This form contains 71 fields organized into 14 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name	Type	Description
Alternate Title Recipient (Lien Holder)
Recipient Name	Text	Enter the full name of the alternate title recipient, who is the lien holder, to whom the replacement title should be mailed. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
Recipient Address	Text	Enter the street address, including any PO Box information, for the alternate title recipient's mailing address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
Recipient City	Text	Enter the city for the alternate title recipient's mailing address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
Recipient State	Text	Enter the state for the alternate title recipient's mailing address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'. Max length: 3 characters
Recipient ZIP Code	Text	Enter the five-digit or nine-digit ZIP code for the alternate title recipient's mailing address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'. Max length: 5 characters
Alternate Title Recipient (Owner)
Alternate Recipient Name	Text	Enter the full name of the individual or organization who should receive the mailed title.
Alternate Recipient Street Address	Text	Enter the street address where the title should be mailed.
Alternate Recipient City	Text	Enter the city for the mailing address of the alternate recipient.
Alternate Recipient State	Text	Enter the state for the mailing address of the alternate recipient. Max length: 3 characters
Alternate Recipient ZIP Code	Text	Enter the ZIP code for the mailing address of the alternate recipient. Max length: 5 characters
Co-Owner Details
Co-owner OR	Radiobutton	Check this box if multiple co-owners are joined by an 'OR' operator, allowing any listed owner to act independently.
Co-owner AND	Radiobutton	Check this box if multiple co-owners are joined by an 'AND' operator, requiring all listed owners to act jointly.
Co-Owner Birth Month	Text	Enter the co-owner's birth month as a two-digit number. Fill only if 'Co-Owner Name' is not empty. Max length: 2 characters Depends on: Co-Owner Name
Co-Owner Birth Day	Text	Enter the co-owner's birth day as a two-digit number. Fill only if 'Co-Owner Name' is not empty. Max length: 2 characters Depends on: Co-Owner Name
Co-Owner Birth Year	Text	Enter the co-owner's birth year as a four-digit number. Fill only if 'Co-Owner Name' is not empty. Max length: 4 characters Depends on: Co-Owner Name
Co-Owner ID Number	Text	Enter the co-owner's Social Security Number, Driver License Number, or FEIN Number. Fill only if 'Co-Owner Name' is not empty. Max length: 17 characters Depends on: Co-Owner Name
Co-Owner Name	Text	Enter the co-owner's full legal name, including last name, first name, and middle initial. Max length: 40 characters
Fees
Replacement Title Fee	Number	Enter the amount for the replacement title fee. Max length: 10 characters
Loan Filing Fee	Number	Enter the amount for the loan filing fee, applicable for each loan in Section C. Fill only if 'Name of Lending Agency or Person' is not empty. Max length: 10 characters Depends on: Name of Lending Agency or Person
Counter Service Fee	Number	Enter the amount for the counter service fee if applying in person at WisDOT. Max length: 10 characters
Processing Fee	Number	Enter the amount for the processing fee if applying through an agent who files electronically. Max length: 10 characters
Total Fees	Number	Enter the total sum of all applicable fees. Max length: 10 characters
General
Go to Application	Button
Clear Form	Button
Go to Instructions	Button
Print instructions	Button
Lien Holder Information
Lien Holder Name	Text	Enter the full name of the lending agency or person who holds the lien. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
Street Address	Text	Enter the street address, including any PO Box, for the lien holder. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
City	Text	Enter the city for the lien holder's address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
State	Text	Enter the state for the lien holder's address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'. Max length: 3 characters
ZIP Code	Text	Enter the ZIP code for the lien holder's address. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'. Max length: 5 characters
Secured Party Number	Text	Enter the secured party identification number. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
Telephone Number	Text	Enter the area code and telephone number of the lien holder. Fill only if 'User is the lien holder who received the original title for this vehicle' is 'Yes'.
Loan Information
Name of Lending Agency or Person	Text	Enter the full name of the lending agency or person providing the loan.
Secured Party Number	Text	Provide the identification number for the secured party. Max length: 8 characters
Telephone Number	Text	Enter the telephone number, including the area code, for the lending agency or person.
