Itd 3682 - Idaho Transportation Department - Military License Plate Application
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2Military License Plate Application
ITD 3682 (Rev. 02-16)
Supply # 019638758
(For vehicles up to 26,000 pounds GVW and all motor homes)
Applicant’s Last Name
First Name
Middle Name
Idaho Driver License No., SSN, or EIN
Last Name
First Name
Middle Name
Idaho Driver License No., SSN, or EIN
Physical Idaho Address
City
State
Zip
Mailing Address (if different from above)
City
State
Zip
Daytime Phone Number (8:30 a.m. to 4:30 p.m.) Applicant’s E-Mail Address
Current Idaho License Plate Number
Expiration Date
Vehicle Identification Number (VIN)
Idaho Title Number
Vehicle Year
Make
Body Type
Model
Color
Complete this section for vehicles over 8,000 lbs. GVW only.
Combined Gross Vehicle Weight
Commercial Vehicle
Non-Commercial Vehicle
Hazardous Material Carrier (Subject to Motor Carrier INS fee)
~ Choose Only One Plate From the Options Below ~ Note:
Only Veteran plates and Veteran Motorcycle plates may be personalized.
Veteran - A $25.00 initial fee and $15.00 annual renewal fee in addition to regular registration fees will be charged. DD-214 or
equivalent is required. Except for the Military Veteran Motorcycle plate, Veteran plates feature the word "Veteran" or a recognized
U.S. military conflict and one of the five branches of service.
Branch of
Army
Navy
USAF
USMC
USCG
Service
Veteran (no conflict designation)
Choose
One
World War II
Korea
Vietnam
Persian Gulf
Afghanistan/Iraq (post 9/11/01 service)
Veteran Motorcycle - Branch of service and/or conflict cannot be designated on this plate. Plate cannot be issued to ATV.
Only Veteran plates and Veteran Motorcycle plates may be personalized. An extra $25.00 initial fee and an extra $15.00 annual
renewal fee in addition to regular registration fees will be charged for personalization.
The text must have at least one alpha character and no punctuation marks. Leave a blank square where you want a space.
Personalized Choice
Meaning
(limit 5)
The following plates cannot be personalized.
National Guard - Proof of active membership is required.
Purple Heart -
Copy of DD-214 or equivalent is required
Purple Heart Motorcycle -
Copy of DD-214 or equivalent is required
Military Reservist - Extra $25.00 initial fee and extra $15.00 annual renewal fee. Proof of active membership is required.
Gold Star Family - Qualified families who have a deceased relative who died as a result of hostile action in a combat zone while
serving on active duty in the US military are eligible for this plate program. See back of brochure for more information.
Former Prisoner of War - Copy of DD-214 or equivalent is required
Choose One
World War II
Korea
USS Pueblo Seizure
Vietnam
Persian Gulf
Disabled Veteran - No fees required. (Not for motorcycles or trailers.) See back of brochure for more information.
Do you want the International Disability Symbol put on the plate?
Yes
No
Check here if purchasing Idaho State Parks Passport
Extra $10.00 for 1 Year
Extra $20.00 for 2 Years
Do Not Send Money! You will be billed for your fees or you may authorize payment on your MasterCard or Visa.
Credit card purchases are subject to an ITD service fee.
MasterCard or Visa Number
Expiration Date
Security Code Authorized Signature
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