Form 96 0104-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the application type: either 'New Plate' or 'New Placard'. Ensure you check the appropriate box.
3. Fill in your personal details, including your name, phone number, date of birth, and driver license number. Make sure all information is accurate.
4. Provide your physical address and mailing address if different. This is crucial for receiving any correspondence regarding your application.
5. If applying for a plate, enter the vehicle information including Vehicle Identification Number (VIN), year, make, and current plate number.
6. Complete the Medical Certification section. Ensure that an authorized health professional fills this out accurately and signs it.
7. 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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