Fillable Mv2652 Civilian License Plate Information and Application

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Mv2652 Civilian License Plate Information and Application

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WISCONSIN DEPARTMENT OF TRANSPORTATION
Emergency Medical Services
M
Emergency Medical Services
Firefighter
F
F
Firefighter
Rescue Squad Member
If you have questions about this application:
»
 
»
 
»
Email: special-plates.dmv@dot.wi.gov
page 1 of 3
Emergency Medical Services white design
Emergency Medical Services red design
Fireghter white design
Fireghter red design
Rescue Squad Member
Civilian License Plate
Information and Application
MV2652  1/2019  Wis. Stats.
Who is eligible?




Vehicles that qualify

An automobile.






Please note: NO special parking privileges
are provided with Civilian plates.
Fees needed

An annual registration fee





Plates required in 2 days







page 2 of 3
Personalized plate information

each











How to apply
 

 


R E S C U E




I
M E M S
 



L
I
1, S
5, G6, Z
2, B8, UV.
 
wisconsindmv.gov/personalizedplatelookup
 

 


»

or

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


 not
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

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
»


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
 Proof of Eligibility

 
Registration Fee Trust.

WisDOT
Special Plates Unit
 P.O. Box 7911
 Madison, WI 53707-7911
Civilian License Plate Application
Wisconsin Department of Transportation
MV2652 1/2019  s.341.14(6r) Wis. Stats.
page 3 of 3
Verication of eligibility (Qualifying Owner)
Emergency Medical Services

Fireghter or Rescue Squad Member



or


X



Civilian License Plate Application
Wisconsin Department of Transportation
MV2652 1/2019  s.341.14(6r) Wis. Stats.
Release of nonexempt information












Release of personalized plates


X

New owner - please check one:


Note:


Check options
non-personalized
personalized
If personalized plate choices are not available:


Civilian group Check one:






Choice


Choice


Choice

Vehicle you wish to register with the Civilian plates.
X
 

1 2 3 4 5 6 7 8
  (standard VIN has 17 characters)
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

OR
1 2 3 4 5 6 7 8 9 1 0 11 12 13 14

1 2 3 4 5 6 7 8 9


 
   


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Mv2652 Civilian License Plate Information and Application

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Completed 10 July 2020

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