Form Tc-817 - Application For Personalized Plates And Replacement Of Existing Personalized License Plates Page 2
Download a blank fillable Form Tc-817 - Application For Personalized Plates And Replacement Of Existing Personalized License Plates in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Tc-817 - Application For Personalized Plates And Replacement Of Existing Personalized License Plates with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4Fee includes $3 for postage and handling
Personalized License Plate Descriptions and Fees
Number of
Plate
Plate type
Plate description, including contribution requirements
characters
application
allowed
fee*
Any vehicle owner may request personalized plates.
Life Elevated
1 to 7
$58
For standard personalized or disabled personalized plates.
Skier
Any vehicle owner may request personalized plates.
Life Elevated
1 to 7
$58
For standard personalized or disabled personalized plates.
Arches
Any motorcycle owner may request personalized plates.
Motorcycle
1 to 4
$58
Amateur Radio
Provide a copy of a current FCC license with assigned call numbers.
Call
$13
number
Boy Scouts
Contribution of at least $25 yearly must be made to the Boy Scouts Of America.
The first year contribution should be included with this application.
1 to 5
*$63
Add to plate application fee for total due.
Boys and Girls
Contribution of at least $25 yearly must be made to the Boys and Girls Club.
Club
The first year contribution should be included with this application.
1 to 5
*$63
Add to plate application fee for total due.
Children’s
Contribution of at least $25 yearly must be made to the Children’s Ad Litem Services Account and
Children’s Museum of Utah. The first year contribution should be included with this application.
Issues
1 to 5
*$63
Add to plate application fee for total due.
Clean Fuel
Requires a clean-fuel/clean-air permit issued by the Utah Department of Transportation to qualify
for a clean fuel plate.
1 to 5
$63
Collegiate
The appropriate contribution must be made each year to the participating college or university of your
choice. Add the appropriate contribution to the plate application fee for total due. If you made your
1 to 5
*$63
contribution directly to a college or university, provide a copy of the Certificate of Fund Donation, form
TC-836. For the appropriate contribution amount, see form TC-836 or dmv.utah.gov/licensecollegiate.html.
Disabled Person
A physician must complete a Physician Certification, TC-842.
1 to 5
$63
Available on Life Elevated Skier and Life Elevated Arches Plates.
Disabled Veteran
This plate does not qualify for parking in a disabled parking space. This plate is only available to
1 to 5
$63
qualified veterans who are disabled as a result of military service. Provide VA forms 20-5455 or a letter
from a United States Military entity, certifying that the person is disabled as a result of military service.
EMT
Requires a certificate of current EMT training.
1 to 5
$63
Farm Truck
Provide completed farm truck affidavit or copy of your current farm truck registration. Contact DMV for
1 to 5
$63
other possible registration requirements.
Firefighter
Contribution of at least $15 must be made to the Firefighter Support Fund. Provide a copy of a
membership card from the Utah Firefighter Association or a letter from the local fire department or local
1 to 5
*$63
governing body verifying that an individual is currently a full-time, part-time, volunteer, or retired firefighter.
Add to the plate application fee for total due.
Former Prisoner
Provide a copy of discharge papers, notice of separation, or other acceptable government documents
1 to 5
$63
of War
indicating a classification of prisoner of war.
Gold Star
This plate is only available to a recipient of a Gold Star award issued by the U. S. Secretary of Defense.
Applicant must provide one of the following written documents: document showing classification of
death as listed by the U. S. Secretary of Defense, casualty report, telegram from the U. S. Secretary of
1 to 5
$63
Defense or one of the branches of the U. S. Armed Forces, or other documentation that verifies the
applicant is a recipient of a Gold Star award.
Homeless Pets
Contribution of at least $25 yearly must be made to No More Homeless Pets in Utah.
1 to 5
*$63
Add to plate application fee for total due.
Honoring Heroes
Contribution of at least $35 yearly must be made to the Public Safety Honoring Heroes account.
1 to 5
The first year contribution should be included with this application.
*$63
Add to plate application fee for total due.
National Guard
Provide evidence of current membership in the Utah National Guard.
1 to 5
$63
Pearl Harbor
Provide a copy of discharge papers, notice of separation, other acceptable government documents with
1 to 5
$63
dates and locations of active service, or evidence of a Pearl Harbor Survivor Association membership.
Survivor
Public Education
Contribution of at least $25 yearly must be made to the
Utah Association of Public School Foundations
.
Support
The first year contribution should be included with this application.
1 to 5
*$63
Add to plate application fee for total due.
Purple Heart
Provide a copy of discharge papers, notice of separation, other acceptable government documents with
Recipient
dates and locations of active service, or evidence of a "Military Order of the Purple Heart" organization
1 to 5
$50
membership. Physical possession of a Purple Heart Medal does not qualify for special group plate.
Search and Rescue
Provide official current Search and Rescue membership card, current Search and Rescue picture
identification badge, or provide a letter (on county sheriff letterhead), from the county sheriff, stating
1 to 5
$63
that the applicant is a current Search and Rescue team member.
* A contribution is required in addition to the plate application fee. See plate description for required minimum
contribution. Add the contribution amount to the plate application fee for total due.
Page 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Tc-817 - Application For Personalized Plates And Replacement Of Existing Personalized Plates
Legal
Form Tc-817 - Application For Personalized Plates And Replacement Of Existing Personalized Plates
Financial
Form Mv-44 - Application For Duplicate Registration Card, Replacement Of Registration Plate, Renewal Sticker Or Weight Class Sticker
Legal
Related Categories
Parent category: Financial