Odometer Disclosure Statements

These forms are available with or without blue screen. Forms without the blue screen will scan more clearly.

Blue Screened Odometer Statement

  • 5-2/3″ x 9-1/8″
  • 3-part, snap-out carbonless – white, canary, pink
  • Prints in blue ink with blue screen on Part 1
  • 2 file holes for easy posting
  • Packaged 250 per pack

No Screen Odometer Statement

Great for customers or states who need to scan or digitally submit this form.

  • 5-2/3″ x 9-1/8″
  • 3-part, snap-out carbonless – white, canary, pink
  • Prints in blue ink with blue screen on Part 1
  • 2 file holes for easy posting
  • Packaged 100 per pack