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Form 96 0104-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by selecting the application type: either 'New Plate' or 'New Placard'. Ensure you check the appropriate box.
- Fill in your personal details, including your name, phone number, date of birth, and driver license number. Make sure all information is accurate.
- Provide your physical address and mailing address if different. This is crucial for receiving any correspondence regarding your application.
- If applying for a plate, enter the vehicle information including Vehicle Identification Number (VIN), year, make, and current plate number.
- Complete the Medical Certification section. Ensure that an authorized health professional fills this out accurately and signs it.
- Finally, review all entries for accuracy before signing at the bottom of the form to certify that all information provided is true.
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