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South Carolina Department of Motor Vehicles -37 (12/2020) APPLICATION FOR MILITARY LICENSE PLATE TO APPLY: 1. Indicate plate desired and complete the application information. 2. Provide required certification. (See page 2 for a complete list of requirements.) 3. Applications can be accepted an SCDMV branch or can be mailed to the following address along with a check or money order (no cash accepted) payable to SCDMV: SC Department of Motor Vehicles, P.O. Box 1498, Blythewood, SC 29016-0038 4. As noted on page 2, some plates are available by only. 5. Depending on the present expiration date, an updated tax receipt and additional fees may be required. 6. If you no longer meet the requirements for the special plate, you must return it to your local DMV office. 7. Registration Fees: GOLD STAR FAMILY PLATE ONLY Passenger Cars = $40.00 Affidavit of Relationship Light Trucks GVW Fees: I certify that I have the following relationship to the Service Member: 1 to 4,000 = $30.00 Parent Sibling 4,001 to 5,000 = $40.00 5,001 to 6,000 = $60.00 Spouse Child 6,001 to 7,000 = $70.00 7,001 to 8,000 = $80.00 Signature Print Name 8,001 to 9,000 = $90.00 9,001 to 10,000 = $100.00 1 10,001 to 11,000 = $110.00 OPTIONAL: Personalized 2 Plate Choices Military plates are issued to cars or light 3 trucks with an empty weight of 9,000 pounds or and a gross vehicle weight of 11,000 Selections may contain letters, numbers or both and the pounds or less. “&” symbol. Selections are restricted to six characters 8. Senior Citizen Fees: including spaces and will be granted based on Cars - $36.00 (age 65) $38.00 (age 64) availability. Light trucks with a GVW of no than 6,000 pounds fees are $46.00. CUSTOMER INFORMATION (*Indicates optional information) of Military Plate Requested Total Fees Included with Application $ Last Name First Name M.I.

Residential Address

City State Zip Code

I understand the Department will send mail to the residence address above unless I have specified a mailing address below. Mailing Address *Email Address

City State Zip Code *(Area Code) Telephone Number

Vehicle Identification Number Year Vehicle Plate Number

Yes, I wish to donate $5.00, more or less, to Donate Life S.C. Amount of donation $ INSURANCE INFORMATION Under penalties of perjury, I declare this vehicle is insured with the company named below and I will maintain liability insurance throughout the registration period. Name of Insurance Company ______CERTIFICATION I certify all information provided in this application is true and correct. Customer Signature______

DMV USE ONLY Verified (When applicable): Check No. ______Amount $ ______Plate No. ______CSR Initials ______DD-214 Military I.D.

Page 1 of 2 South Carolina Department of Motor Vehicles MV-37 (12/19) SOUTH CAROLINA MILITARY PLATES

