The Missouri 4601 form serves as an application for individuals looking to obtain Missouri Military Personalized License Plates. It outlines the necessary steps, required documentation, and eligibility criteria for applicants wishing to showcase their military service through specialized vehicle plates. Applicants are guided through a process beginning with personal and vehicle information submission, followed by specifying the type of license plate, and culminating with designation of a license office for plate collection.
To start your application for a Missouri Military Personalized License Plate, click the button below.
For members of the military community in Missouri looking to showcase their service and achievements on their vehicles, the Missouri 4601 form provides an important pathway. By filling out this application, military personnel, veterans, and their families have the opportunity to apply for various military personalized license plates, each signifying a different aspect of military service. These range from specific service branches like the Army and Navy, to honors such as the Purple Heart or the Bronze Star. Crucially, the form not only outlines the application process and costs associated with each type of plate, including some with no fee, but it also specifies the requirements for eligibility. These can include proof of service, evidence of specific medals or honors, and membership in certain military organizations. Additionally, the form addresses the option to add the disabled person symbol to plates, subject to submission of a signed physician’s statement. Completed applications, accompanied by the appropriate fee and any necessary documentation, are then processed by the Missouri Department of Revenue. This detailed procedure ensures that the plates not only commemorate the service of Missouri’s military community but also adhere to state rules and regulations regarding vehicle registration and personalization.
Form
4601
Application for Missouri Military Personalized License Plates
Step 1
Any false statement in this application is a violation of the law
and may be punished by fine or imprisonment or both.
Name must appear as shown on vehicle title
Owner’s Name
Street, RR, or P.O. Box Number
City
State
ZIP Code
Daytime Phone Number
Current Plate Number
(__ __ __)__ __ __-__ __ __ __
(Please select which category of license plate you need)
r Passenger
r Recreational Vehicle (motor home)
r Beyond Local 6 Truck
r Local 6 Truck (limited to a 50 mile radius)
r Beyond Local 12 Truck
r Local 12 Truck (limited to a 50 mile radius)
r Beyond Local 18 Truck
r Local 18 Truck (limited to a 50 mile radius)
r Beyond Local 24 Truck
r Local 24 Truck (limited to a 50 mile radius)
r Motorcycle
r Motortricycle
r Autocycle
rSelect here to add this symbolto your plate.
(Physician’s Statement for Disabled Person’s License Plates, Form 1776 is required. See back for more information.)
Type of license plate to be issued (some license plates require proof of eligibility - see reverse)
For all plates listed as “Stock,” the Missouri Department of Revenue will select your license plate configuration.
Step 2
Submit fee shown below with this application. r Air Force ($15)
r Air Medal ($15)
r Armed Forces Expeditionary Medal (Stock - $15)
r Armed Forces Expeditionary Medal ($15) r Army ($15)
r Bronze Star (Stock - $15)
Valor r Yes r No
r Bronze Star ($15) Valor r Yes r No
r Civil Air Patrol ($15)
r Coast Guard ($15)
r Combat Action Badge ($15)
r Combat Action Ribbon ($15)
r Combat Infantryman (Stock - $15) r Combat Infantryman ($15)
r Combat Medic (Stock - $15) r Combat Medic ($15)
r Congressional Medal of Honor (No Fee)
r Disabled Veteran r Stock r Personalized r Initial Set (No Fee) r Additional Set ($15)
rDistinguished Flying Cross (Stock - $15)
rDistinguished Flying Cross ($15)
rFormer POW (Stock - No Fee)
rFormer POW (No Fee)
rGulf War - Desert Storm or Shield (Stock - $15)
rGulf War - Desert Storm or Shield ($15)
rKorea Defense Service Medal ($15)
rKorean War (Stock - $15)
rKorean War ($15)
rLegion of Merit Medal (Stock - $15)
rLegion of Merit Medal ($15)
rMarine Corps ($15)
rMarine Corps League ($15)
rMerchant Marine ($15)
rMilitary Award Placard (No Fee) *See info. on reverse side.
