Below you can find a generic Federal Odometer Disclosure Statement Form as a fillable PDF. You can fill out this form on the phone, tablet, on the computer or by hand using a pen. We recommend that you complete this generic federal Odometer Disclosure Statement Form in addition to the state required title, separate form and/or Bill of Sale, for your own records and safety.
So remember: each time you sell or buy a vehicle do not forget to complete an Odometer Disclosure Statement if it is a model year 2011 or newer and below 16,000 pounds. It is also a good idea to keep a copy of the odometer reading form and of the title (front and back) for five years from the date of the transaction.
The Federal Disclosure Statement Form
To be sure you can use a generic federal Odometer Disclosure Statement Form in addition to the specific state required Odometer Disclosure Statement. You can find the form below.
You can also fill out the form by hand but don’t forget to use a pen with blue or black ink and not a pencil!
Here you can find and download for your use a Generic Federal Odometer Disclosure Statement Form
In this case if you’re not sure how to get an exact odometer reading you can find all the details here: Reading the Odometer – How to read an Odometer.
Tip: to complete the Generic Federal Odometer Disclosure Statement Form on your device (computer / phone / tablet) open the PDF form in Adobe Acrobat Reader.
How to fill out the Odometer Statement form
This Odometer Disclosure Statement form contains three sections and below I’ll explain how to fill ot this generic form:
Section 1
The first section includes the full name of the seller. Particularly the seller’s name must pe PRINTED. This means to use only Capital Letters to write SELLER’S NAME. Also complete the seller name(s) exactly as it appears on the Certificate of title. Then fill out the vehicle details starting with the current odometer reading. However if the odometer reading is in excess of the mechanical limits of the odometer or is not the actual mileage please check the corresponding box:
Section 2
Please take into consideration that only one seller (owner) must sign if the title states OR between owner names printed on the title. Both sellers (owners) must sign if the title states AND or AND/OR between owner names, or if nothing is listed between owner names.
Next fill out in the second section the Seller (Transferor) Information. This includes the seller’s signature and name. Please write SELLER’S NAME using only Capital Letters. Then fill out seller’s address:
Section 3:
Lastly in the third section fill out the Buyer (Transferee) Information. This includes the buyer’s signature and name. Please write BUYER’S NAME using only Capital Letters. Next fill out the buyer’s address, and date of certification:
More information about the Odometer Disclosure
Furthermore if you want more legal details, you can find here details about the information required on an Odometer Disclosure Statement form: Final Rule – Odometer Disclosure Requirements.