Form Mvr 33A PDF Details

Mvr 33a is a form used to report an accident to the police. It can be used to report any type of accident, including accidents that occur while you are driving. The form is typically filled out by the driver involved in the accident, and it provides information about the accident and its causes. Filling out this form can help ensure that the police have all of the information they need to investigate the accident. It is important to remember that you should only fill out this form if you are involved in an accident - do not submit it if you are simply reporting on someone else's accident.

QuestionAnswer
Form NameForm Mvr 33A
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnc dmv veterans form, raleigh nc mvr, nc partially disabled veteran license plate, nc form veteran

Form Preview Example

MVR-33A

NORTH CAROLINA DIVISION OF MOTOR VEHICLES

REV 8/2019

3155 Mail Service Center

 

 

Raleigh, NC 27697-3155

Military/Veteran’s Registration Plate Application

Please submit application to the Department of Military and Veterans Affairs Officer with a DD214 and/or VA Rating Letter prior to submitting to NCDMV

Section 1

I would like to apply ( ) for the following license plate:

 

Please select only one (1) plate for each application

 

**Afghanistan Veteran (suffix AV) - none

**Partially Disabled Veteran (prefix PD) - none

 

Air Medal Recipient (suffix AM) - $10.00

**Pearl Harbor Survivor - none

 

*Bronze Star Combat Recipient (Suffix V) Free

**Purple Heart Recipient Motorcycle (suffix PV) - none

 

**Bronze Star Recipient (suffix BS) - none

**Purple Heart Recipient (prefix PH) - none

 

*Congressional Medal of Honor - Free

*Silver Star Disabled Veteran (prefix SD) - Free

 

**Desert Storm Veteran (suffix GV) - none

*Silver Star Recipient (suffix SS) - Free

 

*Disabled Veteran (suffix DV) - Free

**US Military Air Force Veteran (suffix VF) - none

 

Distinguished Flying Cross (suffix FC) - $10.00

**US Military Army Veteran (suffix VA) - none

 

*Distinguished Service Cross (suffix DC) - Free

**US Military Coast Guard Veteran (suffix VC) - none

 

*Ex-Prisoner of War - Free

**US Military Marine Veteran (suffix VM) none

 

**Gold Star Lapel Button (suffix GS) - none

**US Military Navy Veteran (suffix VN) none

 

**Iraq Veteran (suffix IV) - none

**Vietnam Era (suffix VV) - none

 

**Korean Conflict (suffix KV) - none

**War on Terror (suffix WT)- none

 

**Legion of Merit (suffix LM)- none

**World War II Veteran (suffix WV)- none

 

*Legion of Valor-Free

 

*One free plate per person, **No special fee – license plate fee is due

_____First in Flight Background _____ First in Freedom Background _____National/State Motto Background

When applying for a personalized Military/Veteran license plate, please remember the prefix/suffix representing the plate will be the first/last letters on the plate. Personalized special plate choice must contain at least one alpha character. The personalized plate choice cannot be numbers only. Please note the prefix/suffix for the plate. If you choose to personalize the plate, the cost will be an additional $30.00 personalized fee. Personalization may not be available on certain plates.

You are allowed four (4) spaces for a personalized message ___ ___ ___ ___

THE SPECIAL/PERSONALIZED FEE IS AN ANNUAL FEE DUE IN ADDITION TO LICENSE FEE

Section 2

Name (To agree with certificate of Title):

First

Middle

Last

Address

CONTACT INFORMATION:

HOME PHONE: _________________________

HOFFICE/CELL PHONE: ______________________________

EMAIL: ________________________________________________

VEHICLE INFORMATION:

City

State

 

 

Zip Code

 

 

VEHICLE IDENTIFICATION NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Driver License #

 

 

State

 

 

Current NC Plate Number

 

YEAR

MAKE

BODY SYTLE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Owner’s Certificate of Insurance

 

 

 

 

 

 

 

 

 

I certify for the motor vehicle described above that I have financial responsibility as required by law.

 

 

 

 

 

 

 

 

 

 

 

Print or Type Full Name of Insurance Company Authorized in N.C. - Not Agency or Group

Policy Number

 

 

 

______________________________________________________________________________________________________________________________________________________________________________________

SIGNATURE OF OWNER

DATE OF CERTIFICATION

 

 

 

 

Section 3

North Carolina Department of Military and Veterans Affairs

 

4001 Mail Service Center- Raleigh, NC 27699-4001

To be completed by a NC Division of Veterans Affairs County or State Veterans Service Officer prior to submitting the form to NCDMV or the License Plate Agency

The records of the Department of Military and Veterans Affairs indicates that the above applicant qualifies for a

____________________________________________special license plate

(Type of plate desired from the list above)

_______________________________________________________________________________________

Printed Name of the Director of the Department of Military and Veterans Affairs or the Director’s designee

_______________________________________________________________________________________

 

Signature of the Director of the Department of Military and Veterans Affairs or the Director’s designee

Date

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1. First, once filling out the nc veteran plate, start in the section that contains the subsequent fields:

Stage number 1 in submitting nc partially disabled veteran license plate

2. The third stage is to submit these blanks: First, Middle, Last, Address, HOFFICECELL PHONE, EMAIL, VEHICLE INFORMATION, City, State, Zip Code, VEHICLE IDENTIFICATION NUMBER, Driver License, State, Current NC Plate Number, and YEAR.

Filling out part 2 of nc partially disabled veteran license plate

It's simple to make an error while completing your VEHICLE INFORMATION, thus make sure you look again prior to deciding to submit it.

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