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How to use or fill out the Application for an Emergency Medical Services License Plate online
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Click ‘Get Form’ to open it in the editor.
Begin with PART I by entering the Owner(s) Information. Ensure that the names match exactly as they appear on the current registration card.
Fill in your Daytime Phone number, Address, City, State, and ZIP code accurately.
Proceed to Vehicle Information. Enter the Title Number, Year, Make, Current Plate Number, and VIN Number of your vehicle.
Next, provide Insurance Information. Fill in the Effective Dates of your policy and include your Policy Number along with details about your Insurance Company and Agent.
Finally, sign and date the application at the bottom of PART I to certify that all information is true and correct.
Once completed, submit this application to your EMS Squad Chief for PART II completion before mailing it to the DMV.
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DMV-49-App-for-EMS-plate.pdf - WV.gov
Application for an Emergency Medical Services License Plate Insurance. EMS license plates will expire on July 1st of each year. The applicant payment of a $10.
Be at least 18 years old with a valid drivers license. in the state of West Virginia. □ Have current vaccinations, including Hepatitis B, MMR, TDap, and TB
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