Mv 653 Form PDF Details

In the bustling realm of official vehicle registration, the MV-653 form plays a crucial role for New York State agencies and political subdivisions, ensuring their vehicles are rightfully equipped with Official plates. Crafted by the New York State Department of Motor Vehicles, this pivotal document serves as certification of eligibility, marking a clear distinction between typical and governmental vehicles. Political subdivisions, defined as entities with delegated official functions from the state or local government, or those formed under state law, find in this form a gateway to authorize their vehicles for duty. Not just any organization can wield this power; volunteer groups, for instance, are guided towards another path, utilizing the MV-653V form instead. The process demands a meticulous detailing of the vehicle in question—from year, make, model, to VIN—underscored by the signature of a public officer or official. With an eye on legitimacy, the form also opens channels for Emergency Management plates, subject to the Department of Homeland Security and Emergency Services' (DHSES) approval, ensuring that those on the front lines have the resources they need. The MV-653 form's thorough nature, requiring both vehicle and official information, stands as a testament to New York State's dedication to organization, responsibility, and the seamless integration of its various governmental arms.

QuestionAnswer
Form NameMv 653 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesnys dmv mv 653, IOCU, mv 653 form, mv653

Form Preview Example

New York State Department of Motor Vehicles

MV-653 (3/14)

STATEAGENCY/POLITICAL SUBDIVISION

CERTIFICATION OF ELIGIBILITY FOR OFFICIAL PLATES

ATTENTION: This form is to be used by NYS agencies and political subdivisions to certify eligibility for Official plates. A political subdivision is defined as a subdivision of New York State that has been delegated certain official functions of state or localgovernment,includingagovernmententitycreatedby,orundertheauthorityof,Statelaw.AvehicleassignedOfficialplates mustbeownedorcontrolledbyastateagencyorapoliticalsubdivisionandoperatedbyitsemployees,orspecificallydesignated agentsthereof,inthecourseoftheirofficialduties.Thevehiclemustbetitledand/orregisteredinthenameofthestateagencyor politicalsubdivision.Volunteer organizations are not political subdivisions, and must use form MV-653V.

PLEASE CHECK THEAPPROPRIATE BOX BELOW TO INDICATE YOUR OFFICIAL GOVERNMENT STATUS: Government Division, District or Other Government Entity:

StateAgency County City

Town Village School District

Fire District Other Government Entity

 

 

Name of NYSAgency, County, City, Town, Village, District or Other Government Entity

 

 

 

 

Department or Division

 

 

 

 

 

Address

 

 

 

 

 

Name of Department or Division Director

Business Phone

Business E-MailAddress (Optional)

DESCRIPTION OF VEHICLE(S):

Checkthisboxifyouarecertifyingmultiplevehicles. Providethevehicleinformationonthereversesideofthisform.

Year

Make

Model

Vehicle ID # (VIN)

Plate Number (if currently registered)

Emergency Management (EM) * Yes No

County of Primary Use

*Authorization is required by the Department of Homeland Security and Emergency Services (DHSES) for additional Emergency Management plates that exceed the threshold established by DHSES. Emergency Management plate applications must be signed by the highest ranking elected or appointed official. If you have questions or need further information call DHSES at (518) 242-5122.

CERTIFICATION

I certify that the above-described vehicle(s) is (are) owned or controlled by the state agency or political subdivision to which this application for registration applies, and that the information contained herein is true and accurate. I do so in my capacity as a duly appointed public officer or official who has been granted the authority to act on behalf of the above-named political subdivisionorstateagency.

I understand that knowingly making a false statement on an application submitted to the Commissioner of Motor Vehicles is a misdemeanor under Vehicle and Traffic Law, a misdemeanor or felony under New York State Penal Law, and may result in criminal prosecution in addition to revocation or suspension of the registration pursuant to regulations promulgated by the CommissionerofMotorVehicles.

Signature ç______________________________________________________________ Date:________________________

(Sign Your Name in Full)

Print Your Name: ______________________________________________ Title: ____________________________________

Address: ______________________________________________________________________________________________

City: _______________________________________________________________ Zip Code: __________________________

Your Business

 

Your Business

Phone number (

)

E-MailAddress (optional): ____________________________________

DMV

USE ONLY

 

 

 

 

DHSES USE

ONLY

 

 

Authorization Code ______________________

Code from List

Code from IOCU

DMV SupervisorApproval: ç___________________________________________

Date: _______________________

 

(Signature)

 

 

I authorize the issuance of Emergency Management License Plates for the above vehicle

Signature:ç ________________________________________________________

Date: _______________________

Commissioner of Homeland Security and Emergency Services

 

 

Description of Vehicle(s)

YEAR MAKE

MODEL

VIN NUMBER

PLATE NUMBER

(ifcurrentlyregistered)

EMER

 

MGMT.

COUNTY OF

YES/NO

PRIMARY USE

 

 

MV-653 (3/14)