Form MV-412 - Application for Military and Veteran Custom Plates - New York

* Air Force Reserve (Letter from CO certifying Reserve status — Initial Fee: $38.75; cannot be personalized; not for use with a
commercial registration; No Annual Fee)
* Air National Guard (Letter from CO certifying eligibility — Initial Fee: $38.75; cannot be personalized; not for use with a
commercial registration; No Annual Fee)
* Airborne (Copy of current Airborne Association Membership Card or DD-214 or Current ID Card from Army Airborne
Initial Fee: $38.75/Personalized Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
American Legion (Copy of current membership card — Initial Fee: $38.75/Personalized Fee: $70.00; Annual Fee: Personalized
plates only - $31.25)
* Army National Guard (Letter from CO certifying eligibility — Initial Fee: $38.75; cannot be personalized; not for use with a
commercial registration; No Annual Fee)
* Army Reserve (Letter from CO certifying Reserve status — Initial Fee: $38.75; cannot be personalized; not for use with a
commercial registration; No Annual Fee)
Coast Guard Auxiliary (Copy of current Auxiliary Card - both sides — Initial Fee: $47.50/Personalized Fee:$78.75;
Annual Fee: Standard plates - $18.75/Personalized plates - $50.00)
* Coast Guard Reserve (Letter from CO certifying Reserve status or copy of active Coast Guard Reserve ID— Initial Fee: $38.75;
cannot be personalized; not for use with a commercial registration; No Annual Fee)
Combat Infantrymen (Copy of DD-214 and certification from NYS Commander — Initial Fee: $38.75/Personalized
Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
Congressional Medal of Honor (Proof of Award - No fees; cannot be personalized; not for use with a commercial registration)
Disabled American Veterans (DAV) (Contact organization for approval — Initial Fee: $38.75/Personalized Fee: $70.00 —
motorcycle plates — Initial Fee: $26.25/Personalized Fee: $45.00; Annual Fee: Personalized plates only - Passenger or Commercial -
$31.25/motorcycle - $18.75)
Disabled Veteran (This plate displays the International Symbol of Access ). Copy of DD-214 proving war-time veteran; and
for applicants who do not already have a plate with the International Symbol of Access, MV-664.1, “Application for License Plates
or Parking Permits for People with Severe Disabilities”, OR a letter from a Medical Doctor, Doctor of Osteopathy, Nurse Practitioner,
Physician Assistant or Doctor of Podiatric Medicine verifying a permanent disability that affects mobility — Initial Fee: $28.75;
cannot be personalized; not for use with a commercial registration; No Annual Fee)
* Eighth Air Force (Copy of current membership card — Initial Fee: $43.75/Personalized Fee: $75.00; not for use with a
commercial registration; Annual Fee: Standard plates - $15.00/Personalized plates only - $46.25)
Former Prisoner of War (Proof of POW status: Copy of DD-214 or letter from VA — No fees; cannot be personalized; not for use
with a commercial registration)
Forty and Eight (40 & 8) (Copy of current membership card — Initial Fee: $60.00/Personalized Fee: $91.25;
Annual Fee: Standard plates - $31.25/Personalized plates - $62.50)
MV-412 (8/15)
HOW TO APPLY FOR MILITARY OR VETERAN CUSTOM PLATES
Select the type of plate you are requesting from the list below, then write it in the appropriate box on page 3 of the application form.
You must
provide the appropriate proof(s) when you mail your application to the address shown on the application form. Required proof(s)
and initial cost information are in parentheses after each plate.
NOTE: Plates marked below with an asterisk (*) can be issued: (1) in the name of the veteran or military member; or (2) in the name of the
spouse of the veteran or military member. Plates will
NOT be issued to both unless both spouses are eligible for the plates.
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.
PAGE 1 OF 3
APPLICATION FOR MILITARY AND VETERAN CUSTOM PLATES
www.dmv.ny.gov
Page 1/3
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Form MV-412 - Application for Military and Veteran Custom Plates - New York PDF

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