Dmv Reg 17 Form PDF Details

The DMV Reg 17 form serves as a critical document for individuals in California seeking to express their personal interests, affiliations, or support for causes through their vehicle's license plates. Through a range of options including original issuance, replacement, retention, or exchange of specialized plates, the form encapsulates the diverse interests of the state's drivers. It caters to a wide array of special interests from environmental to veterans' organizations, collegiate affiliations, and more, allowing for a personalized approach to vehicle registration. Notably, the form emphasizes the ownership of these plates by the individual, rather than the vehicle, providing flexibility in reassigning plates to different vehicles, retaining them for future use, or releasing interest altogether. With detailed sections demanding careful selection of plate design, configuration, and an understanding of the state's regulations around offensive or inappropriate content, the form underscores the state's commitment to administering a program that reflects the values and diversity of its populace. Furthermore, in outlining procedures for replacement in cases of loss or theft, and indicating the significance of the plate's meaning with mandatory explanation sections, the DMV Reg 17 form balances personal expression with regulatory oversight, ensuring that the process of obtaining a special interest license plate is both accessible and respectful of broader community standards.

QuestionAnswer
Form Name Dmv Reg 17 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names ca dmv reg 17, reg 17 dmv, reg 17 california dmv form, dmv plate application

Form Preview Example

STATE OF CALIFORNIA

DEPARTMENT OF MOTOR VEHICLES®

A Public Service Agency

SPECIAL INTEREST LICENSE PLATE APPLICATION

For more information, or to order online or check configuration availability, visit www.dmv.ca.gov.

ORIGINAL

REPLACEMENT*

REASSIGN,RETAIN,RELEASE INTEREST

EXCHANGE (from your existing personalized plate)

Complete 1, 2, 5, 6

Complete 1, 3, 5, 6

Complete 1, 4, 5, 6

Complete 1, 2, 5, 6

Special Interest License Plates belong to the plate owner, not the vehicle. When selling your vehicle, you may remove the plates and reassign them to another vehicle immediately, retain for future use on another vehicle, or surrender them to DMV. You may be subject to annual retention fees if you do not immediately place them on another vehicle. For current list of fees see FFVR 11 at www.dmv.ca.gov.

*  REPLACEMENT SPECIAL PLATES: If BOTH plates were lost or stolen, the same configuration cannot be reissued on any plate type.

SECTION 1 — PLATE SELECTION Check one

(For special plates not listed, use REG 17A)

Plates allowed 2-6 Characters (Motorcycles 2-5)

Plates allowed 2-7 Characters (Motorcycles 2-5, except ELP and California 1960s Legacy: 2-7)

Breast Cancer Awareness

Environmental License Plate (ELP) (BASIC PERSONALIZED PLATE)

California Arts Council

California Coastal Commission (Whale Tail)

California Agricultural (CalAg)

Lake Tahoe Conservancy

California Memorial

Yosemite Foundation

California Museums (Snoopy)

California 1960s Legacy (6 character sequential, 2-7 characters for ELP)

Collegiate (only UCLA is available)

 

Kids - Child Health and Safety Funds (SYMBOLS: HEART, STAR, HAND OR PLUS SIGN)

Pet Lovers

Veterans’ Organization

(PROVIDE ORGANIZATIONAL CODE OF DECAL)

List of Logos can be found at https://www.calvet.ca.gov/VetServices/Pages/License-Plates.aspx

“Honoring Veterans” Plate

Duplicate Decal -

(CURRENT LICENSE PLATE NUMBER)

SECTION 2 — SELECT CONFIGURATION

PLATES WILL BE ASSIGNED TO: Automobile Commercial Trailer Motorcycle (Select motorcycle plates will be issued a special interest decal on the left.)

Sequential (Non-Personalized) — Issued in number sequence. Sequential plates will be assigned to:

Your existing sequential license plate number cannot be re-used. CURRENT LICENSE PLATE NUMBER FULL VEHICLE IDENTIFICATION NUMBER (REQUIRED)

You must submit a copy of your current registration card.

Personalized

PERSONALIZED CONFIGURATION CHOICE

DMV has the right to refuse any combination of letters and/or letters and numbers for any of the following reason(s): it could be considered offensive to good taste and decency in any language or slang term, it substitutes letters for numbers or vice versa (e.g. ROBERT/RO8ERT), to look like another personalized plate, or it conflicts with any regular license plate series issued.

Your application will not be accepted if the MEANING of the plate is not entered, even if it appears obvious, OR if the plate configuration is unacceptable.

SEE REVERSE FOR INSTRUCTIONS ON ENTERING THE CONFIGURATION IN THE BOXES BELOW.

If you do NOT want the plate centered, check this box:

KIDS PLATE: Circle choice of symbol

First Choice

 

 

 

Second Choice

 

 

 

 

 

Third Choice

8th box shown only to allow for spacing

 

 

 

8th box shown only to allow for spacing

 

 

8th box shown only to allow for spacing

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Meaning (REQUIRED)

 

 

 

Meaning (REQUIRED)

 

 

Meaning (REQUIRED)

NOTE: The department will not honor a change of choice, spacing, or a request for refund after the reservation is made.

