Application for Valor Specialty License Plate
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APPLICATION FOR VALOR SPECIALTY LICENSE PLATE www.dmv.de.gov Type or Print A NAME: S S ADDRESS: I G N E PHONE NO.: WORK: HOME: D WHICH LANE LOCATION WOULD YOU LIKE TO PICK UP YOUR PLATE? (CHECK ONE) N O. GEORGETOWN DOVER NEW CASTLE WILMINGTON DE. LIC. PLATE NO: MFG. YR. VEHICLE SERIAL NO. Do you have any specialty or vanity plates on this vehicle now? NO YES (Tag No. or Letters) WAR OR CONFLICT: TYPE OF VALOR MEDAL: Have you applied for or do you currently have/own a Valor license plate? No Yes Tag No. I certify, the above mentioned medal was awarded for valor in a military conflict on foreign soil in which United States Armed Forces were formally engaged in battle. Signature of Applicant Date of Application I understand the special valor license plate is to be displayed only on the vehicle described above. A one-time fee of $10.00 must accompany this application. However, the owner must continue to have the vehicle inspected and pay annual registration fees. Vehicle owners awarded the Medal of Honor, Distinguished Service Cross, Navy Cross, Air Force Cross, or Silver Star must provide DD 214 Form or equivalent with your application. Vehicle owners holding a Distinguished Flying Cross, Air Medal, Bronze Star or Navy Commendation Medal must provide DD-214 and official Medal Citation Order. The medal citation must indicate the medal was awarded for valor, heroism or gallantry in combat. The Air Medal, Bronze Star Medal and Navy Commendation medal must have a “V” device indicating valor in combat. No other medals qualify for a Valor License Plate. APPLICATIONS MAY BE TURNED IN AT ANY DMV OFFICE OR MAILED TO: DELAWARE DMV, ATTN: SPECIALTY PLATES, P.O. BOX 698, DOVER DE 19903. INCLUDE WITH YOUR APPLICATION, COPY OF DD-214 OR EQUIVALENT, COPY OF MEDAL CITATION IF REQUIRED, AND A CHECK FOR $10 PAYABLE TO DMV. If you have questions, please call Jill at 302-744-2503. Office Use Only Name of Employee verifying documentation: Lane Location for plate return: Date Processed: MV614 (3/01) DELAWARE DIVISION OF MOTOR VEHICLES CUSTOMER INFORMATION LETTER ON VALOR LICENSE PLATES All Specialty Plates 1. The vehicle must be currently registered in the State of Delaware with a valid registration sticker. Plates shall only be issued on cars, station wagons, or trucks with three-fourth ton or smaller manufacturer’s rated capacity. 2. Vehicle must be titled/registered in the name of the applicant. Title can be in more than one person’s name but cannot be in a corporation or business name. 3. Vehicle is authorized only one specialty plate. An applicant who currently has a special plate and is applying for a different specialty plate must indicate so on the application. No refunds will be authorized for dropping a vanity or other specialty plate. 4. A fee of $10.00 must be submitted at time of application. Payment must be by check or money order. 5. The specialty tag can be displayed on the front of the vehicle if the applicant wishes to display the numbered tag on the back of the vehicle. Customers who display their specialty plate on the back of their vehicle must keep their number tag in their vehicle. 6. Once the application has been submitted, the applicant should receive notification from DMV within four weeks that the plate/registration card can be picked up. The applicant will be notified when and where the plate can be picked up. The Division must have a valid phone number to contact the applicant for plate pickup. 7. Owners wishing to transfer the specialty plate from one vehicle to another vehicle must inform the dealer or DMV at the time the paperwork is processed. VALOR LICENSE PLATES 1. Vehicle owners awarded the Medal of Honor, Distinguished Service Cross, Navy Cross, Air Force Cross or Silver Star must provide DD 214 Form or equivalent with your application. Vehicle owners holding a Distinguished Flying, Air Medal, Bronze Star or Navy Commendation Medal must provide DD-214 and official Medal Citation Order. The medal citation must indicate the medal was awarded for valor, heroism or gallantry in combat. The Air Medal, Bronze Star Medal and Navy Commendation medal must have a “V” device indicating valor in combat. No other medals qualify for a Valor License Plate. 2. Only one Valor License Plate is authorized per medal, no matter how many times the medal was awarded to the individual. 3. Applications received after December 1, 1995, will be assigned the lowest available number. .