REPLACEMENT LICENSE PLATE APPLICATION
s.341.16 Wis. Stats. MV2118 10/2008
Wisconsin Department of Transportation
Clear Form
Current License Plate Number
Current Plate Type
Vehicle Year
Make
Vehicle Identification Number
Area Code - Telephone Number - Daytime
Owner / Lessee Name
* Social Security Number or Driver License Number or FEIN
Complete Address (Including PO Box, if applicable)
City
State
ZIP Code
SEE INSTRUCTIONS ON BACK
Check number of plates needed: One Two Also notify your local law enforcement agency.
If your plate(s) have been stolen, check here: $6 each plate Celebrate Children University of Wisconsin $5 each plate Civil Air Patrol Donate Life Wisconsin Ducks Unlimited Emergency Medical Technician (EMT) Endangered Resources Firefighter $2 each plate All Other Plate Types
Freemason Gold Star Golf Wisconsin Lao Veteran Military Packers
Rescue Squad Member U.S. Veteran Cycle WI National Guard WI Salutes Veterans Women's Health Foundation
The following plates will receive the same plate number as your current plate: Personalized, Collector, Collector Special, Hobbyist, and Amateur Radio. All other plate types will be issued a new number. Sesquicentennial replacement plates are no longer available. Customers needing to replace Sesquicentennial plates will receive a set of regular design plates. If you have personalized Sesquicentennial plates and wish to apply for regular personalized plates, send $15 personalized plate fee. Since personalized plates cannot be duplicated, your message may not be available. Please see the Special Plates Unit contact information on reverse side to check the availability of choices. Mail this completed and signed form with the correct fee. Do NOT send your title. Expect delivery in approximately 6-8 weeks. X
(Owner Signature) (Date)
Print
INSTRUCTIONS
Complete and sign this application.
Send the application with the correct fee.
For Replacement License Plates (Nonpersonalized):
License plates with a new number will be mailed in 3-4 weeks.
Upon receipt of the new plates, destroy the old plate(s). If plates are stolen, notify your local law enforcement
agency of the stolen plate number.
Duplicate License Plates (Personalized): Note: Only issued for personalized plates AND the following special interest plates: Collector, CollectorSpecial, Hobbyist, Ameteur Radio You will be issued duplicate plate(s) with the same personalized number. Expect delivery in approximately 6-8 weeks. If your personalized license plates have been reported stolen, please be aware that when you receive the duplicate plates, you may be stopped by law enforcement in any state for possession of stolen plates. If you have questions about ordering duplicate personalized license plates or any special plates, call (608) 266-3041 or e-mail [email protected].
Payment Instructions:
Make check payable to: Registration Fee Trust
Mail application and correct fee to: Wisconsin Department of Transportation
PO Box 7911
Madison, WI 53707-7911
If you have questions,
Call (608) 266-1466;
E-mail: [email protected];
or contact the DMV Customer Service Center nearest you.
For general information, via Internet, contact www.dot.wisconsin.gov.
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