Odometer Disclosure Statement Form

Use our odometer disclosure statement to disclose the mileage of a vehicle.

Updated April 30, 2024
Written by Sara Hostelley | Reviewed by Brooke Davis

An odometer disclosure statement provides an official report of the mileage of a vehicle at the time of sale.

Because vehicles with higher mileage are usually worth less, some unscrupulous sellers may tamper with the odometer for a higher sale price. The disclosure statement aims to prevent odometer fraud.

Federal Law

The details and requirements of odometer disclosure statement forms vary from state to state, so checking the state requirements before creating your own is essential. The federal law that governs disclosure requirements for transferred motor vehicles is 49 U.S. Code § 32705.

• What Is an Odometer Disclosure Statement?
• Odometer Disclosure Statements by State
• How to Fill Out an Odometer Disclosure Statement
• Odometer Disclosure Statement Sample
• Frequently Asked Questions

What Is an Odometer Disclosure Statement?

An odometer disclosure statement is a document recording the current mileage on your vehicle. Your state’s Department of Motor Vehicles (DMV) may provide a state-specific form, or you can use a generic template.

Odometer disclosure statements often ask for detailed information in a particular format. Your DMV or local equivalent establishes the formatting for this document. These agencies aim for continuity for quick and uniform application of signatures, seals, and other internal information. Some counties have their own forms, as well.

The seller should disclose the mileage and attach the appropriate form with the vehicle bill of sale and other documentation when registering as the vehicle’s new owner.

Odometer Disclosure Statements by State

Many states and counties have different odometer disclosure statement forms. However, some states choose to use the federal format. Here’s an overview of the requirements in each state:

Washington state prints its odometer disclosure statement forms on tamper-proof paper, which is unavailable online. Instead, you can pick one up at your local vehicle licensing office or call the Washington State Department of Licensing to mail it to your address.

How to Fill Out an Odometer Disclosure Statement

Follow these steps to fill out an odometer disclosure statement:

1. Write the buyer’s and seller’s information, including their names, addresses, phone numbers, and emails.
2. Record the odometer reading and indicate if the figure is in miles or kilometers.
3. Clarify if the mileage was in excess of its mechanical limits or if it isn’t the actual mileage. You can also explain if the vehicle was exempt from disclosure in the prior state of title.
4. Provide the vehicle’s information, including its model, make, body type, year, license plate number, color, VIN, license plate number, and price.

When completing an odometer disclosure statement, you can fill out a separate form or, if your state allows, write it on the bill of sale or in the corresponding section of the vehicle’s title.

Odometer Disclosure Statement Sample

If you live in a state that accepts the federal format, you can download an odometer disclosure statement template below in PDF or Word format: