12
Plate Name Requirements and Contact Information Plate Available to Public Application Initial Fee Renewal Specialty Fee Military/ Non-Military Stock, Personalized, or Both Statute Number Year Authorized Plate total as of 01/02/20 Specialty Plate Chart - 1 - Revised 2/3/2020 Air Force Proof of Military Eligibility showing applicant is currently serving, or was honorably discharged from the military. Yes Form 4601 $15 $15 Military Personalized 301.448 1988 552 Air Medal Proof of Military Eligibility showing applicant was discharged and received the Air Medal; or, if applicant is currently serving, proof of current service, and a copy of orders or certificate that shows the applicant was awarded the Air Medal. Yes Form 4601 $15 $15 Military Personalized 301.3115 2002 150 Alpha Kappa Alpha $25 minimum EUAS dated within the last six months from Alpha Kappa Alpha. Yes Form 1716 $15 $15 Non-Military Personalized 301.3109 2002 76 Alpha Phi Alpha $25 minimum EUAS dated within the last six months from Alpha Phi Alpha. Yes Form 1716 $15 $15 Non-Military Personalized 301.3109 2002 41 Alpha Phi Omega $25 minimum EUAS dated within the last six months from Alpha Phi Omega. Need $5,000 and 200 applications. Form 1716 $15 $15 Non-Military Personalized 301.3137 2004 0 Amateur Radio LIMITED TO ONE SET Copy of FCC license & signed amateur radio statement (Form 838). Yes Form 1716 and Form 838 $15 $15 Non-Military Personalized 301.144 1977 986 American Heart Association (Winning Women) $25 minimum EUAS dated within the last six months from American Heart Association Winning Women. No, organization is no longer issuing EUAS. Form 1716 $15 $15 Non-Military Personalized 301.3145 2004 28 American Legion $25 minimum EUAS dated within the last six months from American Legion. Yes Form 1716 $15 $15 Non-Military Personalized 301.3062 2000 15 American Red Cross $25 minimum EUAS dated within the last six months from the Missouri Chapter of the American Red Cross. $5,000 payment req. has been satisfied; need 200 applications. Form 1716 $15 $15 Non-Military Personalized 301.3168 2012 0 Arkansas Alumni Association – Go Hogs $25 minimum EUAS dated within the last six months from the Arkansas Alumni Association. Yes Form 1716 $15 $15 Non-Military Personalized 301.3150 2007 180 Armed Forces Expeditionary Medal Proof of Military Eligibility showing applicant was discharged and received the Armed Forces Expeditionary Medal; or, if applicant is currently serving, proof of current service, and a copy of orders or certificate that shows the applicant was awarded the Armed Forces Expeditionary Medal. Yes Form 4601 $15 $15 Military Both 301.3040 2009 147 Army Proof of Military Eligibility showing applicant is currently serving or was honorably discharged from the military. Yes Form 4601 $15 $15 Military Personalized 301.448 1988 811 Association of Missouri Electric Cooperatives $25 minimum EUAS dated within the last six months from the Association of Missouri Electric Cooperatives Need $5,000 and 200 applications. Form 1716 $15 $15 Non-Military Personalized 301.3174 2019 0 Autism Awareness $25 minimum EUAS dated within the last six months from Ethan and Friends for Autism. Need $5,000 and 200 applications. Form 1716 $15 $15 Non-Military Personalized 301.3150 2006 0 Back the Blue One-time $10 donation to the Missouri Law Enforcement Memorial Foundation collected by DOR. Yes Form 1716 $15 $15 Non-Military Personalized 301.3175 2019 307 Baptist Bible College $25 minimum EUAS dated within the last six months from Bible Baptist College. Yes Form 1716 $15 $15 Non-Military Personalized 301.449 1989 0 Be an Organ Donor $25 minimum EUAS dated within the last six months from Missouri Organ Donor Program or DOR. Yes Form 1716 $15 $15 Non-Military Personalized 301.3125 2004 483 Boy Scouts of America $25 minimum EUAS dated within the last six months from Boy Scouts of America. Need $5,000 and 200 applications. Form 1716 $15 $15 Non-Military Personalized 301.3139 2004 0 Brain Tumor Awareness $25 minimum EUAS dated within the last six months from Brain Tumor Awareness. Need $5,000 and 200 applications. Form 1716 $15 $15 Non-Military Personalized 301.475 2009 0

Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

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Page 1: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 1 - Revised 232020

Air Force Proof of Military Eligibility showing applicant is currently serving or was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 552

Air Medal

Proof of Military Eligibility showing applicant was discharged and received the Air Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Air Medal

Yes Form 4601 $15 $15 Military Personalized 3013115 2002 150

Alpha Kappa Alpha $25 minimum EUAS dated within the last six months from Alpha Kappa Alpha

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 76

Alpha Phi Alpha $25 minimum EUAS dated within the last six months from Alpha Phi Alpha

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 41

Alpha Phi Omega $25 minimum EUAS dated within the last six months from Alpha Phi Omega

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013137 2004 0

Amateur Radio LIMITED TO ONE SET Copy of FCC license amp signed amateur radio statement (Form 838)

Yes Form 1716

and Form 838

$15 $15 Non-Military Personalized 301144 1977 986

American Heart Association (Winning Women)

$25 minimum EUAS dated within the last six months from American Heart Association Winning Women

No organization is no longer issuing

EUAS Form 1716 $15 $15 Non-Military Personalized 3013145 2004 28

American Legion $25 minimum EUAS dated within the last six months from American Legion

Yes Form 1716 $15 $15 Non-Military Personalized 3013062 2000 15

American Red Cross $25 minimum EUAS dated within the last six months from the Missouri Chapter of the American Red Cross

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013168 2012 0

Arkansas Alumni Association ndash Go Hogs

$25 minimum EUAS dated within the last six months from the Arkansas Alumni Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 180

Armed Forces Expeditionary Medal

Proof of Military Eligibility showing applicant was discharged and received the Armed Forces Expeditionary Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Armed Forces Expeditionary Medal

