Applications must be completed, signed, and submitted with the fee noted on the front of the application. The annual fee indicated on the application is in addition to the regular registration fee set by law and is payable upon renewal. Depending on the type of license plates requested, additional documentation may be required as noted below. Make check or money order (do not send cash) payable to the Missouri Department of Revenue and forward with this application to: Missouri Department of Revenue, Motor Vehicle Bureau, Personalized License Plate Section, PO Box 569, 301 West High St, Room 370, Jefferson City MO 65105-0569. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds. If you have questions regarding this application, call (573) 526-3669 or visit http://dor.mo.gov/mvdl.
You must renew your personalized military license plates within 60 days of expiration to ensure the military personalized plates are held in your name.
Step 1: Fill in the name exactly as it is shown on the title of the vehicle to which you intend to register this license plate. Fill in your current address, daytime telephone number, and license plate number that you currently have on the vehicle.
Check the category of license plate that belongs on the vehicle to which you intend to register this plate. Local truck plates are limited to a 50 mile radius. You may add the disabled person symbol to any plates. You must also submit an original signed physician’s statement for disabled person’s license plates (Form 1776) from an advance practice registered nurse, licensed physician, chiropractor, physician’s assistant, podiatrist, or optometrist must be submitted that states the disability is permanent. The physician’s statement is valid for 90 days after completion by an authorized medical professional.
Step 2: Check the type of license plate you would like issued. Please note that some license plates require additional documentation or requirements which are noted below. Military license plates are issued only to those vehicles titled in Missouri.
•Air Force, Army, Coast Guard, Marine Corps, Merchant Marine, National Guard, and Navy Plates: The applicant must submit a copy of his or her current military identification card, or one of the seven (7) documents to show honorable discharge listed at the bottom of this page.
•Air Medal, Bronze Star, Combat Action Badge, Combat Action Ribbon, Combat Infantryman, Combat Medic, Distinguished Flying Cross, Korea Defense Services Medal, Silver Star, Armed Forces Expeditionary Medal, and Legion of Merit: The applicant must submit a copy of one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed, and list the citation or decoration the applicant received that corresponds with the type of plate being requested.
•Civil Air Patrol Plates: The applicant must submit a $15.00 (Minimum) original Emblem Use Authorization Statement from the organization.
•Congressional Medal of Honor Plates: The applicant must submit a letter from the United States Department of Veteran Affairs verifying the applicant was awarded the Congressional Medal of Honor.
•Disabled Veteran Plates: The applicant must submit a statement from the United States Department of Veteran Affairs no more than one year from the date of application stating their disability is service connected. If requesting the wheelchair accessibility symbol, the applicant must also submit an original signed Physician’s Statement for Disabled Person License Plates (Form 1776) from an advance practice registered nurse, licensed physician, chiropractor, physician’s assistant, podiatrist, or optometrist must be submitted that states the disability is permanent. The physician’s statement is valid for 90 days after completion by an authorized medical professional. Limited to one set at no fee, per owner. Additional set(s) of plates issued shall be subject to regular registration and required personalization fees.
•Former POW 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 as listed at the bottom of this page stating that he or she is a former prisoner of war .
•Gulf War (Desert Storm or Shield), Korean War, Operation Enduring Freedom, Operation Iraqi Freedom, Operation Noble Eagle, Vietnam Veteran, and World War II Plates: The applicant must submit one of the seven (7) documents listed at the bottom of this page, 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.
•Marine Corps League Plates: The applicant must submit a copy of Marine Corps League membership card verifying he or she is currently a member in good standing of the Marine Corps League.
•Military Award Placard: Veteran medal recipients of the Air Force Cross, Bronze Star, Coast Guard Cross, Congressional Medal of Honor, Distinguished Flying Cross, Distinguished Service Cross, Former POW, Navy Cross, Purple Heart, or Silver Star, may obtain this placard by presenting proof the veteran has been awarded such medal.
•Navy Cross: The applicant must submit a copy of his or her certificate of release or discharge from active duty (Form DD214) or correction to Form DD214 (Form DD215) verifying the applicant received the Navy Cross decoration.
•Pearl Harbor Survivor Plates: The applicant must submit one of the following:
1.A copy of his or her discharge papers issued by the United States Armed Forces verifying that he or she served in the United States Armed Forces on December 7, 1941, and was stationed on the Hawaiian Island of Oahu or other related military installation during the enemy attack;
2.Verification from the United States Armed Forces that he or she is a Pearl Harbor Survivor; or
3.A copy of the identification card issued by the Pearl Harbor Association, Inc. verifying he or she is a Pearl Harbor Survivor.
•Purple Heart Plates: The applicant must submit a copy of one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed, and list the Purple Heart as one of the citations or decorations the applicant received, or a copy of military order of the Purple Heart membership card.
•Retired Military Plates: The applicant must submit proof of retired status from a particular branch of the United States Armed Forces.
•Some Gave All Plates: The applicant who has had an immediate family member die in the line of duty while serving in the United States Armed Forces. The applicant must submit a $25.00 (minimum) original Emblem Use Authorization Statement from the Veterans of Foreign Wars, or the Department of Revenue .
•U.S. Veteran (U.S. Vet) Plates: The applicant must submit proof of military eligibility indicating the applicant was honorably discharged from the military.
•Veterans of Foreign Wars (VFW) Plates: The applicant must submit a $25.00 (minimum) original Emblem Use Authorization Statement from the organization.
•Wartime Disabled Plates: You must submit a copy of your Disabled American Veteran (DAV) membership identification card and a copy of a current photo identification card with this application.
•We Shall Not Forget (Gold Star): Eligible applicants are any immediate family member, including stepsiblings or stepchildren, of a member of the military who was a resident of Missouri and killed in the line of duty. The applicant must provide the requested configuration of the plate in Step 3 on the front of this application. The requested configuration cannot be in use and must contain the initials of the family member killed in the line of duty followed by a three letter description of the applicant’s relationship to the family member. Please provide multiple options.
•Woman Veteran: The applicant must submit one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed and, if discharged, showing honorable discharge.
Acceptable documentation as noted above includes:
1. |
Enlisted Record and Report of Separation (Form WD AGO 53-55); |
5. |
Official Discharge Order from the United States Armed Forces; |
2. |
General Orders; |
6. |
Report of Separation and Record of Service (Form NGB 22); or |
3. |
Certificate of Release or Discharge from Active Duty (Form DD214); |
7. |
Current Military Identification Card |
4. |
Correction to Form DD214 (Form DD215); |
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Indicate more than one personalized license plate choice. You may use a combination of letters and numbers. Please print clearly using all capital letters.
Step 3: Signs and symbols cannot be used except for one space, one dash, or one apostrophe. Space limitations are noted on the front of the application.
Please print capital letters and numbers as follows:
Indicate the license office name and number where license plates are to be picked up. The office name and number can be located at
Step 4: http://dor.mo.gov/mvdl/offloc/. Sign the application.
You will receive a notification letter when your license plates have been sent to the license office you indicated on the front of this application. Please allow up to six to eight weeks after the license plates are ordered for the notification letter to arrive.
Form 4601 (Revised 08-2020)
Mail to: Motor Vehicle Bureau |
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Visit |
P.O. Box 569 |
Phone: (573) 526-3669 |
http://dor.mo.gov/motorv/plates/ |
Jefferson City, MO 65105-0569 |
E-mail: mvbmail@dor.mo.gov |
for additional information. |