rNational Guard ($15)
rNavy ($15)
rNavy Cross ($15)
rOperation Enduring Freedom ($15)
rOperation Iraqi Freedom ($15)
r Operation Noble Eagle ($15)
r Pearl Harbor Survivor (Stock - $15)
r Pearl Harbor Survivor ($15)
r Purple Heart r Stock r Personalized
r Initial Set (No Fee)
r Additional Set
r Retired Military (No Personalization Fee)
Branch of Service ___________________
r Silver Star (Stock - $15)
r Silver Star ($15)
r Some Gave All (Gold Star) - ($15)
r U.S. Veteran ($15)
r Veteran of Foreign Wars (VFW) ($15)
r Vietnam Veteran (Stock - $15)
r Vietnam Veteran ($15)
r Wartime Disabled ($15)
r We Shall Not Forget (Gold Star) -
(No Personalization Fee)
r Woman Veteran ($15)
r World War II (Stock - $15)
r World War II ($15)
Step 3
Personalized plate choices (complete only if applying for personalized plates. Please include more than one choice.)
Plate Design
Total number of characters allowed. A dash, space, or an apostrophe counts as one character.
(Only one dash, one space, or one apostrophe is allowed.)
Plates with emblem
6
Note: The Missouri Department of Revenue will not issue license plates that
contain any letters, numbers, or a combination of letters and numbers which are
Plates with emblem and
4
obscene, profane, patently offensive or contemptuous of a racial or ethnic group,
wheelchair symbol
offensive to good taste or decency, or would present an unreasonable danger to
Autocycle/motorcycle/motortricycle
5
the health or safety of the applicant, or other users of streets and highways, or
plates with emblem
of the public in any location where the vehicle with such plate may be found. The
3
Missouri Department of Revenue will not issue plates that conflict with the regular
license numbering system.
with emblem and wheelchair symbol
Vehicle Plate Will
Year
Make
Model
VIN Number
Be Attached To
First Choice
Second Choice
Third Choice
Fourth Choice
Fifth Choice
Sixth Choice
Description of what the configuration
above stands for.
Step 4
Must be completed by all applicants. These license plates will not be mailed. Indicate name of license office where plates are to be picked up.
Office
Office Number
I hereby certify under penalty of perjury that all information regarding this request is true and accurate and
is made without intent to defraud and that all statutory requirements for personalized or special license
plates have been met. I also acknowledge that, if the requested configuration is already issued for a
vehicle I own, I must surrender those plates when I pick up the new plates bearing that configuration.
Street
Signature of Owner
X
or Applicant
Form 4601 (Revised 08-2020)
Applications must be completed, signed, and submitted with the fee noted on the front of the application. The annual fee indicated on the application is in addition to the regular registration fee set by law and is payable upon renewal. Depending on the type of license plates requested, additional documentation may be required as noted below. Make check or money order (do not send cash) payable to the Missouri Department of Revenue and forward with this application to: Missouri Department of Revenue, Motor Vehicle Bureau, Personalized License Plate Section, PO Box 569, 301 West High St, Room 370, Jefferson City MO 65105-0569. The Missouri Department of Revenue may electronically resubmit checks returned for insufficient or uncollected funds. If you have questions regarding this application, call (573) 526-3669 or visit http://dor.mo.gov/mvdl.
You must renew your personalized military license plates within 60 days of expiration to ensure the military personalized plates are held in your name.
Step 1: Fill in the name exactly as it is shown on the title of the vehicle to which you intend to register this license plate. Fill in your current address, daytime telephone number, and license plate number that you currently have on the vehicle.
Check the category of license plate that belongs on the vehicle to which you intend to register this plate. Local truck plates are limited to a 50 mile radius. You may add the disabled person symbol to any plates. You must also submit an original signed physician’s statement for disabled person’s license plates (Form 1776) from an advance practice registered nurse, licensed physician, chiropractor, physician’s assistant, podiatrist, or optometrist must be submitted that states the disability is permanent. The physician’s statement is valid for 90 days after completion by an authorized medical professional.
Step 2: Check the type of license plate you would like issued. Please note that some license plates require additional documentation or requirements which are noted below. Military license plates are issued only to those vehicles titled in Missouri.