Yes Form 4601 $15 $15 Military Both 3013040 2009 147

Army Proof of Military Eligibility showing applicant is currently serving or was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 811

Association of Missouri Electric Cooperatives

$25 minimum EUAS dated within the last six months from the Association of Missouri Electric Cooperatives

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013174 2019 0

Autism Awareness $25 minimum EUAS dated within the last six months from Ethan and Friends for Autism

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Back the Blue One-time $10 donation to the Missouri Law Enforcement Memorial Foundation collected by DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013175 2019 307

Baptist Bible College $25 minimum EUAS dated within the last six months from Bible Baptist College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 0

Be an Organ Donor $25 minimum EUAS dated within the last six months from Missouri Organ Donor Program or DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013125 2004 483

Boy Scouts of America

$25 minimum EUAS dated within the last six months from Boy Scouts of America

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013139 2004 0

Brain Tumor Awareness

$25 minimum EUAS dated within the last six months from Brain Tumor Awareness

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 301475 2009 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 2 - Revised 232020

Breast Cancer Awareness

$25 minimum EUAS dated within the last six months from the State Treasurerrsquos Office or DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013084 2002

2012 NEW 1004

Bronze Star

Proof of Military Eligibility showing applicant was discharged and received the Bronze Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Bronze Star Medal

Yes Form 4601 $15 $15 Military Both 3013075 2000 745

Bronze Star Valor

Proof of Military Eligibility showing applicant was discharged and received the Bronze Star Medal with the ldquoVrdquo for valor or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Bronze Star Medal with the ldquoVrdquo for valor

Yes Form 1716 $15 $15 Military Both 3013075 2000 130

Camp Quality $25 minimum EUAS dated within the last six months from Camp Quality

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013144 2004 0

Cass County ndash the Burnt District

$25 minimum EUAS dated within the last six months from Cass County Collector

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013161 2011

2012 NEW 0

Cattlemen Foundation

$25 minimum EUAS dated within the last six months from Missouri Cattlemens Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Cave State $25 minimum EUAS dated within the last six months from Missouri Caves and Karst Conservancy

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2006 175

Central Methodist University

$25 minimum EUAS dated within the last six months from Central Methodist University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Childrenrsquos Trust Fund

$25 minimum EUAS dated within the last six months from Childrens Trust Fund or DOR

Yes Form 1716 $15 $15 Non-Military Both

(stock available in offices)

301463 1995 5816

Choose Life $25 minimum EUAS dated within the last six months from Choose Life of Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 285

Civil Air Patrol $15 minimum EUAS dated within the last six months from Civil Air Patrol

Yes Form 4601 $15 $15 Military Personalized 3013060 2002 15

Coast Guard Proof of Military Eligibility showing applicant is currently serving or was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 80

Columbia College $25 minimum EUAS dated within the last six months from Columbia College

Yes $15 $15 Military Personalized 301449 1989 12

Combat Action Badge

Proof of Military Eligibility showing applicant was discharged and received the Combat Action Badge or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Combat Action Badge

Yes Form 4601 $15 $15 Military Personalized 301477 2011 119

Combat Action Ribbon

Proof of Military Eligibility showing applicant was discharged and received the Combat Action Ribbon or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Combat Action Ribbon

Yes Form 4601 $15 $15 Military Personalized 3013085 2002 108

Combat Infantryman Badge

Proof of Military Eligibility showing applicant was discharged and received the Combat Infantryman Badge or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Combat Infantryman Badge

Yes Form 4601 $15 $15 Military Both 301445 1994 446

Combat Medic Proof of Military Eligibility showing applicant was discharged and received the Combat Medic Badge or if applicant is currently serving proof of current service and a copy of

Yes Form 4601 $15 $15 Military Both 3013076 2000 30

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 3 - Revised 232020

orders or certificate that shows the applicant was awarded the Combat Medic Badge

Congressional Medal of Honor

Proof applicant was awarded the Congressional Medal of Honor

Yes Form 4601 None None Military Personalized 301145 1986 1

Conservation Heritage Foundation ndash Bald Eagle

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999

2008 NEW 490

Conservation Heritage Foundation ndash Bluebird

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999 770

Conservation Heritage Foundation ndash Deer

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999 933

Conservation Heritage Foundation ndash Fish

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation (available for renewal applicants only)

Yes for renewal applicants only

Form 1716 $15 $15 Non-Military Both 301469 1999 123

Conservation Heritage Foundation ndash Mushroom

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation (available for renewal applicants only)

Yes for renewal applicants only

Form 1716 $15 $15 Non-Military Both 301469 1999

2007 NEW 17

Coroner amp Medical Examiners

LIMITED TO ONE SET $25 minimum EUAS dated within the last six months from Coroners amp Medical Examiners Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013089 2002 48

Culver-Stockton College

$25 minimum EUAS dated within the last six months from Culver-Stockton College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Custom Vehicle

A notarized statement that says The vehicle to which I intend to register this Custom Vehicle plate is 1 A vehicle that is at least twenty-five years old and of a model year after 1948 or is a vehicle manufactured to resemble a vehicle twenty-five years old or older and of a model year after 1948 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 2005 31

Dare to Dream $25 minimum EUAS dated within the last six months from Martin Luther King Jr State Celebration Commission or DOR

No Form 1716 $15 $15 Non-Military Personalized 3013165 2012 0

Daughters of the American Revolution

A one-time $25 minimum EUAS dated within the last six months from Daughters of the American Revolution Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 301134 2004 0

Delta Sigma Theta $25 minimum EUAS dated within the last six months from Delta Sigma Theta

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 81

Delta Tau Delta $25 minimum EUAS dated within the last six months from Delta Tau Delta

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013143 2004 0

Disabled Person Physicians statement Form-1776 dated within 90 days which shows a permanent disability

Yes Form 1716 $15 $15 Non-Military Personalized 301142 1977 1542

Disabled Veteran

LIMITED TO ONE SET A current letter from the Department of Veteran Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 None None Military Both 301071 1977 7819

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 4 - Revised 232020

Disabled Veteran PAY 2nd and additional plates

A current letter from the Department of Veterans Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 $15 $15 Military Both 301071 2018 95

