AAMVA’s four regions have their own boards and administer conferences that seek to improve uniformity within their geographic vicinity and to foster international unity.

Region I
Connecticut, Delaware, the District of Columbia, Maine, Maryland, Massachusetts, New Brunswick, Newfoundland, New Hampshire, New Jersey, New York, Nova Scotia, Ontario, Pennsylvania, Prince Edward Island, Quebec, Rhode Island and Vermont
Links to Region I jurisdiction agencies
Regional Vice President: Nick Positano
Region II
Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia, Puerto Rico and the Virgin Islands
Links to Region II jurisdiction agencies
Regional Vice President: Fred Porter
Region III
Illinois, Indiana, Iowa, Kansas, Manitoba, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota and Wisconsin
Links to Region III jurisdiction agencies
Regional Vice President: Steven M. Sebestyen
Region IV
Alaska, Alberta, American Samoa, Arizona, British Columbia, California, Colorado, Guam, Hawaii, Idaho, Montana, Nevada, New Mexico, Northwest Territories, Nunavut, Oregon, Saskatchewan, Utah, Washington, Wyoming and the Yukon Territory
Links to Region IV jurisdiction agencies
Regional Vice President: Sheila Prior