Street Address	Text	Provide the street address or PO Box of the lending agency or person.
City	Text	Enter the city corresponding to the lending agency's or person's address.
State	Text	Enter the state corresponding to the lending agency's or person's address.
ZIP Code	Text	Enter the ZIP code corresponding to the lending agency's or person's address.
Owner Birth Date
Birth Month	Text	Enter the two-digit number representing the owner's birth month. Max length: 2 characters
Birth Day	Text	Enter the two-digit number representing the owner's birth day. Max length: 2 characters
Birth Year	Text	Enter the four-digit number representing the owner's birth year. Max length: 4 characters
Owner Contact Information
Street Address	Text	Enter the street address, including any P.O. Box information if applicable. Max length: 32 characters
City	Text	Enter the city corresponding to the owner's street address. Max length: 25 characters
State	Text	Enter the state corresponding to the owner's street address. Max length: 2 characters
ZIP Code	Text	Enter the ZIP code for the owner's street address. Max length: 10 characters
Daytime Telephone Number	Text	Enter the owner's daytime telephone number, including the area code.
Owner Identification Number
Social Security Number Part 1	Text	Enter the first three digits of the owner's Social Security Number. Max length: 3 characters
Social Security Number Part 2	Text	Enter the middle two digits of the owner's Social Security Number. Max length: 2 characters
Social Security Number Part 3	Text	Enter the last four digits of the owner's Social Security Number. Max length: 4 characters
Driver License Number Part 1	Text	Enter the first part of the owner's Driver License Number. Max length: 4 characters
Driver License Number Part 2	Text	Enter the second part of the owner's Driver License Number. Max length: 4 characters
Driver License Number Part 3	Text	Enter the third part of the owner's Driver License Number. Max length: 4 characters
Driver License Number Part 4	Text	Enter the fourth part of the owner's Driver License Number. Max length: 2 characters
FEIN Number Part 1	Text	Enter the first part of the owner's Federal Employer Identification Number (FEIN). Fill only if 'Owner Legal Name' is a business name. Max length: 2 characters Depends on: Owner Legal Name
FEIN Number Part 2	Text	Enter the second part of the owner's Federal Employer Identification Number (FEIN). Fill only if 'Owner Legal Name' is a business name. Max length: 7 characters Depends on: Owner Legal Name
Owner Name and Privacy Option
Opt Out regarding open records laws	Checkbox	Check this box if you wish to opt out of the public disclosure of your information as permitted by open records laws.
Owner Legal Name	Text	Please enter the legal name of the owner, including last, first, and middle initial, or the business name if applicable. Max length: 40 characters
Vehicle Identification Details
Vehicle Color	Combobox	Enter the primary exterior color of the vehicle. Brown Red Cream Dk. green Beige Lt. green Bronze Orange Yellow Silver Gold Turquoise Copper Dk. blue Camouflage Lt. blue Gray Tan White Blue Pink Taupe Amethyst Lavender Multicolor Chrome Green Maroon Mauve Purple Black
Vehicle Information
Vehicle Identification Number	Text	Enter the standard 17-character Vehicle Identification Number (VIN) for the vehicle. Max length: 17 characters
Vehicle Year	Text	Enter the manufacturing year of the vehicle. Max length: 4 characters
Vehicle Make	Text	Enter the make or manufacturer of the vehicle. Max length: 10 characters
Vehicle Type	Text	Enter the general type of vehicle, such as Car, Truck, or Van. Max length: 10 characters
Fleet Number	Text	Enter the optional fleet number assigned to the vehicle. Max length: 10 characters
License Plate Number	Text	Enter the current license plate number of the vehicle. Max length: 8 characters
Vehicle Location
County of Vehicle Location	Text	Please enter the county where the vehicle is primarily kept. Max length: 12 characters
City	Radiobutton	Check this box if the vehicle is kept within a City.
Village	Radiobutton	Check this box if the vehicle is kept within a Village.
Town	Radiobutton	Check this box if the vehicle is kept within a Town.
City/Village/Town of Vehicle Location	Text	Please enter the name of the city, village, or town where the vehicle is primarily kept. Max length: 30 characters

Form MV2119, Replacement Title Application Instructions