Form CP-62.1 - Order Form for Personalized Plates - New York

3. Motorcycle Organization Plates - Plate number will be computer generated.
If you want to personalize your Motorcycle Organization Plate, check the box for one
of the organizations below then use a maximum of 4 spaces for your personal choice.
Use a period (.) to indicate a blank space. The state silhouette cannot be used on a motorcycle plate.
The logo picture will appear on the left side of the plate. If the ISA is required, only 3 spaces are allowed.
1st ___ ___ ___ ___ 2nd ___ ___ ___ ___ 3rd ___ ___ ___ ___
Name as it appears on your current
registration (Last, First, Middle)
Mailing Address (Include
Number and Street)
Apt. #
City
State County ZIP
Date of Birth
/ /
Current Plate
Number
Vehicle Model
Year
Vehicle
Make
Has address changed in the last two years?
o Yes o No
oo
Male Female
Daytime Phone (include area code)
( )
Do your current plates have the
International Symbol of Access?
o Yes o No
If you need the International Symbol of Access on your new plates and you do not have it on your current plates,
you must also submit a completed form MV-664.1 or MV-400PH, which may be printed from the DMV web site.
5. Personalized Regional, Cause or Sports Picture Plates - Make your choice on page 2.
Circle class code: PAS COM. . . . . . . . . You will find the vehicle class code printed on the registration
sticker on your windshield or on the document itself.
The logo picture will appear on the left side of the plate, with a maximum of 6 spaces allowed. Use a period (.) to indicate a blank space.
The state silhouette cannot be used on these plates. If the ISA is required, only 5 spaces are allowed.
A maximum of 8 spaces is allowed. The state silhouette can be used ONE time as a divider within the plate number, but not at the beginning or end of the
number. The state silhouette cannot be used if the chosen plate number has no blank spaces remaining. Use the @ symbol to show where you want the
state silhouette to be on the plate and use a period (.) to indicate a space. All plate numbers will be centered on the plate unless you tell us to do otherwise.
If the ISA is required, only 6 spaces are allowed.
2. Personalized Motorcycle Plates - Verify vehicle class code as MOT on registration.
A maximum of 6 spaces is allowed. Use a period (.) to indicate a blank space. The state silhouette cannot be used on motorcycle plates.
All plate numbers will be centered on the plate unless you tell us to do otherwise.
1st ___ ___ ___ ___ ___ ___ 2nd ___ ___ ___ ___ ___ ___ 3rd ___ ___ ___ ___ ___ ___
If the ISA is required, only 5 spaces are allowed.
1. Personalized Plates
Circle class code: PAS COM TRC OMT OML HIF SPC TOW AGR CHC
NOTE:
l Plates are not ordered until we receive ALL required documents and fees.
l The next available number in the plate series will be assigned.
l Falsifying documents will result in cancellation of the custom plates.
l ALL custom plates are flat (that is, the letters/numbers are not raised). This allows more flexibility in plate designs.
l Plates will be mailed to the address on the vehicle’s registration file. If you have moved and you have not updated your
address on your registration record, please complete the change of address form (MV-232).
If you have any questions or need additional information, call us at (518) 402-4838 or visit our web site www.dmv.ny.gov
Complete and mail this form with your payment to the address shown below.
For faster service call 518-402-4838, or visit our web site www.dmv.ny.gov/cplates.htm anytime.
Do not use this form if you are interested in any of the plates in this box. Please refer to the proper form for ordering these plates.
Professional (use form MV-410) Emergency Services (use form MV-411) Military/Veteran (use form MV-412)
CP-62.1 (8/15)
PLATE SELECTION: In items 1, 2, 3 & 4, the word “SPACES” means any combination of numbers and letters, including blank spaces and the state
silhouette. You may provide up to 3 choices. Personalized plates cannot be all numbers, they must contain at least one letter. Plate numbers are assigned on a
first-come, first-served basis. DMV reserves the right to reject, recall or cancel any plate that is deemed objectionable. This includes plates that have already
been issued.
4. Standard Regional, Cause or Sports Picture Plates - Make your choice on page 2.
Circle class code: PAS COM. . . . . . . . . .You will find the vehicle class code printed on the registration
sticker on your windshield or on the document itself.
FEE: See Page 2
FEE: See Page 2
FEE: $60.00
FEE: $47.50
FEE: $35.00
FEE: $35.00
Please check one:
o AMA o BLUE KNIGHTS* (contact organization for approval 1-631-286-3361) o HOG* *Submit copy of current membership card.
PAGE 1 OF 2
__ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __
1st
2nd 3rd
__ __ __ __ __ __ __ __
__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
1st
2nd 3rd
ORDER YOUR NEW YORK STATE PERSONALIZED PLATES AND/OR
ORGANIZATION/CAUSE, SPORTS PICTURE PLATES OR REGIONAL PLATES TODAY!
TRL LTR SEM HOU
You will find the registration class code on the top left-hand side of your registration receipt or on your windshield sticker.
PERSONALIZED FEE:
$53.75
Page 1/2
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Form CP-62.1 - Order Form for Personalized Plates - New York PDF

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