Special License Plates Application REG 17A

Adobe Acrobat Reader is required to view, fill out and print forms. To incorporate the latest accessibility features download of the latest version of Acrobat Reader may be required. If you have problems with Acrobat Reader or our PDF form, select PDF Troubleshooting.

This form is used to apply for license plates that require proof or documentation such as Legion of Valor, Purple Heart, Gold Star Family, and Honorary Consul. These plates cannot be ordered online.

You may mail the completed form to the address on the form.

Back to Main forms page