Form Mv 9W PDF Details

The MV-9W form, as outlined by the Georgia Department of Revenue - Motor Vehicle Division, serves a very specific and honorable purpose: it is the gateway for veterans and active military personnel to obtain special license plates that proudly denote their service and sacrifices for the country. This form, which underwent its latest revision in July 2016, is not meant for changes related to ownership, address, or classification of the license plate but strictly for the application of military-related tags. The eligibility to apply extends to veterans, active duty members, spouses, and surviving spouses, emphasizing the inclusive nature of recognizing military service across various fronts. A critical part of the application process involves the submission of specific documentation, like the DD-214 form or equivalent, which serves as proof of service and discharge status, among other details. Moreover, the form delves into the nitty-gritty of vehicle information, including the make, model, and identification number, and requires applicants to identify their service through campaigns or duty tours and service awards, further personalizing the acknowledgment of their military journey. Additionally, it introduces categories for disabled veterans, providing pertinent information on how their unique situation influences their application. Completing the MV-9W form is a step towards gaining a tangible emblem of honor, with the state of Georgia offering an array of license plates that commemorate different tours of duty, service awards, or even specific honors like the Purple Heart or Medal of Honor, signifying a broad recognition of military achievements. The form also outlines the legal implications of providing false information, thereby maintaining the integrity of this honor system. Detailed instructions guide applicants through the process, ensuring clarity and ease in applying for these special plates, symbolizing a bridge between military service and public acknowledgment.

QuestionAnswer
Form NameForm Mv 9W
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdor ga respective, mv 9w ga form, ga form mv 9w, georgia mv 9w

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MV-9W (Revised 07-2016)

Web and MV Manual

Georgia Department of Revenue - Motor Vehicle Division

Request for Manufacture of a Special Veteran License Plate

Purpose of this Form: This form is to be used to apply for a military license plate/tag. This form should not be used to record a change of ownership, change of address, or change of license plate classification.

Required Documentation: You must provide a legible copy of your service discharge (DD-214, DD-215, or for World War II veterans, a WD form) indicating your branch and term of service. If you are an active duty member, a copy of the approved documentation supporting your current membership in the respective reserve or National Guard unit is required. In the case of a retired reserve member from that unit, you must furnish approved documentation supporting the current retired membership status from that reserve unit.

AOWNER INFORMATION

Primary Owner’s

Full Legal Name:

First Name

Middle Initial

Last Name

Suffix

 

 

 

 

 

 

 

 

Mailing Address:

City:

Street No. Street NameApt/Suite No.

State:

 

ZIP Code:

 

Telephone No.:

 

 

 

 

 

Secondary Owner’s

Full Legal Name:

First Name

Middle Initial

Last Name

Suffix

 

 

 

 

Mailing Address:

Street No.

Street Name

Apt/Suite No.

 

 

 

City:

State:

ZIP Code:

Telephone No.:

 

 

B

 

VEHICLE INFORMATION

 

Passenger Vehicle, Private Truck, Recreational Vehicle or Trailer

Motorcycle

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vehicle Identification No. (VIN):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Year:

Make:

Model:

C CAMPAIGN / TOUR of DUTY

Branch of Service:

D

SERVICE AWARD

Branch of Service:

LICENSE PLATES

______________________________

 

LICENSE PLATES

_____________________________

World War I

World War II

Medal of Honor

Army Distinguished

(7/28/1914 – 11/11/1918)

(12/07/1941 – 12/31/1946)

Silver Star

Service Cross

Korean War

Vietnam War

Navy Cross

Air Medal

(6/27/1950 – 1/31/1955)

(6/1/1954 – 5/15/1975)

Distinguished Service Medal

Legion of Merit

War in Afghanistan

Operation Desert Storm

Defense Distinguished

Air Force Cross

(10/07/2001 - Current)

(8/02/1990 – 11/30/1995)

Service Medal

Purple Heart

Global War of Terrorism

War in Iraq

Distinguished Flying Cross

Defense Superior

(12/07/2001 – Current)

(3/20/2003 – 12/18/2011)

Homeland Security

Service Medal

Military Veteran

Chosin Reservior

Distinguish Service Medal

Former Prisoner of War

Military Woman Veteran

Campaign of 1950

 

Soldier’s Medal

 

Gold Star Family

Retired from Active Duty

Retirement Date: ______________________

Bronze Star

 

 

 

 

E U.S. Reserves, National Guard,

Branch of Service:

F

DISABLED VETERAN

Branch of Service:

Georgia National Guard

______________________________

 

LICENSE PLATE

_____________________________

 

 

 

Retired U.S. Reserve

Date: ______________________

100% Service Connected Disabled Veteran or less than 100% Service

 

 

 

Retired Georgia National Guard

Date: ______________________

Connected Disabled but is compensated at 100% level due to

 

 

 

individual unemployabilty.*

 

 

 

 

 

Active Duty Georgia National Guard*

 

 

 

 

 

 

 

 

 

Compensated at less than 100% level or Nonservice Connected

 

 

 

 

 

 

 

 

 

 

 

Active Duty U.S. Reserve*

 

 

Disabled*

 

 

 

 

 

*Active Duty members shall provide annual letter from Commanding Officer to

*You must provide a letter from U.S Department of Veteran Affairs indicating

 

 

county tag office.

 

 

disability percentage and service connection. The Georgia Department of

 

 

 

 

 

 

 

 

Veterans Services (GDVS) is available for assistance.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

G

 

 

CERTIFICATION

 

Veteran/Active Military Personnel

Spouse

Surviving Spouse

Minor Child

 

 

 

 

 

 

 

 

 

 

 

 

Pursuant to O.C.G.A. § 40-2-3, “Any person who shall make any false statement in any application for the registration on any vehicle, or in transferring any certificate of registration, or in applying for a new Certificate of Registration, shall be guilty of false swearing, whether or not an oath is actually administered to him, if such statement shall purport to be under oath. On conviction of such offense, such person shall be punished as provided by O.C.G.A. § 16-10-71.”