•Air Force, Army, Coast Guard, Marine Corps, Merchant Marine, National Guard, and Navy Plates: The applicant must submit a copy of his or her current military identification card, or one of the seven (7) documents to show honorable discharge listed at the bottom of this page.
•Air Medal, Bronze Star, Combat Action Badge, Combat Action Ribbon, Combat Infantryman, Combat Medic, Distinguished Flying Cross, Korea Defense Services Medal, Silver Star, Armed Forces Expeditionary Medal, and Legion of Merit: The applicant must submit a copy of one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed, and list the citation or decoration the applicant received that corresponds with the type of plate being requested.
•Civil Air Patrol Plates: The applicant must submit a $15.00 (Minimum) original Emblem Use Authorization Statement from the organization.
•Congressional Medal of Honor Plates: The applicant must submit a letter from the United States Department of Veteran Affairs verifying the applicant was awarded the Congressional Medal of Honor.
•Disabled Veteran Plates: The applicant must submit a statement from the United States Department of Veteran Affairs no more than one year from the date of application stating their disability is service connected. If requesting the wheelchair accessibility symbol, the applicant must also submit an original signed Physician’s Statement for Disabled Person License Plates (Form 1776) from an advance practice registered nurse, licensed physician, chiropractor, physician’s assistant, podiatrist, or optometrist must be submitted that states the disability is permanent. The physician’s statement is valid for 90 days after completion by an authorized medical professional. Limited to one set at no fee, per owner. Additional set(s) of plates issued shall be subject to regular registration and required personalization fees.
•Former POW Plates: The applicant must submit a copy of former POW membership card, or a statement from the United States Department of Veterans Affairs or the United States Department of Defense, or one of the seven (7) documents as listed at the bottom of this page stating that he or she is a former prisoner of war .
•Gulf War (Desert Storm or Shield), Korean War, Operation Enduring Freedom, Operation Iraqi Freedom, Operation Noble Eagle, Vietnam Veteran, and World War II Plates: The applicant must submit one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed, show honorable discharge, and list the citations or decorations he or she received for serving in the designated war or conflict.
•Marine Corps League Plates: The applicant must submit a copy of Marine Corps League membership card verifying he or she is currently a member in good standing of the Marine Corps League.
•Military Award Placard: Veteran medal recipients of the Air Force Cross, Bronze Star, Coast Guard Cross, Congressional Medal of Honor, Distinguished Flying Cross, Distinguished Service Cross, Former POW, Navy Cross, Purple Heart, or Silver Star, may obtain this placard by presenting proof the veteran has been awarded such medal.
•Navy Cross: The applicant must submit a copy of his or her certificate of release or discharge from active duty (Form DD214) or correction to Form DD214 (Form DD215) verifying the applicant received the Navy Cross decoration.
•Pearl Harbor Survivor Plates: The applicant must submit one of the following:
1.A copy of his or her discharge papers issued by the United States Armed Forces verifying that he or she served in the United States Armed Forces on December 7, 1941, and was stationed on the Hawaiian Island of Oahu or other related military installation during the enemy attack;
2.Verification from the United States Armed Forces that he or she is a Pearl Harbor Survivor; or
3.A copy of the identification card issued by the Pearl Harbor Association, Inc. verifying he or she is a Pearl Harbor Survivor.
•Purple Heart Plates: The applicant must submit a copy of one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed, and list the Purple Heart as one of the citations or decorations the applicant received, or a copy of military order of the Purple Heart membership card.
•Retired Military Plates: The applicant must submit proof of retired status from a particular branch of the United States Armed Forces.
•Some Gave All Plates: The applicant who has had an immediate family member die in the line of duty while serving in the United States Armed Forces. The applicant must submit a $25.00 (minimum) original Emblem Use Authorization Statement from the Veterans of Foreign Wars, or the Department of Revenue .
•U.S. Veteran (U.S. Vet) Plates: The applicant must submit proof of military eligibility indicating the applicant was honorably discharged from the military.
•Veterans of Foreign Wars (VFW) Plates: The applicant must submit a $25.00 (minimum) original Emblem Use Authorization Statement from the organization.
