VTR-615 Form – Fill Out and Use This PDF

Application for Disabled Veteran License Plates and/or Parking Placards

Personalize Your Plate – If you would like to personalize your specialty plate, there will be a $40 fee per year in addition to the specialty plate fee or annual registration fee.

•Show personalizations exactly as you want them to appear on your license plate(s). You may list more than one option in the event the personalization you have chosen has been issued.

•A personalization that has been issued, is deemed offensive, or conflicts with the regular license plate numbering system cannot be approved.

•Enter your desired personalized letters, numbers, and/or symbols in the blocks below. The available symbols include: a period, a dash, a blank space, a Texas silhouette (use an asterisk “*” to indicate), a heart (use an at “@” to indicate), and a star (use an ampersand “&” to indicate).

•Personalized plates must include “DV” as a prefix or suffix, which counts as two (2) characters.

•Passenger car and truck plates are limited to six (6) characters total, including punctuation characters.

•Motorcycle/moped plates are limited to six (6) characters total without an emblem and four (4) characters total with an emblem, including punctuation characters.

•The International Symbol of Access (ISA) “” counts as two (2) characters and will be located at the beginning of the plate number. If you are disabled and applying for personalized specialty plates, use a percent “%” to indicate the ISA. State law does not allow the ISA on a vehicle weighing more than 18,000 lbs.

Personalization fee will not be refunded once the application is submitted.

Vehicle 1

Vehicle 2

Additional Requirements to Obtain an Emblem Design

You must include proof that you are an active member of the U.S. Armed Forces, a former member with an honorable discharge, and you were awarded the applicable service medal, graduated from the listed military academy, or served as indicated below:

Korea: You served in:

•the Armed Forces between June 27, 1950, and July 27, 1954, and received the National Defense Service Medal,

•a combat zone in Korea between June 27, 1950, and July 27, 1954, and received the Korean Service Medal, or

•the Republic of Korea or the contiguous water out 12 nautical miles beginning July 28, 1954, and received the Korean Defense Service Medal.

Vietnam: You served in:

•the Armed Forces between January 1, 1961, and August 14, 1974, and received the National Defense Service Medal, or

•a combat zone in the Republic of Vietnam between July 1, 1958, and March 28, 1973, and received the Vietnam Service Medal. Desert Shield or Desert Storm: You served in:

•the Armed Forces between August 2, 1990, and November 30, 1995, and received the National Defense Service Medal, or

•a combat zone in support of Operation Desert Shield or Desert Storm between August 2, 1990, and November 30, 1995, and received the Southwest Asia Service Medal.

11th Armored Cavalry Regiment: You serve or have served in the 11th Armored Cavalry Regiment of the U.S. Army.

36th Infantry Division: You serve or have served in the 36th Infantry Division of the U.S. Army of the Texas Army National Guard.

Enduring Freedom: You participated in Operation Enduring Freedom.

Enduring Freedom Afghanistan: You participated in Enduring Freedom Afghanistan.

Operation Iraqi Freedom: You participated in Operation Iraqi Freedom.

Prisoner of War: You must provide an official U.S. government document or certification from the U.S. Department of Veterans Affairs certifying or identifying you as a former prisoner of war.

Military Academies: You graduated from the listed academy.

Woman Veteran: You are a female active or former member with honorable discharge from the U.S. Armed Forces, Texas National Guard, or Texas State Guard.