Application for Veteran License Plate
(For War, Conflict, or Special Veteran Plates, please see page 1)
Nam
e Street Address
City State ZIP County
Vehicle Year Make Vehicle Identification Number
Branch of Service Daytime Phone including Area Code
( )
ELIGIBLE VEHICLES: The license plates listed below may only be issued to a non-commercial vehicle owned or leased by the applicant.
The applicant’s name must show on the vehicle title as the owner or lessee. The vehicle may be a passenger vehicle, motor home,
motorcycle, pickup, or van. The Combat Wounded Veteran, Military Reserve Member, and Pearl Harbor Survivor license plates are not
available for motorcycles.
EXPIRATION: Veteran plat
es expire on the applicant’s birthday.
CHECK THE PLA
TE TYPE REQUESTED: Select which plate background you would like (standard or graphic). Then select which plate
type you would like. (Choose only one. If applying for an additional plate for another vehicle, please complete an additional application.)
To be eligible for these plates, you must be a veteran of one of the following services or events. Your spouse is not eligible for these
plates unless also a member.
Standard Plate ($5 service fee) Distinctive/Graphic Plate ($5 service fee plus additional $5 graphic plate fee)
Army Veteran
Coast Guard Veteran
Navy Veteran
Marine Corps Veteran
Past or Present National Guard Member
NOTE: The following plates may only be purchased for passenger
vehicles, motor homes, pickups and vans.
Past or Present Military Reserve Member
Combat Wounded Veteran (Purple Heart recipient)
Pearl Harbor Survivor (Stationed in Pearl Harbor on 12-7-41)
FEE: Regular registration fee plus $5 service fee. A current plate on the same vehicle may be canceled as credit for the regular
registration fee.
I wish to cancel my current license plate on my vehicle as credit toward the veteran plate indicated above.
Plate Number: ________________
_______________ Expiration Date: _________________________
(Your current plate will not be canceled until after you receive your new plate.)
If you have no current plate, a temporary permit may be issued to you at no fee until your new veteran plate arrives.
Check here if you would like to add a Recreation Passport to your new Veteran license plate.
I certify all information is correct and I am eligible for the veteran plate indicated above. I understand that use of this veteran
license plate on a vehicle other than the vehicle for which the plate was issued or application by a person who is not eligible
is a misdemeanor
.
SIGNATURE: X DATE: ________________________
For questions regarding this application, required documents or registration fees, please contact the Department of State Information
Center at 888-SOS-MICH (767-6424). All Secretary of State offices accept cash, checks, money orders, Discover, MasterCard and Visa
credit and debit cards (a nominal service fee will be charged for credit and debit card usage). If applying by mail please pay by check or
money order. All checks may be made payable to the State of Michigan. Return completed application with fee to any Secretary of State
office or mail to:
Michigan Department of State
Renewal by Mail Unit
Lansing, MI 48918
Page 2
BDVR-87 (03/19) Authority Granted under Public Act 300 of 1949, as amended
