Form Tc 817 PDF Details

Embarking on the journey of adding a personal touch to one’s vehicle in Utah involves navigating the intricacies of the TC-817 application form, a pivotal document issued by the Utah State Tax Commission. This form accommodates requests for personalized license plates and the replacement of existing ones, encapsulating a variety of plate categories like personalized special group plates, personalized disabled plates, and radio plates, across diverse vehicle types from automobiles to motorcycles. Intriguingly, the form delineates clear guidelines for completing your application, emphasizing the importance of choosing characters that adhere to specific criteria to avoid conflicts with standard series plates and ensuring the selected combination aligns with decency standards. It illuminates the process for new orders and replacements alike, each entailing a distinct set of requirements and associated fees, detailed comprehensively for applicant preparedness. Fees vary markedly depending on the type of plate and the vehicle, incorporating contributions for special interest groups in some cases, thereby intertwining personal expression with philanthropic opportunities. This form serves as a testament to the state’s commitment to offering a platform for personal expression while ensuring regulatory compliance and fostering community support through optional contributions to designated causes.

QuestionAnswer
Form NameForm Tc 817
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesTC-817, tc 817, form tc 817, EMT

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Utah State Tax Commission

Application For Personalized Plates and Replacement Of Existing Personalized License Plates

TC-817 Rev. 7/05

Use this form for personalized license plates and replacing your personalized license plates, including personalized special group plates, personalized disabled plates, and radio plates, for use on an automobile, truck, trailer, or motorcycle. Personalized plates cannot be displayed on proportionally registered interstate vehicles. If you have any questions, please contact the Division of Motor Vehicles by calling (801) 297-7780 or 1-800-DMV-UTAH.

GET FORMS ONLINE - TAX.UTAH.GOV

How To Complete Your Application

At the top of the application check whether this is an new plate order or replacement of existing plate.

New Order: If you are registering your vehicle now, you must pay your registration fees, donations, shipping costs and provide information in Sections 1, 2 and either 3, 4 or 5. When selecting a special plate decal, refer to page two, for other fee information.

All plates, except for Amateur Radio, Vintage and Search and Rescue Radio require payment of an additional renewal fee of $10 when renewing plates for the next registration year. Do not include $10.00 fee in 1st time order.

Any changes made to your personalized plate application after it has been submitted will require you to complete a new personalized plate application and pay all required fees again.

Personalized Plate Replacement: If you are replacing current personalized plates, you must pay your registration fees and provide information in Sections 1, 2 and either 3, 4 or 5.

The replacement fee is $10, plus $3 for postage and handling (total $13).

Make check or money order payable to the Utah State Tax Commission and send with the application to the Utah State Tax Commission, Division of Motor Vehicles, 210 N 1950 W, Salt Lake City, Utah 84134-8120. The fees shown on page 2, already

include a $3 fee for postage and handling.

Accepting this application and payment of fees does not mean your personalized plate has been approved.

Personalized plates are issued on a first-come, first-served basis. For this reason, if you have more than one choice, list your choices (except for Radio Plates), in order of preference, in case your first choice is not available. Personalized license plates will be manufactured exactly as shown on this form.

Utah Code §41-1a-411 allows the Division to refuse requests "that may carry connotations offensive to good taste and decency or which would be misleading."

IMPORTANT, PLEASE READ ABOUT SECTIONS 3 AND 4

In the space provided, you need to briefly explain the meaning of the characters you choose. For example, if the characters you chose are "LV2READ" they could mean, "Love to read."

When making your character selection, do not use a combination of 6 or 7 numbers. For example, do not use consecutive numbers like "1234567."

When making your character selection, do not use a combination of 3 numbers with 3 alpha characters. For example, do not use "123ABC or ABC123." These combination of numbers conflict with existing preprinted standard series of plates.

When making your character selection, do not use a combination of 5 numbers and 1 letter. For example, do not use "12345A."

No special characters (period, apostrophe, dash, etc.) may be used.

All registered owners of the vehicle to which this personalized plate will be issued, have equal ownership of the personalized plate, regardless of which owner(s) has signed this application.

Contact the DMV to order regular issue (non-personalized) special group or disabled license plates.