Bronze Star (MAIL ONLY) Purple Heart PASSENGER MOTORCYCLE PASSENGER PASSENGER WHEELCHAIR Regular Registration Fee (No plate limit) MOTORCYCLE MOTORCYCLE WHEELCHAIR DECAL Available to recipients of the Bronze Star Medal No Registration Fee for first two plates. Regular registration fee + Requires DD-214 or other official documentation certifying applicant $30 specialty plate fee for third plate. (Limit 3 plates per has been awarded the Bronze Star Medal. applicant) Veteran Has a Disability Requires payment of current property taxes. PASSENGER PASSENGER WHEELCHAIR Requires DD-214 or other official documentation certifying MOTORCYCLE MOTORCYCLE WHEELCHAIR DECAL applicant has been awarded the Purple Heart. No charge (Limit 2 plates per applicant) Wheelchair plate applicants must also submit application, RG- Requires certification that the applicant is one of the following: 007A, License Plate for People Who Have a Disability. − Entitled to compensation for the loss of use of one or both legs or SC Gold Star Family arms or permanent impairment of vision in both eyes. REGULAR PERSONALIZED − A S.C. veteran classified as totally and permanently disabled due to service connected disabilities. No Registration Fee (Limit 2 plates per applicant) Available to families of fallen service personnel as certified on the Wheel chair plate applicants must also submit application, RG-007A License Plate for People Who Have a Disability. Affidavit of Relationship. Requires documentation certifying death while in service using one of the following: Distinguished Flying Cross (MAIL ONLY) − DD-1300 DoD Report of Casualty $30 + Regular Registration Fee (Limit 1 plate per applicant) − DD-2064 DoD Certificate of Death (overseas) Available to recipients of the Distinguished Flying Cross SC Veteran Requires DD-214 or other official documentation certifying applicant has been awarded the Distinguished Flying Cross. PASSENGER PASSENGER WHEELCHAIR MOTORCYCLE MOTORCYCLE WHEELCHAIR DECAL Distinguished Service Cross (MAIL ONLY) Regular Registration Fee (Limit 4 plates per applicant) ARMY AIR FORCE CROSS NAVY CROSS Requires official military documentation indicating “honorable” or Regular Registration Fee (Limit 2 plates per applicant) “general under honorable conditions” discharge from US Armed Available to recipients of the Distinguished Service Cross Requires DD-214 or other official documentation certifying applicant Forces has been awarded the Distinguished Service Cross. Wheelchair plate applicants must also submit application RG- Distinguished Service Medal (MAIL ONLY) 007A, License Plate for People Who Have a Disability AIR FORCE NAVY ARMY Silver Star (MAIL ONLY) MARINE CORPS COAST GUARD PASSENGER MOTORCYCLE Regular Registration Fee (Limit 2 plates per applicant) Regular Registration Fee (No plate limit) Available to recipients of the Distinguished Service Medal Available to recipients of the Silver Star Medal. Requires DD-214 or other official documentation certifying applicant Requires DD-214 or other official documentation certifying has been awarded the Distinguished Service Medal. applicant has been awarded the Silver Star Medal. Korean War Veteran (MAIL ONLY) U.S. Armed Forces Retired (MAIL ONLY) No Registration Fee (No plate limit) $30.00 + Registration Fee (Limit 2 plates per applicant) Available to Korean War Veterans who served on active duty during Requires DD-214, Retirement Order, or a copy of military I.D. the period of June 25, 1950 to July 27, 1954 or who received the reflecting retired status or other verification that applicant is a Korean War Service Medal. retired member of the U.S. Armed Forces. Requires DD-214 or other official documentation certifying active duty during the Korean War or documentation showing applicant received U.S. Military Reserve (MAIL ONLY) the Korean Service Medal. $30.00 + Registration Fee (Limit 1 plate per applicant) Medal of Honor (MAIL ONLY) Requires active Reserve Military I.D. card. ARMY AIR FORCE NAVY U.S. Navy Chief Petty Officer No Charge (Limit 1 plate per applicant) $60.00 every two years + Registration Fee (No plate limit) Requires DD-214 or other official documentation certifying applicant Requires DD-214 or active/retired Military I.D. card indicating the has been awarded the Medal of Honor. rank of Navy Chief Petty Officer (E-7, E-8 or E-9). National Guard Vietnam Veteran Regular Registration Fee (Limit 3 plates per applicant) $20.00 every two years + Registration Fee (No plate limit) Requires one of the four branch of service labels: Requires DD-214 or documentation certifying that applicant was AIR FORCE RETIRED awarded the Vietnam Service Medal or that the applicant served ARMY STATE on active duty in Vietnam. Requires a military I.D. that reflects either current or retired National World War II Guard status. Regular Registration Fee (No plate limit) Palmetto Cross WHEELCHAIR DECAL No registration fee for first two plates. Regular registration fee + $30 Requires official documentation of World War II service between specialty plate fee for third plate. (Limit 3 plates per applicant) December 8, 1941 and September 2, 1945. Available to veteran Requires current property tax receipt. or spouse. Requires DD214 or other official documentation certifying applicant is Wheelchair decal applicants must also submit application RG- recipient of the Palmetto Cross Medal. 007A, License Plate for People Who Have A Disability. . Pearl Harbor Survivor (MAIL ONLY) OTHER ACCEPTABLE OFFICIAL DOCUMENTATION One-time $15.00 fee + Registration Fee (Limit 1 plate per applicant) • An NGB Form 22 showing a discharge status of honorable Requires verification from the South Carolina State Chairman of Pearl or general under honorable conditions. Twenty service Harbor Survivors years are NOT required for the Veteran plate, only the Prisoner of War correct discharge status, so some veterans will be eligible No charge (Limit 2 plates per applicant) for a veteran plate but not the veteran designation on a Requires a statement from the U.S. Department of Defense or credential. Veterans Affairs or an official document certifying that the applicant • A “Twenty-Year Letter” from a Military Reserve component. was a prisoner of WWI, WWII, Korean Conflict or Vietnam Conflict. • The Veterans Identification Card (VIC).

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