•Wartime Disabled Plates: You must submit a copy of your Disabled American Veteran (DAV) membership identification card and a copy of a current photo identification card with this application.
•We Shall Not Forget (Gold Star): Eligible applicants are any immediate family member, including stepsiblings or stepchildren, of a member of the military who was a resident of Missouri and killed in the line of duty. The applicant must provide the requested configuration of the plate in Step 3 on the front of this application. The requested configuration cannot be in use and must contain the initials of the family member killed in the line of duty followed by a three letter description of the applicant’s relationship to the family member. Please provide multiple options.
•Woman Veteran: The applicant must submit one of the seven (7) documents listed at the bottom of this page, which must be properly completed, signed and, if discharged, showing honorable discharge.
Acceptable documentation as noted above includes:
1.
Enlisted Record and Report of Separation (Form WD AGO 53-55);
5.
Official Discharge Order from the United States Armed Forces;
2.
General Orders;
6.
Report of Separation and Record of Service (Form NGB 22); or
3.
Certificate of Release or Discharge from Active Duty (Form DD214);
7.
Current Military Identification Card
4.
Correction to Form DD214 (Form DD215);
Indicate more than one personalized license plate choice. You may use a combination of letters and numbers. Please print clearly using all capital letters.
Step 3: Signs and symbols cannot be used except for one space, one dash, or one apostrophe. Space limitations are noted on the front of the application.
Please print capital letters and numbers as follows:
Indicate the license office name and number where license plates are to be picked up. The office name and number can be located at
Step 4: http://dor.mo.gov/mvdl/offloc/. Sign the application.
You will receive a notification letter when your license plates have been sent to the license office you indicated on the front of this application. Please allow up to six to eight weeks after the license plates are ordered for the notification letter to arrive.
Mail to: Motor Vehicle Bureau
Visit
P.O. Box 569
Phone: (573) 526-3669
http://dor.mo.gov/motorv/plates/
Jefferson City, MO 65105-0569
E-mail: mvbmail@dor.mo.gov
for additional information.
After filling out the Missouri 4601 form, you are taking the first step towards applying for Missouri Military Personalized License Plates. This document is crucial and requires careful attention to detail to ensure all the information is accurate and complete. It is essential to provide truthful information to avoid any legal repercussions such as fines or imprisonment. Once the form is filled out and submitted with the necessary fees and documentation, you will wait for the processing to be completed. You will be notified when your license plates are ready to be picked up at the designated license office. Allow six to eight weeks after ordering for the notification letter to arrive. Remember, maintaining the accuracy of the information provided on the form is paramount.
The Missouri 4601 form is an application for Missouri Military Personalized License Plates. It is designed for military personnel who wish to obtain custom license plates that reflect their service in the United States Armed Forces. These license plates can display various military honors, including specific medals, branches, or military service distinctions. The form must be completed and submitted with the appropriate fee and, depending on the requested plate, additional documentation verifying military service and honors might be required.
To be eligible for a Missouri Military Personalized License Plate, applicants must:
The fees for Missouri Military Personalized License Plates vary depending on the type of plate being requested. Generally, the fees are as follows:
The completed Missouri 4601 form must be signed and submitted along with the required fee and any necessary supporting documentation. The form provides detailed instructions for submission:
When filling out the Missouri 4601 form, which is the application for Missouri Military Personalized License Plates, people often make a series of mistakes that can delay or affect the submission. It's important to pay close attention to details and requirements to ensure the application process goes smoothly.
Being meticulous and thorough while completing Form 4601 can save time and prevent the common pitfalls that often accompany this process. Remember, every detail from the personal information to the specific documentation required for the chosen license plate category matters greatly.
When submitting the Missouri 4601 form for application of Missouri Military Personalized License Plates, applicants often need to accompany their submissions with several other documents and forms to prove eligibility and provide necessary details for processing. These materials help in ensuring that the applicant's request is handled promptly and accurately, complying with the specified requirements for military or personalized license plates.
Each of these documents serves a unique but vital role in the application process for Missouri Military Personalized License Plates. Together, they ensure the Missouri Department of Revenue has all the necessary information to review and approve the request, allowing applicants to honor their service or that of their family members through special vehicle plates. It's important for applicants to review the requirements carefully and ensure all documentation is complete and accurate, facilitating a smoother processing of their application.