If you need an accommodation under the Americans with Disabilities Act, contact the Tax Commission at (801) 297-3811 or TDD (801) 297-2020. Please allow three working days for a response. For additional information, you may access the Tax Commission's internet site at: http://dmv.utah.gov/

 

 

Personalized License Plate Descriptions and Fees

Fee includes $3 for postage and handling

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plate type

Plate information

 

Number of

Plate

 

 

 

 

characters

application

 

 

 

 

 

 

 

 

 

 

 

 

allowed

fee

 

Ski Utah

Any vehicle owner may request personalized plates.

 

1 to 7

$58

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Centennial

Any vehicle owner may request Personalized Centennial Plates.

1 to 7

$58

 

 

 

 

Only available for disabled plates and personalized plates (not for special group plates)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Motorcycle

Any motorcycle owner may request personalized plates.

1 to 4

$58

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amateur Radio

Provide a copy of a current FCC license with assigned call numbers.

Call

$13

 

 

 

 

 

 

number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boy Scouts

Contribution of at least $25 yearly must be made to the Boy Scouts Of America.

 

 

 

 

 

 

 

The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Boys and Girls

Contribution of at least $25 yearly must be made to the Boys and Girls Club.

 

 

 

 

Club

The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Children’s

Contribution of at least $25 yearly must be made to the Children’s Ad Litem Services Account and

 

 

 

 

Issues

Children’s Museum of Utah. The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clean Fuel

The initial fee is $10 for a new plate. You must have a clean fuel permit.

 

 

 

 

 

 

 

The fee for the clean fuel permit (TC-596) is $82 if your truck weight is under 26,000 lbs.

1 to 5

$63

 

 

 

 

and $126 if the truck weight is over 26,000 lbs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Collegiate

The appropriate contribution must be made each year to the participating college or university of your choice. Add the

 

 

 

 

 

 

 

appropriate contribution to the plate application fee for total due. If you made your contribution directly to a college or

1 to 5

$63

 

 

 

 

university, provide a copy of the Certificate of Fund Donation, form TC-836. For the appropriate contribution amount,

 

 

 

 

 

 

 

 

 

 

 

see form TC-836 or dmv.utah.gov/licensecollegiate.html.

 

 

 

 

 

 

 

 

 

 

 

 

Disabled Person

A physician must complete a Physician Certification, TC-842.

1 to 5

$63

 

 

 

 

Available on Ski Utah and Centennial Plates.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMT

Requires a certificate of current EMT training.

 

1 to 5

$63

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Farm Truck

Provide completed farm truck affidavit or copy of your current farm truck registration. Contact DMV for

1 to 5

$63

 

 

 

 

other possible registration requirements.

 

 

 

 

 

 

 

 

 

 

Firefighter

Provide a copy of a membership card from the Utah Firefighter Association or a letter from the local fire

 

 

 

 

 

 

 

department or local governing body verifying that an individual is currently a full-time, part-time,

1 to 5

$63

 

 

 

 

volunteer, or retired firefighter.

 

 

 

 

 

 

 

 

 

 

 

 

 

Former Prisoner

Provide a copy of discharge papers, notice of separation, or other acceptable government documents

1 to 5

$63

 

of War

indicating a classification of prisoner of war.

 

 

 

 

 

 

 

 

 

 

Homeless Pets

Contribution of at least $25 yearly must be made to No More Homeless Pets in Utah.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

National Guard

Provide evidence of current membership in the Utah National Guard.

1 to 5

$63

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pearl Harbor

Provide a copy of discharge papers, notice of separation, other acceptable government documents with

1 to 5

$63

 

Survivor

dates and locations of active service, or evidence of a Pearl Harbor Survivor Association membership.

 

 

 

 

 

 

 

 

 

 

 

 

 

Public Education

Contribution of at least $25 yearly must be made to the Utah Association of Public School Foundations.

 

 

 

 

Support

The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Purple Heart

Provide a copy of discharge papers, notice of separation, other acceptable government documents with

 

 

 

 

Recipient

dates and locations of active service, or evidence of a

"Military Order of the Purple Heart" organization

1 to 5

$63

 

 

 

 

membership. Physical possession of a Purple Heart Medal does not qualify for special group plate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Search and Rescue

Provide official current Search and Rescue membership card, current Search and Rescue picture

 

 

 

 

 

 

 

identification badge, or provide a letter (on county sheriff letterhead), from the county sheriff, stating

1 to 5

$63

 

 

 

 

that the applicant is a current Search and Rescue team member.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Search and Rescue

Provide documentation verifying call numbers from the county sheriff. The applicant must be a

Call

 

 

 

Radio

current Search and Rescue team member and must provide the same documentation required

$13

 

number

 

 

 

 

to qualify for a Search and Rescue plate.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Snowmobiler

Contribution of at least $25 upon first registration must be made to the Division of Parks and Recreation.