When ready for pick up, your new personalized plates must be assigned to a vehicle currently registered or leased in your name (cannot be on Planned Non-Operation status). Check box and enter the DMV or Auto Club office where your current license plates and registration card will be exchanged for your new plates:

DMV OFFICE

AUTO CLUB (must be a member)

LOCATION (city):

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 3 — FOR REPLACEMENT ONLY

 

 

 

 

 

 

 

SPECIAL INTEREST LICENSE PLATE NUMBER If BOTH plates were lost or stolen, the same configuration cannot be reissued on any plate type.

 

 

 

I NEED:

One Plate

Two Plates PLATE(S) WERE:

Lost

Mutilated

Stolen

SECTION 4 — REASSIGN, RETAIN INTEREST, OR RELEASE INTEREST

SPECIAL INTEREST LICENSE PLATE NUMBER REMOVED FROM (VEHICLE IDENTIFICATION NUMBER)

PLACED ON (CURRENT LICENSE PLATE) PLACED ON (VEHICLE IDENTIFICATION NUMBER)

 

RETAIN INTEREST FOR FUTURE USE. FAILURE TO PAY A REQUIRED RETENTION FEE WILL

 

 

RELEASE INTEREST/SURRENDER TO DMV

 

 

 

 

 

 

RESULT IN CANCELLATION OF THE PERSONALIZED PLATE.

 

Fee enclosed

 

 

RELEASE INTEREST TO NEW OWNER

 

 

 

 

SECTION 5 — PLATE PURCHASER

Same as Plate Owner

 

PLATE OWNER (If different from PLATE PURCHASER, i.e. gift or release)

TRUE FULL NAME (Last, First, Middle Initial, Suffix)

 

 

 

TRUE FULL NAME (Last, First, Middle Initial, Suffix)

 

 

 

 

 

 

 

 

 

 

 

STREET ADDRESS OR PO BOX

 

 

 

STREET ADDRESS OR PO BOX

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITY

STATE

ZIP CODE

 

CITY

 

 

STATE

ZIP CODE

SECTION 6 — SIGNATURE

I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

SIGNATURE

X

DATE

DAYTIME PHONE NUMBER

( )

EMAIL ADDRESS (Optional)

Submit order and fees to: DMV – SPU – MS D238, P. O. Box 932345, Sacramento, CA 94232-3450, or order online at www.dmv.ca.gov.

REG 17 (REV. 12/2017) WWW

Print

Clear Form

SECTION 7 — INSTRUCTIONS

HOW TO CENTER AND SPACE CONFIGURATION

Slash (/) indicates 1/2 space - Asterisk (*) indicates full space Do not substitute letters for numbers or numbers for letters.

(8th box shown only to allow for spacing)

7

DIGITS + 1/ space

D

A

V

I

D

/

1

6

 

2

 

 

 

 

 

 

 

 

7 DIGITS

 

 

 

 

 

 

 

 

S

U

Z

A

N

N

E

/

6 DIGITS

 

 

 

 

 

 

 

 

/

R

O

B

E

R

T

/

5 DIGITS

 

 

 

 

 

 

 

 

*

C

A

R

O

L

*

/

4

DIGITS

 

 

 

 

 

 

 

 

/

*

M

A

R

Y

*

/

3

DIGITS

 

 

 

 

 

 

 

 

*

*

T

O

M

*

*

/

2

DIGITS

 

 

 

 

 

 

 

 

/

*

*

S

R

*

*

/

Special Instructions for KIDS plates:

Circle the desired symbol, then place a check () in the box to indicate the

desired location of the symbol.

EXAMPLE:

I

M Y / C A

R

REG 17 (REV. 12/2017) WWW

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Step 1: First of all, click the orange "Get form now" button.

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All of the following areas are what you are going to complete to receive the ready PDF file.

step 1 to writing ca dmv reg 17

Fill in the SEE REVERSE FOR INSTRUCTIONS ON, If you do NOT want the plate, KIDS PLATE Circle choice of symbol, First Choice th box shown only to, Second Choice th box shown only to, Third Choice th box shown only to, Meaning REQUIRED, Meaning REQUIRED, Meaning REQUIRED, NOTE The department will not honor, DMV OFFICE, AUTO CLUB must be a member, LOCATION city, SECTION FOR REPLACEMENT ONLY, and If BOTH plates were lost or stolen fields with any details that may be demanded by the software.

Completing ca dmv reg 17 step 2

You should be requested for specific essential details if you want to fill up the SECTION SIGNATURE I certify or, DAYTIME PHONE NUMBER, EMAIL ADDRESS Optional, and DATE area.

part 3 to completing ca dmv reg 17

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