Distinguished Flying Cross

Proof of Military Eligibility showing applicant was discharged and received the Distinguished Flying Cross or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Distinguished Flying Cross

Yes Form 4601 $15 $15 Military Both 3013053 2000 131

Donrsquot Tread on Me None Yes Form 1716 $15 $15 Non-Military Personalized 3013163 2011

2012 NEW 1891

Drury University $25 minimum EUAS dated within the last six months from Drury University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 43

Ducks Unlimited $25 minimum EUAS dated within the last six months from Ducks Unlimited

Yes Form 1716 $15 $15 Non-Military Personalized 301471 1999 188

Eagle Scout $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013093 2002 145

Easter Seals Midwest

$25 minimum EUAS dated within the last six months from Easter Seals Midwest

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2014 0

EMT LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 25

Fight Terrorism $25 minimum EUAS donation to the Antiterrorism fund through the DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013123 2003 307

Firefighter

A notarized statement that says ldquoI hereby affirm that I am a member of a fire department fire protection district or voluntary fire protection association in Missouri If I resign am removed or otherwise terminate association with the fire department I will return the special plates within fifteen days to the Department of Revenue

Yes Form 1716

and Form 768

$15 $15 Non-Military Both 301444 1984 1906

Firefighters Memorial

Applicant must be a person wounded in the line of duty as a firefighter or surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a firefighter

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013129 2004 0

Fontbonne University

$25minimum EUAS dated within the last six months from Fontbonne University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 1

Former Missouri Legislator

Proof applicant is a former Missouri Legislator Yes Form 1716 $15 $15 Non-Military Personalized 3013106 2004 96

Former Prisoner of War

LIMITED TO ONE SET Proof applicant is a former prisoner of war and was honorably discharged

Yes Form 4601 None None Military Both 301443 1983 82

Foxtrotter State Horse

$25 minimum EUAS dated within the last six months from Foxtrotter State Horse Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013126 2004 0

Fraternal Order of Eagles

$25 minimum EUAS dated within the last six months from Fraternal Order of the Eagles

Yes Form 1716 $15 $15 Non-Military Personalized 301461 1995 1

Friends of Arrow Rock

$25 minimum EUAS dated within the last six months from Friends of Arrow Rock

Yes Form 1716 $15 $15 Non-Military Personalized 3013092 2002 3

Friends of Kids with Cancer

$25 minimum EUAS dated within the last six months from Friends of Kids with Cancer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013122 2004 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 5 - Revised 232020

Friends of Wyatt ndash Childhood Cancer Awareness

$5 minimum EUAS dated within the last six months from Friends of Wyatt

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2016 0

Gateway Arch $25minimum EUAS dated within the last six months from Jefferson National Parks Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013117 2002 103

Go Team USA $25 minimum EUAS dated within the last six months from United States Olympic Committee

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013167 2012 0

God Bless America One time $10 donation to WWI Memorial Trust Fund collected by DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013097 2002 2096

Great Rivers State $25 minimum EUAS dated within the last six months from Missouri Stream Team Coalition

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 108

Gulf War Veteran ndash Desert Storm

Proof of Military Eligibility showing applicant was honorably discharged and received the Southwest Asia Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Southwest Asia Service Medal

Yes Form 4601 $15 $15 Military Both 3013077 2000 415

Hearing Impaired Kids Endowment Fund

$25 minimum EUAS dated within the last six months from the Hearing Impaired Kids Endowment Fund

Yes Form 1716 $15 $15 Non-Military Personalized 3013082 2002 33

Helping Schools $15 minimum EUAS dated within the last six months from participating local school

Yes Form 1716 $15 $15 Non-Military Personalized 301454 1995 30

Historic Personalized

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year and proof of ownership

Yes Form 570 $4625 $15 Non-Military Personalized 301130 1977 8307

Honorable Order of Kentucky Colonels

$25 minimum EUAS dated within the last six months from Honorable Order of Kentucky Colonels

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Honorary Consular Need a copy of their Consular Identification card issued by the US Department of State

Yes Form 1716 $15 $15 Non-Military Personalized 26140 1955 19

Irsquom Pet Friendly $25 minimum EUAS dated within the last six months from Missouri State Humane Association (MOSHA)

Yes Form 1716 $15 $15 Non-Military Personalized 3013087 2002 703

Jaycees LIMITED TO ONE SET Need a copy of current membership card from the Missouri Jaycees

Yes Form 1716 $15 $15 Non-Military Both 301466 1997 1

Kansas City Chiefs $35 minimum EUAS dated within the last six months from Kansas City Chiefs Childrens Fund

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999

2007 NEW 234

Kansas City Royals $35 minimum EUAS dated within the last six months from Kansas City Royals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 469

Kansas City Zoo $35 minimum EUAS dated within the last six months from Kansas City Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013047 2001 6

Kappa Alpha Psi $25 minimum EUAS dated within the last six months from Kappa Alpha Psi

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 11

Kingdom of Calontir $25 minimum EUAS dated within the last six months from Kingdom of Calontir

Yes Form 1716 $15 $15 Non-Military Personalized 3013098 2002 36

Knights of Columbus $25 minimum EUAS dated within the last six months from Knights of Columbus

Yes Form 1716 $15 $15 Non-Military Personalized 301459 1995 31

Korea Defense Service Medal

Proof of Military Eligibility showing applicant was honorably discharged and received the Korea Defense Service Medal

Yes Form 4601 $15 $15 Military Personalized 301474 2015 13

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 6 - Revised 232020

Korean War

Proof of Military Eligibility showing applicant was honorably discharged and received the Korean Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Korean Service Medal

Yes Form 4601 $15 $15 Military Both 301464 1997 74

Legion of Merit

Proof of Military Eligibility showing applicant was discharged and received the Legion of Merit or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Legion of Merit

Yes Form 4601 $15 $15 Military Both 3013158 2010 82

Lewis and Clark $25 minimum EUAS dated within the last six months from Missouri Travel Council or DOR

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013133 2004 0

Lincoln University $25 minimum EUAS dated within the last six months from Lincoln University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 10