 

 

 

 

 

 

 

The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Soil

Contribution of at least $25 upon first registration must be made to the Department of Agriculture.

 

 

 

 

Conservation

The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Special Interest

Vehicle must be 20 years old or older.

 

1 to 5

$63

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Veterans

Contribution of at least $25 upon first registration must be made to the Office of Veterans' Affairs. After the first

 

 

 

 

 

 

 

year the yearly contribution is at least $10. The first year contribution should be included with this application.

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vintage

Vehicle must be 40 years old or older.

 

1 to 5

$83.50

 

 

 

 

 

 

 

 

 

 

 

 

 

Wildlife

Contribution of at least $25 yearly must be made to the Division of Wildlife. The first year contribution

 

 

 

 

 

 

 

should be included with this application.

 

1 to 5

$63

 

 

 

 

Add to plate application fee for total due.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Page 2

Utah State Tax Commission

Application For Personalized Plates and

GET FORMS ONLINE - TAX.UTAH.GOV

 

Replacement Of Existing Personalized License Plates

TC-817

Includes personalized, personalized special group, personalized disabled and amateur radio

Rev. 7/05

New Order (payment and vehicle information is required) Complete Sections 1, 2 and either 3, 4 or 5.

Personalized Plate Replacement (payment and vehicle information is required) Complete Sections 1, 2 and either 3, 4 or 5.

Section 1: Applicant Information Plates can be issued to and used only on the vehicle registered to the person(s) listed below

Select either the “Centennial" or “Ski Utah” plate design.

Check the type of vehicle plates will be used for

Date of application

 

 

Centennial Plate

Ski Utah Plate

 

 

Motorcycle

 

Trailer

 

Automobile/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

truck/Van/Utility

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Registered owner's name

 

 

 

 

 

 

 

 

 

Daytime telephone number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address

 

 

 

 

City

 

 

 

 

State

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature(s)

 

 

 

 

 

 

 

 

 

If a contribution is

 

 

X

 

 

 

 

 

 

 

 

 

required, enter the

$ ____________

 

 

 

 

 

 

 

 

 

 

 

contribution amount

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Section 2: Vehicle Information Current vehicle information for which personalized plates will be registered:

Current plate number

Date registration expires

VIN

Make

Model

 

 

 

 

 

Year

When completing Section 3 or 4, you need to briefly explain the meaning of the characters you choose. For example, characters "LV2READ" could mean, "Love to read." When making your character selection, do not use a combination of 6 or 7 numbers (1234567) or a combination of 5 numbers and 1 letter (12345A).

Automobiles, trucks, trailers may use up to 7 characters and motorcycles

Section 3: Personalized Ski Utah or Centennial Plates may use up to 4 characters (no special characters allowed)

1st Choice

Explain the meaning of the characters you have chosen:

2nd Choice

Explain the meaning of the characters you have chosen:

3rd Choice

Explain the meaning of the characters you have chosen:

Use up to 5 characters (Slogan varies based on plate type) Check the

Section 4: Personalized Special Group special group plate you want (no special characters allowed)

Special Group plates are only available on the Ski Utah plates. Disabled is available on Ski Utah and Centennial plates.

Special group plate (specify type) American Legion, Boy Scouts, Boys & Girls Club, Children’s Issues, Clean Fuel, EMT, Farm truck, Firefighters, National Guard, Homeless Pets, Pearl Harbor, P.O.W., Public Ed. Support, Purple Heart,

__________________________ Search and Rescue, Snowmobiler, Soil Conservation, Special Interest, Vintage

Veteran:

Air Force

Army

Coast Guard

Wildlife:

Heron

Trout

Elk

Collegiate

College name

Marine

Navy

AMERICAN LEGION Disabled:

Ski Utah

Centennial

1st Choice

Explain the meaning of the characters you have chosen:

2nd Choice

Explain the meaning of the characters you have chosen:

3rd Choice

Explain the meaning of the characters you have chosen:

Section 5: Amateur or Search and Rescue Radio Plate (Plate characters are the assigned call numbers issued by the FCC or county sheriff. Use up to 6 characters)

The Radio plates are only available on Ski Utah plates. See plate description on page 2 for requirements.

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