State of Georgia

Driver’s License No.:

Signature:

Date:

Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.

INSTRUCTIONS

How to complete the MV-9W Form

APPLICATION INFORMATION – This form can only be submitted (as applicable by law) by a Veteran, Active Military Personnel, Spouse or Surviving Spouse.

Veteran/Active Military Personnel: A person who served in the active military, and who was discharged or released under honorable conditions.

Spouse: A person who is married to a veteran that does not have a registered vehicle.

Surviving Spouse: Means (except for purposes of chapter 19 of this title) a person who was the spouse of a veteran at the time of the veteran's death, and who lived with the veteran continuously from the date of marriage to the date of the veteran's death.

COMPLETING this FORM

∙Complete the registrant/owner information. The mailing address block should contain the physical address of the registrant.

∙Complete the vehicle information for which the request for a special veteran/military license plate is being requested.

∙Check the category of license plate that belongs on the vehicle to which you intend to register this plate.

∙Check the type of license plate you would like issued. Please note that some license plates require additional documentation and/or requirements which are noted below. Military license plates are issued only to those vehicles titled in Georgia.

EXAMPLES of ACCEPTABLE DOCUMENTATION

1.Enlisted Record and Report of Separation (Form WD AGO 53-55) - must state Honorable or General Discharge, the dates of active duty service; your commendations, award or medal.

2.General Orders;

3.Correction to Form DD214 (Form DD215);

4.Official Discharge Order from the United States Armed Forces;

5.Certificate of Release or Discharge from Active Duty (Form DD214) - must state Honorable or General Discharge, the dates of active duty service; your commendations, award or medal;

6.Report of Separation and Record of Service (Form NGB 22); or

7.Current Military ID Card

8.13038 Certification of Military Service Form

FEES

∙All Special Veterans License plates are free for one vehicle.

∙Additional tags: $25 manufacturing fee (one time fee) plus $20 annual registration fee.

∙Ad Valorem tax exemption (either annual property or title tax): This applies to one vehicle registered to 100% Service Connected Veteran, Purple Heart, Medal of Honor, Prisoner of War or Surviving Spouse of POW. All other tags are subject to applicable taxation.

*** CRITERIA for CAMPAIGN / TOUR of DUTY and MILITARY MEDAL AWARD LICENSE PLATES ***

CAMPAIGN/TOUR of DUTY LICENSE PLATES: To be eligible for this plate you must have had active duty service in World War I, World War II, the Korean War, the Vietnam War, Operation Desert Storm, the Global War on Terrorism as defined by Presidential Executive Order 13289, Section 2, the War in Afghanistan, or the War in Iraq, which includes either Operation Iraqi Freedom or Operation Enduring Freedom. The applicant must submit ONE of the seven

(7)documents listed, which must be properly completed, signed, show honorable discharge, and list the citations or decorations he or she received for serving in the designated war or conflict.

GENERAL/RETIRED LICENSE PLATES (Including Retired National Guard): The applicant must submit a copy of his or her current military ID card, proof of retired status, or ONE of the seven (7) documents to show honorable discharge.

MILITARY MEDAL AWARD LICENSE PLATES: To be eligible for this plate the individual was issued a medal, decoration, or other recognition of honor for military service awarded by a branch of the United States military.

GOLD STAR FAMILY PLATES: The applicant who has had an immediate family member die in the line of duty while serving in the United States Armed Forces. Submit veteran’s Death Certificate accompanied by Marriage Certificate (if applicable) and DEER listing a spouse, mother, father, sibling, surviving

spouse of sibling, child or step-parent.

PURPLE HEART RECIPIENT: Active Duty Service members shall provide their original citation which will be photocopied by the county tag office.

FORMER PRISONER of WAR PLATES: The applicant must submit a copy of former POW membership card, or a statement from the United States Department of Veterans Affairs or the United States Department of Defense, or ONE of the seven (7) documents listed.

*** MEMBERS of ACTIVE RESERVE COMPONENTS or MEMBERS of the GEORGIA NATIONAL GUARD ***

Members of active reserve components of the United States

O.C.G.A. §40-2-65

For Active Duty Members: The commanding officer of each active reserve component program unit or the adjutant general of the National Guard unit of each neighboring state shall, upon request of any reserve member or National Guard member of that unit, respectively, furnish to that member approved documentation supporting the member's current membership in the respective reserve or National Guard unit.

For Retired Members: The commanding officer of each active reserve component program unit shall, upon request of any retired reserve member from that unit, furnish to that retired member approved documentation supporting the retired member's current retired membership status from that reserve unit.

Members of Georgia National Guard

O.C.G.A. §40-2-66

For Active Duty Members: The adjutant general of Georgia shall, upon request of any member of that National Guard unit, furnish to that member approved documentation supporting the member's current membership in that National Guard unit.

For Retired Members: The adjutant general of Georgia shall, upon request of any member retired from that National Guard unit, furnish to that retired member approved documentation supporting the member's retired membership status in that National Guard unit.

Note: Surviving Spouse - The spouse of a member of the military, National Guard or U.S. Reserves who is killed while serving in a combat arena shall continue to be eligible to be issued a distinctive license plate as provided in this Code section so long as such spouse does not remarry. Spouse must provide certified copy of Death Certificate accompanied by certified copy of Marriage Certificate.

Have a question? Visit our website at http://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.

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