Lindenwood University

$25 minimum EUAS dated within the last six months from Lindenwood University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 5

Lions Club $25 minimum EUAS dated within the last six months from Lions Club

Yes Form 1716 $15 $15 Non-Military Both 301468 1999 54

March of Dimes $25 minimum EUAS dated within the last six months from March of Dimes

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013032 2004 0

Marine Corps Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 1218

Marine Corps League

Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military and a copy of current Marine Corps League membership card

Yes Form 4601 $15 $15 Military Personalized 301448 1988 88

Maryville University $25 minimum EUAS dated within the last six months from Maryville University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 6

Masonic Grand Lodge

$25 minimum EUAS dated within the last six months from Masonic Grand Lodge

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 82

Masters $25 minimum EUAS dated within the last six months from Missouri Association of State Troopers Emergency Relief Society (MASTERS)

Yes Form 1716 $15 $15 Non-Military Personalized 3013130 2004 457

Merchant Marine Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 6

Missouri 4-H Copy of current 4-H membership card for applicant or applicants child

Yes Form 1716 $15 $15 Non-Military Personalized 301481 2002 32

Missouri Agriculture (Farm Bureau)

$25 minimum EUAS dated within the last six months from the Farm Bureau

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013079 2004 0

Missouri Association of Municipal Utilities

$25 minimum EUAS dated within the last six months from the Missouri Association of Municipal Utilities

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013067 2019 0

Missouri Association of Realtors

$25 minimum EUAS dated within the last six months from the Missouri Association of Realtors

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 229

Missouri Bicycle and Pedestrian Federation

$30 minimum EUAS dated within the last six months from Missouri Bicycle and Pedestrian Federation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 306

Missouri Botanical Garden

$35 minimum EUAS dated within the last six months from the Missouri Botanical Garden

Yes Form 1716 $15 $15 Non-Military Personalized 3013043 2001 123

Missouri Boys State $25 minimum EUAS dated within the last six months from the Missouri Boys State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 2: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 2 - Revised 232020

Breast Cancer Awareness

$25 minimum EUAS dated within the last six months from the State Treasurerrsquos Office or DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013084 2002

2012 NEW 1004

Bronze Star

Proof of Military Eligibility showing applicant was discharged and received the Bronze Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Bronze Star Medal

Yes Form 4601 $15 $15 Military Both 3013075 2000 745

Bronze Star Valor

Proof of Military Eligibility showing applicant was discharged and received the Bronze Star Medal with the ldquoVrdquo for valor or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Bronze Star Medal with the ldquoVrdquo for valor

Yes Form 1716 $15 $15 Military Both 3013075 2000 130

Camp Quality $25 minimum EUAS dated within the last six months from Camp Quality

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013144 2004 0

Cass County ndash the Burnt District

$25 minimum EUAS dated within the last six months from Cass County Collector

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013161 2011

2012 NEW 0

Cattlemen Foundation

$25 minimum EUAS dated within the last six months from Missouri Cattlemens Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Cave State $25 minimum EUAS dated within the last six months from Missouri Caves and Karst Conservancy

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2006 175

Central Methodist University

$25 minimum EUAS dated within the last six months from Central Methodist University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Childrenrsquos Trust Fund

$25 minimum EUAS dated within the last six months from Childrens Trust Fund or DOR

Yes Form 1716 $15 $15 Non-Military Both

(stock available in offices)

301463 1995 5816

Choose Life $25 minimum EUAS dated within the last six months from Choose Life of Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 285

Civil Air Patrol $15 minimum EUAS dated within the last six months from Civil Air Patrol

Yes Form 4601 $15 $15 Military Personalized 3013060 2002 15

Coast Guard Proof of Military Eligibility showing applicant is currently serving or was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 80

Columbia College $25 minimum EUAS dated within the last six months from Columbia College

Yes $15 $15 Military Personalized 301449 1989 12

Combat Action Badge

Proof of Military Eligibility showing applicant was discharged and received the Combat Action Badge or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Combat Action Badge

Yes Form 4601 $15 $15 Military Personalized 301477 2011 119

Combat Action Ribbon

Proof of Military Eligibility showing applicant was discharged and received the Combat Action Ribbon or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Combat Action Ribbon

Yes Form 4601 $15 $15 Military Personalized 3013085 2002 108

Combat Infantryman Badge

Proof of Military Eligibility showing applicant was discharged and received the Combat Infantryman Badge or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Combat Infantryman Badge

Yes Form 4601 $15 $15 Military Both 301445 1994 446

Combat Medic Proof of Military Eligibility showing applicant was discharged and received the Combat Medic Badge or if applicant is currently serving proof of current service and a copy of

Yes Form 4601 $15 $15 Military Both 3013076 2000 30

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 3 - Revised 232020

orders or certificate that shows the applicant was awarded the Combat Medic Badge

Congressional Medal of Honor

Proof applicant was awarded the Congressional Medal of Honor

Yes Form 4601 None None Military Personalized 301145 1986 1

Conservation Heritage Foundation ndash Bald Eagle

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999

2008 NEW 490

Conservation Heritage Foundation ndash Bluebird

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999 770

Conservation Heritage Foundation ndash Deer

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999 933

Conservation Heritage Foundation ndash Fish

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation (available for renewal applicants only)

Yes for renewal applicants only

Form 1716 $15 $15 Non-Military Both 301469 1999 123

Conservation Heritage Foundation ndash Mushroom

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation (available for renewal applicants only)

Yes for renewal applicants only

Form 1716 $15 $15 Non-Military Both 301469 1999

2007 NEW 17

Coroner amp Medical Examiners

LIMITED TO ONE SET $25 minimum EUAS dated within the last six months from Coroners amp Medical Examiners Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013089 2002 48

Culver-Stockton College

$25 minimum EUAS dated within the last six months from Culver-Stockton College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Custom Vehicle

A notarized statement that says The vehicle to which I intend to register this Custom Vehicle plate is 1 A vehicle that is at least twenty-five years old and of a model year after 1948 or is a vehicle manufactured to resemble a vehicle twenty-five years old or older and of a model year after 1948 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 2005 31

