a transponder to / from one account holder to another account holder. This form must be filled out completely and sent to the Service Center using the following methods:

Mail:
E-ZPass Customer Service Center
P.O. Box 1234
Clifton Forge, VA 24422-1234

E-Mail:
customerservice@ezpassva.com
Fax: 540-302-4773

Special Vehicle List

This is a list of vehicles that have been identified as having a special windshield that contain metal in the glass that prevents the E-ZPass transponder from being read properly.

Windshield Mounting Instructions

This document describes the mounting instructions for the standard (interior) and Flex transponders in the windshield.

Violation Dispute Affidavit

This form is used to dispute a violation notice that begins with a “VN” or “VF”. The form must be filled out completely and correctly. The date, time, violation location and violation amount must be included for each item being disputed. The document must be signed, notarized, and returned to the Service Center using the following methods:

Mail:
E-ZPass Customer Service Center
P.O. Box 1234
Clifton Forge, VA 24422-1234

E-Mail:
customerservice@ezpassva.com
Fax: 540-302-4773