The Missouri 4601 form is similar to other specialized license plate application forms in various ways, with each catering to specific eligibility requirements and showcasing a targeted approach towards identifying and honoring eligibility for specialized plate designs. For example, forms pertaining to license plates for veterans, disabled individuals, or those recognizing specific service or achievements carry their unique identifying features while sharing a core structure of essential personal information, vehicle specification, and documentary proof of eligibility.
One such document, the Application for Disabled Person Placard or Plates (Form 2769), bears a resemblance in the way it requires applicants to provide personal information, vehicle details, and specific eligibility credentials. Similar to the Missouri 4601 form, it mandates the applicant to fill in detailed information including name, address, and vehicle identification details. Additionally, both forms require a certification of accuracy and completeness of the information provided by the applicant. The notable difference lies in the required proof of eligibility—where the 4601 requires military service documentation, the Form 2769 necessitates medical certification of disability.
Another related document is the Application for U.S. Veterans Plates (Form 4601V), specifically designed for U.S. Veterans seeking recognition through their vehicle plates. While this form shares the Missouri 4601 form’s focus on military service, it narrows down the eligibility to veterans alone. Applicants must similarly provide personal and vehicle details but must specifically provide documentation proving honorable discharge from the U.S. armed forces. Like the 4601, there are sections dedicated to selecting the plate design and affirming the truthfulness of the information with a signature.
The Application for Special Plates (Form 1716) is another similar submission, offering a broad range of special plate options beyond military service. This form requires the applicant to fill in their personal details, vehicle information, and select from a variety of plate types, including collegiate, organizational, and recreational plates. Both the 1716 and the 4601 forms ensure applicants specify the desired plate type and include any required proof of eligibility, such as membership in an organization or, as in the 4601’s case, military service documents. The variety of applications highlights the Missouri Department of Revenue’s effort to cater to a wide range of interests and honors through specialized plates.
Successfully completing the Missouri 4601 Form for Military Personalized License Plates requires attention to detail and an understanding of the form's requirements. Here are 10 essential do's and don'ts that can help in accurately filling out the application:
When it comes to the Missouri 4601 form, which is an application for Missouri Military Personalized License Plates, there are several misconceptions that need to be addressed. Understanding these points clearly can help applicants navigate the process more effectively and ensure their applications are completed correctly.
Only individuals who have served in the military, as evidenced by specific documentation of service or commendation, are eligible for the types of military license plates outlined in the form.
In fact, a copy of military identification or discharge documents proving honorable service is required for most military plate types.
The form specifies that signs and symbols cannot be used except for one space, one dash, or one apostrophe, within character limits for different plate types.
If requesting the wheelchair accessibility symbol, an original signed Physician's Statement for Disabled Person License Plates (Form 1776) indicating a permanent disability is mandatory.
Congressional Medal of Honor plates and the initial set of Disabled Veteran plates are issued without a fee, contradicting the notion that all plates incur a cost.
The form clarifies that the annual specialty plate fee is in addition to the regular registration fee and must be submitted with the application for processing, except where no fee is specified.
Local truck plates are specifically limited to a 50 mile radius, and using them beyond these limits can violate state regulations.
Certain plate types are marked "Stock," indicating that the Missouri Department of Revenue will select the plate configuration, not the applicant.
The Department of Revenue will not issue plates that contain offensive language, are obscene, or could be considered a public safety risk.
Documentation, like the Disabled Veteran status statement from the Department of Veteran Affairs, must not be more than one year old, and the physician’s statement for disabled plates is valid for 90 days post-completion.
Correcting these misconceptions and adhering to the form's guidelines ensures a smoother process for obtaining Missouri Military Personalized License Plates, honoring the service and sacrifice of military personnel and veterans in a manner that complies with state requirements.
Here are key takeaways about filling out and using the Missouri 4601 form for applying for Missouri Military Personalized License Plates:
Remember, these personalized license plates not only represent your service but also adhere to the state’s regulations. It’s essential to follow these guidelines to ensure your application is processed smoothly and correctly.
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