Illinois RT 11 Form: Affirmation Supporting Salvage Certificate

Illinois RT 11 Form: Affirmation Supporting Salvage Certificate – If you are rebuilding a salvage vehicle in Illinois and need to obtain a rebuilt title, Form RT 11 (Affirmation Supporting Salvage Certificate) is a required document from the Illinois Secretary of State. This official form must accompany applications for a Certificate of Title when a Salvage Certificate is being surrendered. It is used by licensed rebuilders to affirm details about the vehicle, any essential parts that were replaced, and compliance with Illinois safety standards.

This guide explains what Form RT 11 is, when it is required, how to complete it correctly, and where to download the official version. All information is based on current publications from the Illinois Secretary of State Vehicle Services Department and the Illinois Administrative Code, targeting vehicle owners, rebuilders, and title applicants across the United States who deal with Illinois-titled or Illinois-registered salvage vehicles.

What Is Illinois Form RT 11?

Form RT 11, officially titled “Affirmation Supporting Salvage Certificate,” is a standardized affirmation issued by the Illinois Secretary of State. The form states that it “must accompany all Salvage Certificates for which a Certificate of Title is requested.”

It serves as a sworn statement under penalty of perjury. The rebuilder (or authorized agent) affirms ownership of the vehicle acquired by Salvage Certificate, lists any essential parts that were changed, and certifies that the rebuilt vehicle meets Illinois safety requirements under Chapter 12 of the Illinois Vehicle Code and related regulations.

The current version is designated RT 11.16 (printed October 2017). It appears on the official Title and Registration Publications and Forms page of the Illinois Secretary of State website and is referenced in the Rebuilt Vehicle Titles Fact Sheet (VSD 975).

You can download the official fillable PDF directly from the Illinois Secretary of State here: https://www.ilsos.gov/content/dam/publications/pdf_publications/rt11.pdf.

When Is Form RT 11 Required?

Form RT 11 is required whenever an applicant seeks a rebuilt (or restored) Certificate of Title by surrendering a Salvage Certificate in Illinois. According to the Illinois Secretary of State’s Rebuilt Vehicle Titles Fact Sheet and Illinois Administrative Code Title 92, Part 1010, Section 1010.110, the form is one of the core supporting documents for such applications.

Key situations include:

  • A licensed Illinois rebuilder has repaired a vehicle previously issued a Salvage Certificate due to total loss, structural damage, theft recovery with damage, or similar reasons.
  • The applicant is converting a salvage vehicle into a road-legal rebuilt vehicle.
  • Essential parts were or were not replaced during the rebuild process.

Only licensed rebuilders may bring a vehicle out of salvage status in Illinois. If the applicant is not a licensed rebuilder, they must contract with one and still submit Form RT 11 signed by the licensed rebuilder. Illinois dealers are prohibited from selling salvaged vehicles to the public until a rebuilt title is obtained.

Junked vehicles cannot be rebuilt. Once a vehicle has a junking certificate, it is limited to parts use only.

How to Complete Form RT 11?

The form is relatively straightforward but must be completed accurately. Incomplete or incorrectly signed forms are commonly rejected. Download the official PDF and open it with Adobe Acrobat Reader for best results with fillable fields.

Main sections include:

  • Header information — State of Illinois, County, Rebuilder’s Name, Rebuilder’s License Number and Year, and (if applicable) Contracted Rebuilder’s Name and License Number/Year.
  • Vehicle description — Affirmation that the undersigned is the owner of the vehicle acquired by Salvage Certificate number, acquired from (seller), Year, Make, and VIN.
  • Section A or Section B (complete one):
    • Section A — Used when essential parts have been changed. List the Type of Part (using the codes on the reverse side), VIN (if applicable), Year, Make, and Acquired From for each replaced essential part. The rebuilder affirms personal rebuilding or supervision of the rebuild and personal inspection confirming compliance with Illinois safety requirements.
    • Section B — Used when no essential parts have been removed, replaced, or damaged by flood. Checking this box indicates the vehicle does not require a successful salvage inspection under the relevant statute (subject to other inspection rules). The rebuilder still affirms personal inspection and safety compliance.
  • Affirmation and signatures — Statement under penalty of perjury that all information is true and correct. Signature and date of the Rebuilder or Authorized Agent, plus Signature and date of the Contracted Licensed Rebuilder (when applicable).

