Name of Business/County: _____________________________________________________________________
Ship to (Street Address):____________________________________________________________________
City:________________________ State:_______ Zip:________________ Phone Number:___________________
Contact Name:______________________________________________
Form Number
Class Code
Description of Item Requested/Plate Description Name
Balance
On Hand
Quantity
Requested
Important Notes:
•
RV form numbers and class codes must be listed in the form number/class code field.
•
Please allow two (2) weeks for order processing.
•
When placing an order, please make full use of the space provided to avoid sending
multiple order request forms, which may delay the processing of your order.
•
Please provide "balance on hand" information. Orders received without this information will
not be processed.
Please submit orders or questions by
:
Email: dg_plate&s
upply.team@tn.gov
Fax: 615-253-5587@fax.tn.gov
RV-F16029 (Rev. 07/21)
TENNESSEE DEPARTMENT OF REVENUE
Order Request for Forms or License Plates
