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

NOTE: Not all military plates can be personalized. Only those plates that refer to a “personalized fee” can be personalized.
Don’t forget, write down on page 3 which military or Veteran plate you want to order!
For a complete listing of all custom plates of if you have any questions or need additional information,
call us at (518) 402-4838 or visit our website www.dmv.ny.gov/cplates.htm
MV-412 (8/15)
PAGE 2 OF 3
Gold Star Mother (Official document stating that child lost life while serving in the military — Initial Fee: $28.75; cannot
be personalized; not for use with a commercial registration; No Annual Fee)
Jewish War Veterans of America (Letter from Association — Initial Fee: $38.75; cannot be personalized; not for use with
a commercial registration; No Annual Fee)
Korean War Veterans (Copy of DD-214 or letter from VA verifying service dates between 6/27/50 - 1/31/55
Initial Fee: $38.75/Personalized Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
Marine Corps League (Letter from MCL Paymaster — Initial Fee: $38.75/Personalized Fee: $70.00; Annual Fee: Personalized
plates only - $31.25)
* Marine Corps Reserve (Letter from CO certifying Reserve status or copy of active Marine Corps Reserve ID — Initial Fee:
$38.75; cannot be personalized; not for use with a commercial registration; No Annual Fee)
* Naval Militia (Letter from CO certifying eligibility — Initial Fee: $38.75; cannot be personalized; not for use with a
commercial registration; No Annual Fee)
* Navy Reserve (Letter from CO certifying Reserve status or copy of active Navy Reserve ID — Initial Fee: $38.75; cannot be
personalized; not for use with a commercial registration; No Annual Fee)
* Pearl Harbor Survivor (Copy of DD-214 and official statement verifying service at Pearl Harbor on 12/7/41
Initial Fee: $38.75; cannot be personalized; not for use with a commercial registration; No Annual Fee)
* Persian Gulf Veteran (Copy of DD-214 verifying service in the Persian Gulf between 8/2/90 and 4/6/91 — Initial Fee: $38.75/
Personalized Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
Purple Heart Recipient (Proof of award: Copy of DD-214 or letter from VA — Initial Fee: $28.75/Personalized Fee: $60.00 —
motorcycle plates-Initial Fee: $16.25/Personalized Fee: $35.00; Annual Fee: Personalized plates only - Passenger or Commercial -
$31.25/motorcycle - $18.75)
Saratoga National Cemetery Honor Guard Association (Copy of current membership card and application authorized by the
Association. Initial Fee: $43.75/Personalized Fee: $75.00; Annual Fee: Standard plates - $15.00/Personalized plates - $46.25)
* State Guard (Letter from CO certifying eligibility — Initial Fee: $38.75; cannot be personalized; not for use with a
commercial registration; No Annual Fee)
U.S. Naval Armed Guard (Copy of DD-214 or letter from a U.S. Naval Armed Guard authority verifying that the applicant was
honorably discharged from the US. Naval Armed Guard — Initial Fee: $38.75/Personalized Fee: $70.00; Annual Fee: Personalized
plates only - $31.25)
U.S. Submarine Veterans (Contact U.S. Submarine Veteran’s Group for approval — Initial Fee: $38.75/ Personalized Fee:
$70.00; Annual Fee: Personalized plates only - $31.25)
U.S. Veteran (Copy of DD-214 or proof of service — 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)
Veterans of Foreign Wars (Copy of current Veterans of Foreign Wars Membership Card — Initial Fee: $38.75/Personalized
Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
Vietnam Veteran (Copy of DD-214 verifying service dates between 12/22/61 - 5/7/75 — 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)
Vietnam Veterans of America (Letter from organization and copy of DD-214 verifying service dates between 12/22/61 - 5/7/75
Initial Fee: $38.75; Personalized Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
War on Terror Veteran (Copy of DD-214 verifying service in the Persian Gulf or Afghanistan on or after 9/11/2001
Initial Fee: $38.75/Personalized Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
World War II Veterans (Copy of DD-214 verifying service dates between 1941 and 1945 — Initial Fee: $38.75/
Personalized Fee: $70.00; Annual Fee: Personalized plates only - $31.25)
Page 2/3
Free Download

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

Favor this template? Just fancy it by voting!
  •  
  •  
  •  
  •  
  •  
(0 Votes)
0.0
Related Forms
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 504 Views | 2 Downloads
  •  
  •  
  •  
  •  
  •  
1 Page(s) | 579 Views | 2 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1040 Views | 1 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 1717 Views | 24 Downloads
  •  
  •  
  •  
  •  
  •  
2 Page(s) | 948 Views | 2 Downloads