Dmv 452 A Form PDF Details

The South Carolina Department of Motor Vehicles provides a crucial document for IRP carriers, the DMV 452 A form, designed specifically for situations involving the loss, theft, or destruction of a license plate. This form serves as a formal Replacement Application, ensuring that carriers can swiftly address the issue without significant disruption to their operations. The process detailed in the document requires the form to be filled out by either the registered owner or their authorized agent, highlighting the need for accurate and up-to-date information regarding the customer number, fleet number, and other essential details. Following its completion, the Branch Manager is responsible for promptly forwarding the form to the Motor Carrier Services at a designated address. Additionally, the form features sections for insurance certification and official use, emphasizing the importance of compliance with state regulations and the maintenance of liability insurance throughout the registration period. Structured to facilitate immediate action, the form also includes a provision for the owner to indicate whether a replacement plate is needed at the time of reporting, underscoring the Department’s commitment to ensuring continuous operation for IRP carriers.

QuestionAnswer
Form NameDmv 452 A Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesform 452a, 452 scdmvonline carolina printable, printable dmv form 452 sc, 452 form scdmvonline download

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South Carolina Department of Motor Vehicles

IRP Carriers ONLY- Lost/Stolen or Destroyed License

Plate Report Replacement Application

452-A

(REV. 2/15)

INSTRUCTIONS FOR IRP CARRIERS ONLY

When an application is made at any Branch Office to replace a lost, stolen or destroyed license plate, this form must be completed by the registered owner or his agent and immediately mailed by the Branch Manager to Motor Carrier Services at the address below:

Attention: Motor Carrier Services

Department of Motor Vehicles

PO Box 1498

Blythewood, SC 29016-0027

Customer #

 

 

 

 

 

 

 

 

 

Fleet #

 

 

 

 

Expiration Month

 

 

License Plate #

 

 

 

 

 

Unit #

 

 

 

State

 

 

 

 

Year

 

Name of Registered Owner

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address of Registered Owner

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

 

 

State

 

 

 

 

 

 

 

Zip Code

 

 

Telephone Number-Home

 

 

 

 

 

 

 

 

 

 

Work

 

 

 

 

 

 

 

 

I certify that the plate listed above was: (circle one)

Lost

Stolen

Destroyed

Date of Loss

 

 

 

 

 

 

City

 

 

 

 

 

State

 

 

I do

I do not (check one)

want another plate at this time. If the plate above is recovered, I will notify

the nearest DMV Branch Office immediately. If receiving another plate, complete Insurance Certification below.

Owner’s Signature

Signature of person making report

Print name and address of person making report (if different from registered owner)

INSURANCE CERTIFICATION

Under penalties of perjury, I declare the vehicle listed above Is insured with the company named below and I will maintain liability insurance throughout the registration period.

Name of Insurance Company

Signature of Owner

Date

FOR DMV USE ONLY

____________________________________________________

New License Plate

____________________________________________________

Branch Office Submitting

____________________________________________________

Specialist’s Signature

____________________________________________________

Date of Report

PLEASE PROVIDE CUSTOMER WITH A PHOTOCOPY OF THIS DOCUMENT

Motor Carrier Services Phone No. (803) 896-3870, Fax No. (803) 896-2698

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