Dare to Dream $25 minimum EUAS dated within the last six months from Martin Luther King Jr State Celebration Commission or DOR

No Form 1716 $15 $15 Non-Military Personalized 3013165 2012 0

Daughters of the American Revolution

A one-time $25 minimum EUAS dated within the last six months from Daughters of the American Revolution Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 301134 2004 0

Delta Sigma Theta $25 minimum EUAS dated within the last six months from Delta Sigma Theta

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 81

Delta Tau Delta $25 minimum EUAS dated within the last six months from Delta Tau Delta

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013143 2004 0

Disabled Person Physicians statement Form-1776 dated within 90 days which shows a permanent disability

Yes Form 1716 $15 $15 Non-Military Personalized 301142 1977 1542

Disabled Veteran

LIMITED TO ONE SET A current letter from the Department of Veteran Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 None None Military Both 301071 1977 7819

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 4 - Revised 232020

Disabled Veteran PAY 2nd and additional plates

A current letter from the Department of Veterans Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 $15 $15 Military Both 301071 2018 95

Distinguished Flying Cross

Proof of Military Eligibility showing applicant was discharged and received the Distinguished Flying Cross or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Distinguished Flying Cross

Yes Form 4601 $15 $15 Military Both 3013053 2000 131

Donrsquot Tread on Me None Yes Form 1716 $15 $15 Non-Military Personalized 3013163 2011

2012 NEW 1891

Drury University $25 minimum EUAS dated within the last six months from Drury University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 43

Ducks Unlimited $25 minimum EUAS dated within the last six months from Ducks Unlimited

Yes Form 1716 $15 $15 Non-Military Personalized 301471 1999 188

Eagle Scout $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013093 2002 145

Easter Seals Midwest

$25 minimum EUAS dated within the last six months from Easter Seals Midwest

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2014 0

EMT LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 25

Fight Terrorism $25 minimum EUAS donation to the Antiterrorism fund through the DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013123 2003 307

Firefighter

A notarized statement that says ldquoI hereby affirm that I am a member of a fire department fire protection district or voluntary fire protection association in Missouri If I resign am removed or otherwise terminate association with the fire department I will return the special plates within fifteen days to the Department of Revenue

Yes Form 1716

and Form 768

$15 $15 Non-Military Both 301444 1984 1906

Firefighters Memorial

Applicant must be a person wounded in the line of duty as a firefighter or surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a firefighter

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013129 2004 0

Fontbonne University

$25minimum EUAS dated within the last six months from Fontbonne University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 1

Former Missouri Legislator

Proof applicant is a former Missouri Legislator Yes Form 1716 $15 $15 Non-Military Personalized 3013106 2004 96

Former Prisoner of War

LIMITED TO ONE SET Proof applicant is a former prisoner of war and was honorably discharged

Yes Form 4601 None None Military Both 301443 1983 82

Foxtrotter State Horse

$25 minimum EUAS dated within the last six months from Foxtrotter State Horse Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013126 2004 0

Fraternal Order of Eagles

$25 minimum EUAS dated within the last six months from Fraternal Order of the Eagles

Yes Form 1716 $15 $15 Non-Military Personalized 301461 1995 1

Friends of Arrow Rock

$25 minimum EUAS dated within the last six months from Friends of Arrow Rock

Yes Form 1716 $15 $15 Non-Military Personalized 3013092 2002 3

Friends of Kids with Cancer

$25 minimum EUAS dated within the last six months from Friends of Kids with Cancer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013122 2004 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 5 - Revised 232020

Friends of Wyatt ndash Childhood Cancer Awareness

$5 minimum EUAS dated within the last six months from Friends of Wyatt

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2016 0

Gateway Arch $25minimum EUAS dated within the last six months from Jefferson National Parks Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013117 2002 103

Go Team USA $25 minimum EUAS dated within the last six months from United States Olympic Committee

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013167 2012 0

God Bless America One time $10 donation to WWI Memorial Trust Fund collected by DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013097 2002 2096

Great Rivers State $25 minimum EUAS dated within the last six months from Missouri Stream Team Coalition

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 108

Gulf War Veteran ndash Desert Storm

Proof of Military Eligibility showing applicant was honorably discharged and received the Southwest Asia Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Southwest Asia Service Medal

Yes Form 4601 $15 $15 Military Both 3013077 2000 415

Hearing Impaired Kids Endowment Fund

$25 minimum EUAS dated within the last six months from the Hearing Impaired Kids Endowment Fund

Yes Form 1716 $15 $15 Non-Military Personalized 3013082 2002 33

Helping Schools $15 minimum EUAS dated within the last six months from participating local school

Yes Form 1716 $15 $15 Non-Military Personalized 301454 1995 30

Historic Personalized

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year and proof of ownership

Yes Form 570 $4625 $15 Non-Military Personalized 301130 1977 8307

Honorable Order of Kentucky Colonels

$25 minimum EUAS dated within the last six months from Honorable Order of Kentucky Colonels

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Honorary Consular Need a copy of their Consular Identification card issued by the US Department of State

Yes Form 1716 $15 $15 Non-Military Personalized 26140 1955 19

Irsquom Pet Friendly $25 minimum EUAS dated within the last six months from Missouri State Humane Association (MOSHA)

Yes Form 1716 $15 $15 Non-Military Personalized 3013087 2002 703

Jaycees LIMITED TO ONE SET Need a copy of current membership card from the Missouri Jaycees

Yes Form 1716 $15 $15 Non-Military Both 301466 1997 1

Kansas City Chiefs $35 minimum EUAS dated within the last six months from Kansas City Chiefs Childrens Fund

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999

2007 NEW 234

Kansas City Royals $35 minimum EUAS dated within the last six months from Kansas City Royals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 469

Kansas City Zoo $35 minimum EUAS dated within the last six months from Kansas City Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013047 2001 6

Kappa Alpha Psi $25 minimum EUAS dated within the last six months from Kappa Alpha Psi

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 11

Kingdom of Calontir $25 minimum EUAS dated within the last six months from Kingdom of Calontir