If any essential parts were replaced, legible copies of receipts or invoices must accompany the form. These receipts should show the rebuilder as the purchaser and help verify that parts are not stolen.

The reverse side of the form contains the official Code for Essential Parts List (examples include front/rear fenders, hood, doors, frame, engine, transmission, seats, and specific motorcycle parts). Parts marked with an asterisk are not considered essential for certain inspection purposes but may still be examined.

Required Supporting Documents for a Rebuilt Title

Form RT 11 is only one piece of the packet. According to the official Rebuilt Vehicle Titles Fact Sheet (VSD 975, December 2025 revision), applicants must also submit:

  • Completed Application for Title (VSD 190) marked “Title Only.”
  • Salvage Contract (SOS DOP 246) — required only if the applicant is not the rebuilder.
  • Affirmation Supporting Salvage Certificate (RT 11) — signed and dated by the rebuilder; include receipts if essential parts were replaced; check Box B if none were replaced.
  • IDOT Vehicle Inspection Report — completed electronically or in blue ink only, not more than six months old, signed by the inspector(s). Off-road vehicles are exempt. Locate stations via IDOT or by calling 217-785-1181, ext. 3.
  • Second inspection by Secretary of State Police for vehicles eight model years or newer (including off-road), unless the vehicle was salvaged due to flood damage only and the flood brand is verifiable.
  • Appropriately assigned Salvage Certificate (or Bill of Sale if the prior state does not issue salvage titles).
  • Appropriate sales tax form and fee payable to the Illinois Department of Revenue (RUT-50 or RUT-25; dealers and certain trailers may be exempt).
  • Title fee payable to the Secretary of State.

Applications cannot be processed at local Driver Services facilities. Mail the complete packet to:

ATTN: Rebuilts
501 S. Second St.
Springfield, IL 62756

For questions, email [email protected] or call 217-785-4737.

Important Legal and Practical Notes for USA Applicants

Illinois law (625 ILCS 5 and related administrative rules) tightly regulates the salvage-to-rebuilt process to protect consumers and prevent the circulation of stolen parts or unsafe vehicles. The Affirmation Supporting Salvage Certificate is specifically authorized under Section 1010.110 of Title 92 of the Illinois Administrative Code as the required certificate regarding changed or unchanged component parts and compliance with the Illinois Vehicle Equipment Law.

Key points for U.S. residents dealing with Illinois vehicles:

  • Salvaged vehicles may not be driven on public roads until a rebuilt title is issued. Temporary permits are available only for travel to and from inspection stations.
  • Only Illinois-licensed rebuilders can perform the work that allows a salvage vehicle to receive a rebuilt title.
  • The rebuilt title will carry a permanent “rebuilt” brand, which affects resale value and disclosure requirements in most states.
  • Out-of-state salvage titles or bills of sale may be accepted under specific conditions, but Illinois inspection and documentation rules still apply.
  • Always use the official form from the Illinois Secretary of State website. Third-party fillable versions may be outdated or incomplete.

Forms and requirements can be updated. Always verify the latest versions on the official Illinois Secretary of State site: Title and Registration Publications and Forms and the Rebuilt Vehicle Titles Fact Sheet (VSD 975).

Download Illinois Form RT 11

Obtain the official Affirmation Supporting Salvage Certificate (RT 11) directly from the Illinois Secretary of State:

Download Form RT 11 PDF

Download the form to your computer, complete it carefully, attach all required supporting documents and receipts, sign where indicated, and mail the complete package to the Rebuilts unit in Springfield. Following the official instructions reduces delays and helps ensure a successful rebuilt title application.

For the most current information, visit the Illinois Secretary of State website or contact the Vehicle Services Department Rebuilt Titles unit. This article is for informational purposes and does not constitute legal advice. Requirements may change; always rely on official state publications.

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