Form Mv57 - Application For Gold Star Family License Plate (Page 2 of 2) in pdf

READ BEFORE COMPLETING THIS APPLICATION

PRIVACY ACT STATEMENT

AUTHORITY: MCA 61-3-458; 10 U.S.C. 1126

PRINCIPAL PURPOSE: To evaluate the applicant's eligibility to receive the Gold Star Family License Plate.

ROUTINE USE: To identify the applicant and establish a distribution record.

DISCLOSURE: Voluntary; however, if not provided, an eligible individual will not be issued the Gold Star Family License

Plate.

INFORMATION

Montana Code Annotated 61-3-458 authorizes the design and distribution of the Gold Star Family License Plate within the

State of Montana to qualified family members of members of the Armed Forces of the United States who lost their lives:

1. While engaged in an action against an enemy of the United States;

2. While engaged in military operations involving conflict with an opposing foreign force; or

3. While serving with friendly foreign forces engaged in an armed conflict in which the United States is not a belligerent

party against an opposing armed force.

Operations which are recognized by the Department of Defense in establishing eligibility for the Gold Star License Plate

include:



World War I, April 6, 1917 to March 3, 1921



World War II, September 8, 1939 to July 25, 1947



Korea, June 27, 1950 to July 27, 1954



Lebanon, July 1, 1958 to November 1, 1958



Republic of Vietnam, July 1, 1958 to March 28, 1973



Quemoy and Matsu Islands, August 23, 1958 to June 1, 1963



Taiwan Straits, August 23, 1958 to January 1, 1959



Congo, July 14, 1960 to September 1, 1962



Republic of Laos, April 19, 1961 to October 7, 1962



Berlin, August 14, 1961 to October 7, 1962



Cuba, October 24, 1962 to June 1, 1963



Congo, November 23, 1964 to November 27, 1964



Dominican Republic, April 28, 1965 to September 21, 1966



Korea, October 1, 1966 to June 30, 1974



Cambodia, March 29, 1973 to August 15, 1973



Thailand, March 29, 1973 to August 15, 1973



Cambodia, April 11, 1975 to April 13, 1975



Vietnam, April 29, 1975 to April 30, 1975



Mayaguez Operation, May 15, 1975



Lebanon, June 1983 to December 1, 1987



Grenada, October 23, 1983 to November 21, 1983



Operation Eldorado Canyon, April 2, 1986 to April 17, 1986



Panama, December 20, 1989 to January 31, 1990



Desert Shield/Desert Storm, August 2, 1990 to November 30, 1995



Haiti, September 16, 1994 to March 31, 1995



Somalia, December 5, 1992 to March 31, 1995



Persian Gulf, November 30, 1995 to (to be determined)



Former Republic of Yugoslavia, December 20, 1996 to June 20, 1998



Afghanistan, October 7, 2001 to (to be determined)



Iraq, March 19, 2003 to (to be determined)



And any subsequent operations as may be announced by the Secretary of Defense

Page 2 of 2

Montana county and state authorities reserve the right to reject any form that has been altered.

MV57 (4/10)

This form is available in alternate formats for people with disabilities.

Form Mv57 - Application For Gold Star Family License Plate Page 2

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