Yes Form 1716 $15 $15 Non-Military Personalized 3013098 2002 36

Knights of Columbus $25 minimum EUAS dated within the last six months from Knights of Columbus

Yes Form 1716 $15 $15 Non-Military Personalized 301459 1995 31

Korea Defense Service Medal

Proof of Military Eligibility showing applicant was honorably discharged and received the Korea Defense Service Medal

Yes Form 4601 $15 $15 Military Personalized 301474 2015 13

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 6 - Revised 232020

Korean War

Proof of Military Eligibility showing applicant was honorably discharged and received the Korean Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Korean Service Medal

Yes Form 4601 $15 $15 Military Both 301464 1997 74

Legion of Merit

Proof of Military Eligibility showing applicant was discharged and received the Legion of Merit or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Legion of Merit

Yes Form 4601 $15 $15 Military Both 3013158 2010 82

Lewis and Clark $25 minimum EUAS dated within the last six months from Missouri Travel Council or DOR

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013133 2004 0

Lincoln University $25 minimum EUAS dated within the last six months from Lincoln University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 10

Lindenwood University

$25 minimum EUAS dated within the last six months from Lindenwood University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 5

Lions Club $25 minimum EUAS dated within the last six months from Lions Club

Yes Form 1716 $15 $15 Non-Military Both 301468 1999 54

March of Dimes $25 minimum EUAS dated within the last six months from March of Dimes

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013032 2004 0

Marine Corps Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 1218

Marine Corps League

Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military and a copy of current Marine Corps League membership card

Yes Form 4601 $15 $15 Military Personalized 301448 1988 88

Maryville University $25 minimum EUAS dated within the last six months from Maryville University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 6

Masonic Grand Lodge

$25 minimum EUAS dated within the last six months from Masonic Grand Lodge

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 82

Masters $25 minimum EUAS dated within the last six months from Missouri Association of State Troopers Emergency Relief Society (MASTERS)

Yes Form 1716 $15 $15 Non-Military Personalized 3013130 2004 457

Merchant Marine Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 6

Missouri 4-H Copy of current 4-H membership card for applicant or applicants child

Yes Form 1716 $15 $15 Non-Military Personalized 301481 2002 32

Missouri Agriculture (Farm Bureau)

$25 minimum EUAS dated within the last six months from the Farm Bureau

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013079 2004 0

Missouri Association of Municipal Utilities

$25 minimum EUAS dated within the last six months from the Missouri Association of Municipal Utilities

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013067 2019 0

Missouri Association of Realtors

$25 minimum EUAS dated within the last six months from the Missouri Association of Realtors

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 229

Missouri Bicycle and Pedestrian Federation

$30 minimum EUAS dated within the last six months from Missouri Bicycle and Pedestrian Federation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 306

Missouri Botanical Garden

$35 minimum EUAS dated within the last six months from the Missouri Botanical Garden

Yes Form 1716 $15 $15 Non-Military Personalized 3013043 2001 123

Missouri Boys State $25 minimum EUAS dated within the last six months from the Missouri Boys State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 3: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 3 - Revised 232020

orders or certificate that shows the applicant was awarded the Combat Medic Badge

Congressional Medal of Honor

Proof applicant was awarded the Congressional Medal of Honor

Yes Form 4601 None None Military Personalized 301145 1986 1

Conservation Heritage Foundation ndash Bald Eagle

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999

2008 NEW 490

Conservation Heritage Foundation ndash Bluebird

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999 770

Conservation Heritage Foundation ndash Deer

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation

Yes Form 1716 $15 $15 Non-Military Both 301469 1999 933

Conservation Heritage Foundation ndash Fish

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation (available for renewal applicants only)

Yes for renewal applicants only

Form 1716 $15 $15 Non-Military Both 301469 1999 123

Conservation Heritage Foundation ndash Mushroom

$25 minimum EUAS dated within the last six months from Conservation Heritage Foundation (available for renewal applicants only)

Yes for renewal applicants only

Form 1716 $15 $15 Non-Military Both 301469 1999

2007 NEW 17

Coroner amp Medical Examiners

LIMITED TO ONE SET $25 minimum EUAS dated within the last six months from Coroners amp Medical Examiners Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013089 2002 48

Culver-Stockton College

$25 minimum EUAS dated within the last six months from Culver-Stockton College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Custom Vehicle

A notarized statement that says The vehicle to which I intend to register this Custom Vehicle plate is 1 A vehicle that is at least twenty-five years old and of a model year after 1948 or is a vehicle manufactured to resemble a vehicle twenty-five years old or older and of a model year after 1948 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 2005 31

Dare to Dream $25 minimum EUAS dated within the last six months from Martin Luther King Jr State Celebration Commission or DOR

No Form 1716 $15 $15 Non-Military Personalized 3013165 2012 0

Daughters of the American Revolution

A one-time $25 minimum EUAS dated within the last six months from Daughters of the American Revolution Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 301134 2004 0

Delta Sigma Theta $25 minimum EUAS dated within the last six months from Delta Sigma Theta

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 81

Delta Tau Delta $25 minimum EUAS dated within the last six months from Delta Tau Delta

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013143 2004 0

Disabled Person Physicians statement Form-1776 dated within 90 days which shows a permanent disability

Yes Form 1716 $15 $15 Non-Military Personalized 301142 1977 1542

Disabled Veteran

LIMITED TO ONE SET A current letter from the Department of Veteran Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 None None Military Both 301071 1977 7819

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 4 - Revised 232020

Disabled Veteran PAY 2nd and additional plates

A current letter from the Department of Veterans Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 $15 $15 Military Both 301071 2018 95

Distinguished Flying Cross

Proof of Military Eligibility showing applicant was discharged and received the Distinguished Flying Cross or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Distinguished Flying Cross

Yes Form 4601 $15 $15 Military Both 3013053 2000 131

Donrsquot Tread on Me None Yes Form 1716 $15 $15 Non-Military Personalized 3013163 2011

2012 NEW 1891

Drury University $25 minimum EUAS dated within the last six months from Drury University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 43

