Form Td 420 500 PDF Details

In the tapestry of state forms and procedures, few resonate with the dedication and honor reflected in the TD-420-500 form. This specific document serves as a gateway for military personnel, veterans, and their families to acquire special military license plates in Washington State. Through a collaborative effort involving the Washington Department of Licensing and the Washington Department of Veterans Affairs, the form simplifies the process of honoring service members’ sacrifices on the home front. Applicants are directed to furnish detailed personal and vehicle information, alongside requisite supporting documentation, to the Department of Licensing's Special Plate Unit. The form meticulously outlines eligibility for a diverse array of plate types, including distinctions for Medal of Honor recipients, disabled American veterans, former prisoners of war, Gold Star families, and more, each requiring specific proofs of qualification. Additionally, it opens the door to a broad spectrum of background plates and decals that proudly symbolize various branches of the military, operational theaters, and service achievements, attesting to the state's commitment to recognizing military service across a wide spectrum. Integral to this process is the accommodation of those needing assistance, signifying an inclusive approach to ensuring all eligible applicants can navigate the application process with ease. This form, thus, stands as more than just a document; it is a testament to valor, a bridge connecting service to recognition, and a tangible acknowledgment of the sacrifices made by military members and their families.

QuestionAnswer
Form NameForm Td 420 500
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names420500 td 420 077 form

Form Preview Example

Military License Plate Application

For fee information, contact a vehicle licensing office or visit dol.wa.gov. For additional military or veterans information, contact the Washington Department of Veterans Affairs at 1-800-562-0132 or visit dva.wa.gov. When completed, mail this form and any supporting documentation to:

Special Plate Unit

Department of Licensing

PO Box 9909

Olympia, WA 98507-9909

Owner and vehicle

PRINT or TYPE Name of registered owner

Claim# or SS# (DAV applicants only)

Mailing address

(Area code) Daytime telephone number

City

State

ZIP code

Email

Current Washington plate number

Tab expiration: Month/Year

Make

Year

Vehicle Identification Number (VIN)

Vehicle plate type

 

 

 

Car or truck

Motorcycle

Trailer plate – large

Trailer plate – small

Special military plates (additional fees may apply)

Complete only if you are applying for a special military license plate. If this is your first plate, it must be issued by the Department of Licensing by mailing this form and any supporting documentation to the address above.

Medal of Honor*

 

Disabled American veteran plate*

Disabled American veteran (tab only)*

Former prisoner of war plate*

Former prisoner of war (tab only)*

Gold Star*

 

*Require supporting documentation from the Washington State Department of Veteran Affairs.

Military Affiliate Radio System (MARS) – include a copy of your MARS license with this application

Pearl Harbor survivor

Purple Heart (supporting documentation required)

Korean Service Medal

WWI Victory Medal

V-Device (for Distinguished Flying Cross and Bronze Star ribbons only; supporting documentation required)

Applicant signature for special military license plate

X

Date

Armed forces (additional fees will apply)

Background plates

 

 

 

 

 

 

Army

Air Force

Marines

Coast Guard

Navy

National Guard

 

 

 

 

 

 

 

 

 

Decals

 

 

 

 

 

 

 

Veteran

Disabled veteran

Army retired

Retired

Army Guard

Active duty

Air Guard

Fallen hero

Reserves

Gold Star

Family

 

V-Device (for Distinguished Flying Cross and Bronze Star ribbons only; supporting documentation required)

 

 

 

 

 

 

 

 

Declaration

 

 

 

 

 

 

 

I declare that I am eligible to purchase an Armed Forces license plate because I am:

 

A veteran (defined in RCW 41.04.005 or RCW 41.04.007)

 

A member of the National Guard

Active duty military

 

 

 

A spouse of a deceased veteran

A reservist

 

 

 

 

A family member of a qualified veteran or military

 

 

 

 

 

member as described above

Registered owner signature for armed forces plate

X

Date

TD-420-500 (R/8/14)WA

We are committed to providing equal access to our services. If you need accommodation, please call (360) 902-3770 or TTY (360) 664-0116.

How to Edit Form Td 420 500 Online for Free

In case you want to fill out Form Td 420 500, you won't need to install any kind of programs - just try our PDF editor. To have our tool on the cutting edge of practicality, we work to adopt user-driven capabilities and enhancements on a regular basis. We're at all times thankful for any suggestions - help us with revampimg PDF editing. To start your journey, go through these simple steps:

Step 1: Click on the orange "Get Form" button above. It is going to open up our pdf tool so that you can start filling out your form.

Step 2: As soon as you access the tool, you will see the document made ready to be completed. In addition to filling in different blanks, you might also perform several other actions with the file, that is writing any textual content, modifying the initial textual content, adding illustrations or photos, putting your signature on the PDF, and much more.

Concentrate when filling out this document. Ensure that every blank is done properly.

1. Begin filling out the Form Td 420 500 with a selection of necessary fields. Gather all the important information and be sure not a single thing omitted!

Form Td 420 500 writing process described (part 1)

2. When the first part is done, go to enter the applicable details in these - Special military plates additional, Medal of Honor Disabled American, Disabled American veteran tab only, Require supporting documentation, Military Affiliate Radio System, Purple Heart supporting, Applicant signature for special, Armed forces additional fees will, Background plates, Army, Air Force, Marines, Coast Guard, Navy, and National Guard.

Background plates, Purple Heart supporting, and Marines inside Form Td 420 500

People frequently get some points wrong when completing Background plates in this part. Be sure you re-examine everything you enter right here.

3. The following segment should be fairly uncomplicated, Declaration I declare that I am, A veteran defined in RCW or RCW, Registered owner signature for, A member of the National Guard A, Date, TD RWA, and We are committed to providing - each one of these blanks is required to be completed here.

Form Td 420 500 conclusion process detailed (part 3)

Step 3: Confirm that the details are accurate and then simply click "Done" to conclude the task. Acquire your Form Td 420 500 after you join for a free trial. Instantly gain access to the document in your FormsPal account, along with any edits and changes conveniently kept! We don't sell or share any information you type in while filling out forms at our site.