Personalized License Plates ITD 3425 (Rev. 07-14) Supply # 01-958086-9 For Vehicles up to 26,000 pounds GVW and all motor homes. Motorcycles use standard graphic only. Note: Special eligibility personalized U.S. Military Veteran license plates for passenger cars and/or motorcycles are ordered using the form ITD 3682, Military License Plates. Owner 1 - Last Name First Name Middle Name Idaho Driver License No., SSN, or EIN Owner 2 - Last Name First Name Middle Name Idaho Driver License No., SSN, or EIN Physical Idaho Address City State Zip Mailing Address (if different from above) City State Zip Daytime Phone Number (8:30 a.m. to 4:30 p.m.) Current Idaho License Plate Number Vehicle Identification Number (VIN) Vehicle Year Expiration Date Idaho Title Number Make Body Type Model Color Do Not Send Money! You will be billed for your fees or you may authorize payment on your MasterCard or Visa. MasterCard or Visa Number Expiration Date Security Code Authorized Signature Choose One Plate Format Below: Except where noted, all special plate fees are in addition to normal vehicle registration fees, plate, mailing, and county administration fees. Complete this section for vehicles over 8,000 lbs. GVW Only. Combined Gross Vehicle Weight: . Please check the appropriate category below: Commercial Vehicle Non-commercial Vehicle Hazardous Material Carrier (Subject to Motor Carrier INS fee) Check your plate choice at left to determine the number of characters allowed. Text must have at least one alpha character and no punctuation marks. Leave a blank square where you want a space. You must include a meaning for each choice below. The following special plate programs charge an EXTRA $25.00 initial fee and an EXTRA $15.00 annual renewal fee: Standard (up to 7 characters) Standard Motorcycle (Up to 6 characters) 4"x7" Plate (Personalized plates are not allowed on ATV’s) Engine cc’s: First Choice: The following special plate programs charge an EXTRA $60.00 initial fee and an EXTRA $40.00 annual renewal fee. (Limit of five characters per plate.) Second Choice: Agriculture Appaloosa Capitol Restoration Corvette Earth Science and Lapidary Famous Potatoes Firefighter Freemason Idaho Aviation Foundation Idaho Rangeland Idaho Territorial Sesquicentennial Lewis and Clark Mountain Biking Peace Officer Sawtooth Selway Bitterroot Wilderness Snowmobile Snowskier Collegiate – Choose one: CI BSU ISU LCSC BYU-I NIC Support Our Troops Timber White Water Youth Wildlife - Choose one: Elk Mountain Bluebird Trout CSI NNU 2 3 4 5 6 7 1 2 3 4 5 6 7 1 2 3 4 5 6 7 (Required) Meaning: (Required) Third Choice: Meaning: (Required) Check here if purchasing Idaho State Parks Passport EXTRA $10.00 for 1 Year EXTRA $20.00 for 2 Years EITC UI The following special plate programs charge an EXTRA $50.00 initial fee and an EXTRA $30.00 annual renewal fee. Centennial (Up to 7 characters) 1 Meaning: Do Not Write Below This Line County Highway District Number MO RCV REG MAL Street Rod (Up to 4 characters) Pre-1949 vehicles with significant drive- EXP HDR ISP train updates from more modern vehicles and bodies resembling Mfg.'s original design. PRG PLT INS PER EMS TTL Ordering Special License Plates 1. Clearly print all requested information on the application form. 2. Use one form for each vehicle. 3. Four to seven characters are allowed in special license plate programs. Carefully check to see how many characters are allowed in the plate program you have selected. 4. Do not send fees with the application. You will be billed or you may include your MasterCard or Visa number and card expiration date. Personalized plates that are allowed to expire will become immediately available for reissue to another applicant. There is no grace period. Mail applications to: Idaho Transportation Department Special Plates PO Box 7129 Boise ID 83707-1129 Write to the address above or call (208) 334-8649 for more information about special license plates. Fax applications to: (208) 334-8542 5. Under certain circumstances, credit may be given for unexpired registration fees when special plates are issued before an applicant's current registration is expired. Personalized plates, in any language, may not carry a sexual term that is vulgar, obscene, or in poor taste, nor consist of a term that is considered to be one of obscenity, contempt, prejudice, hostility, insult, racial degradation, ethnic degradation, profanity, or vulgarity. You can obtain additional application forms or you can apply for personalized license plates via the World Wide Web at: www.itd.idaho.gov/dmv/ Hearing Impaired Applicants You may communicate with Special Plates through a telecommunications device for the deaf (TDD) by dialing (208) 334-4458. Application for Personalized License Plates Including: Standard (including Motorcycle) Agriculture Appaloosa Capitol Restoration Centennial Collegiate Corvette Earth Science and Lapidary Famous Potatoes Firefighter Freemason Idaho Aviation Foundation Idaho Rangeland Idaho Territorial Sesquicentennial Lewis and Clark Mountain Biking Police Officer Memorial Sawtooth Selway Bitterroot Wilderness Snowmobile Snowskier Street Rod Support Our Troops Timber White Water Wildlife Youth ITD 3425 (Rev. 07-14) Supply # 01-958086-9