Ducks Unlimited $25 minimum EUAS dated within the last six months from Ducks Unlimited

Yes Form 1716 $15 $15 Non-Military Personalized 301471 1999 188

Eagle Scout $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013093 2002 145

Easter Seals Midwest

$25 minimum EUAS dated within the last six months from Easter Seals Midwest

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2014 0

EMT LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 25

Fight Terrorism $25 minimum EUAS donation to the Antiterrorism fund through the DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013123 2003 307

Firefighter

A notarized statement that says ldquoI hereby affirm that I am a member of a fire department fire protection district or voluntary fire protection association in Missouri If I resign am removed or otherwise terminate association with the fire department I will return the special plates within fifteen days to the Department of Revenue

Yes Form 1716

and Form 768

$15 $15 Non-Military Both 301444 1984 1906

Firefighters Memorial

Applicant must be a person wounded in the line of duty as a firefighter or surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a firefighter

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013129 2004 0

Fontbonne University

$25minimum EUAS dated within the last six months from Fontbonne University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 1

Former Missouri Legislator

Proof applicant is a former Missouri Legislator Yes Form 1716 $15 $15 Non-Military Personalized 3013106 2004 96

Former Prisoner of War

LIMITED TO ONE SET Proof applicant is a former prisoner of war and was honorably discharged

Yes Form 4601 None None Military Both 301443 1983 82

Foxtrotter State Horse

$25 minimum EUAS dated within the last six months from Foxtrotter State Horse Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013126 2004 0

Fraternal Order of Eagles

$25 minimum EUAS dated within the last six months from Fraternal Order of the Eagles

Yes Form 1716 $15 $15 Non-Military Personalized 301461 1995 1

Friends of Arrow Rock

$25 minimum EUAS dated within the last six months from Friends of Arrow Rock

Yes Form 1716 $15 $15 Non-Military Personalized 3013092 2002 3

Friends of Kids with Cancer

$25 minimum EUAS dated within the last six months from Friends of Kids with Cancer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013122 2004 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 5 - Revised 232020

Friends of Wyatt ndash Childhood Cancer Awareness

$5 minimum EUAS dated within the last six months from Friends of Wyatt

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2016 0

Gateway Arch $25minimum EUAS dated within the last six months from Jefferson National Parks Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013117 2002 103

Go Team USA $25 minimum EUAS dated within the last six months from United States Olympic Committee

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013167 2012 0

God Bless America One time $10 donation to WWI Memorial Trust Fund collected by DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013097 2002 2096

Great Rivers State $25 minimum EUAS dated within the last six months from Missouri Stream Team Coalition

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 108

Gulf War Veteran ndash Desert Storm

Proof of Military Eligibility showing applicant was honorably discharged and received the Southwest Asia Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Southwest Asia Service Medal

Yes Form 4601 $15 $15 Military Both 3013077 2000 415

Hearing Impaired Kids Endowment Fund

$25 minimum EUAS dated within the last six months from the Hearing Impaired Kids Endowment Fund

Yes Form 1716 $15 $15 Non-Military Personalized 3013082 2002 33

Helping Schools $15 minimum EUAS dated within the last six months from participating local school

Yes Form 1716 $15 $15 Non-Military Personalized 301454 1995 30

Historic Personalized

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year and proof of ownership

Yes Form 570 $4625 $15 Non-Military Personalized 301130 1977 8307

Honorable Order of Kentucky Colonels

$25 minimum EUAS dated within the last six months from Honorable Order of Kentucky Colonels

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Honorary Consular Need a copy of their Consular Identification card issued by the US Department of State

Yes Form 1716 $15 $15 Non-Military Personalized 26140 1955 19

Irsquom Pet Friendly $25 minimum EUAS dated within the last six months from Missouri State Humane Association (MOSHA)

Yes Form 1716 $15 $15 Non-Military Personalized 3013087 2002 703

Jaycees LIMITED TO ONE SET Need a copy of current membership card from the Missouri Jaycees

Yes Form 1716 $15 $15 Non-Military Both 301466 1997 1

Kansas City Chiefs $35 minimum EUAS dated within the last six months from Kansas City Chiefs Childrens Fund

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999

2007 NEW 234

Kansas City Royals $35 minimum EUAS dated within the last six months from Kansas City Royals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 469

Kansas City Zoo $35 minimum EUAS dated within the last six months from Kansas City Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013047 2001 6

Kappa Alpha Psi $25 minimum EUAS dated within the last six months from Kappa Alpha Psi

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 11

Kingdom of Calontir $25 minimum EUAS dated within the last six months from Kingdom of Calontir

Yes Form 1716 $15 $15 Non-Military Personalized 3013098 2002 36

Knights of Columbus $25 minimum EUAS dated within the last six months from Knights of Columbus

Yes Form 1716 $15 $15 Non-Military Personalized 301459 1995 31

Korea Defense Service Medal

Proof of Military Eligibility showing applicant was honorably discharged and received the Korea Defense Service Medal

Yes Form 4601 $15 $15 Military Personalized 301474 2015 13

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 6 - Revised 232020

Korean War

Proof of Military Eligibility showing applicant was honorably discharged and received the Korean Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Korean Service Medal

Yes Form 4601 $15 $15 Military Both 301464 1997 74

Legion of Merit

Proof of Military Eligibility showing applicant was discharged and received the Legion of Merit or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Legion of Merit

Yes Form 4601 $15 $15 Military Both 3013158 2010 82

Lewis and Clark $25 minimum EUAS dated within the last six months from Missouri Travel Council or DOR

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013133 2004 0

Lincoln University $25 minimum EUAS dated within the last six months from Lincoln University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 10

Lindenwood University

$25 minimum EUAS dated within the last six months from Lindenwood University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 5

Lions Club $25 minimum EUAS dated within the last six months from Lions Club

Yes Form 1716 $15 $15 Non-Military Both 301468 1999 54

March of Dimes $25 minimum EUAS dated within the last six months from March of Dimes

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013032 2004 0

Marine Corps Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 1218

Marine Corps League

Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military and a copy of current Marine Corps League membership card

Yes Form 4601 $15 $15 Military Personalized 301448 1988 88

Maryville University $25 minimum EUAS dated within the last six months from Maryville University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 6

Masonic Grand Lodge

$25 minimum EUAS dated within the last six months from Masonic Grand Lodge

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 82

Masters $25 minimum EUAS dated within the last six months from Missouri Association of State Troopers Emergency Relief Society (MASTERS)

Yes Form 1716 $15 $15 Non-Military Personalized 3013130 2004 457

Merchant Marine Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 6

Missouri 4-H Copy of current 4-H membership card for applicant or applicants child

Yes Form 1716 $15 $15 Non-Military Personalized 301481 2002 32

Missouri Agriculture (Farm Bureau)

$25 minimum EUAS dated within the last six months from the Farm Bureau

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013079 2004 0

Missouri Association of Municipal Utilities

$25 minimum EUAS dated within the last six months from the Missouri Association of Municipal Utilities

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013067 2019 0

Missouri Association of Realtors

$25 minimum EUAS dated within the last six months from the Missouri Association of Realtors

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 229

Missouri Bicycle and Pedestrian Federation

$30 minimum EUAS dated within the last six months from Missouri Bicycle and Pedestrian Federation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 306

Missouri Botanical Garden

$35 minimum EUAS dated within the last six months from the Missouri Botanical Garden

Yes Form 1716 $15 $15 Non-Military Personalized 3013043 2001 123

Missouri Boys State $25 minimum EUAS dated within the last six months from the Missouri Boys State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 4: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 4 - Revised 232020

Disabled Veteran PAY 2nd and additional plates

A current letter from the Department of Veterans Affairs that states applicant has a service connected disability or is receiving compensation from the military for a service connected disability

Yes Form 4601 $15 $15 Military Both 301071 2018 95

Distinguished Flying Cross

Proof of Military Eligibility showing applicant was discharged and received the Distinguished Flying Cross or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Distinguished Flying Cross

Yes Form 4601 $15 $15 Military Both 3013053 2000 131

Donrsquot Tread on Me None Yes Form 1716 $15 $15 Non-Military Personalized 3013163 2011

2012 NEW 1891

Drury University $25 minimum EUAS dated within the last six months from Drury University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 43

Ducks Unlimited $25 minimum EUAS dated within the last six months from Ducks Unlimited

Yes Form 1716 $15 $15 Non-Military Personalized 301471 1999 188

Eagle Scout $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013093 2002 145

Easter Seals Midwest

$25 minimum EUAS dated within the last six months from Easter Seals Midwest

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2014 0

EMT LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 25

Fight Terrorism $25 minimum EUAS donation to the Antiterrorism fund through the DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013123 2003 307

Firefighter

A notarized statement that says ldquoI hereby affirm that I am a member of a fire department fire protection district or voluntary fire protection association in Missouri If I resign am removed or otherwise terminate association with the fire department I will return the special plates within fifteen days to the Department of Revenue

Yes Form 1716

and Form 768

$15 $15 Non-Military Both 301444 1984 1906

Firefighters Memorial

Applicant must be a person wounded in the line of duty as a firefighter or surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a firefighter

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013129 2004 0

Fontbonne University

$25minimum EUAS dated within the last six months from Fontbonne University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 1

Former Missouri Legislator

Proof applicant is a former Missouri Legislator Yes Form 1716 $15 $15 Non-Military Personalized 3013106 2004 96

Former Prisoner of War

LIMITED TO ONE SET Proof applicant is a former prisoner of war and was honorably discharged

Yes Form 4601 None None Military Both 301443 1983 82

Foxtrotter State Horse

$25 minimum EUAS dated within the last six months from Foxtrotter State Horse Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013126 2004 0

Fraternal Order of Eagles

$25 minimum EUAS dated within the last six months from Fraternal Order of the Eagles

Yes Form 1716 $15 $15 Non-Military Personalized 301461 1995 1

Friends of Arrow Rock

$25 minimum EUAS dated within the last six months from Friends of Arrow Rock

Yes Form 1716 $15 $15 Non-Military Personalized 3013092 2002 3

Friends of Kids with Cancer

$25 minimum EUAS dated within the last six months from Friends of Kids with Cancer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013122 2004 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 5 - Revised 232020

Friends of Wyatt ndash Childhood Cancer Awareness

$5 minimum EUAS dated within the last six months from Friends of Wyatt

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2016 0

Gateway Arch $25minimum EUAS dated within the last six months from Jefferson National Parks Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013117 2002 103

Go Team USA $25 minimum EUAS dated within the last six months from United States Olympic Committee

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013167 2012 0

God Bless America One time $10 donation to WWI Memorial Trust Fund collected by DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013097 2002 2096

Great Rivers State $25 minimum EUAS dated within the last six months from Missouri Stream Team Coalition

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 108

Gulf War Veteran ndash Desert Storm

Proof of Military Eligibility showing applicant was honorably discharged and received the Southwest Asia Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Southwest Asia Service Medal

Yes Form 4601 $15 $15 Military Both 3013077 2000 415

Hearing Impaired Kids Endowment Fund

$25 minimum EUAS dated within the last six months from the Hearing Impaired Kids Endowment Fund

Yes Form 1716 $15 $15 Non-Military Personalized 3013082 2002 33

Helping Schools $15 minimum EUAS dated within the last six months from participating local school

Yes Form 1716 $15 $15 Non-Military Personalized 301454 1995 30

Historic Personalized

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year and proof of ownership

Yes Form 570 $4625 $15 Non-Military Personalized 301130 1977 8307

Honorable Order of Kentucky Colonels

$25 minimum EUAS dated within the last six months from Honorable Order of Kentucky Colonels

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Honorary Consular Need a copy of their Consular Identification card issued by the US Department of State

Yes Form 1716 $15 $15 Non-Military Personalized 26140 1955 19

Irsquom Pet Friendly $25 minimum EUAS dated within the last six months from Missouri State Humane Association (MOSHA)

Yes Form 1716 $15 $15 Non-Military Personalized 3013087 2002 703

Jaycees LIMITED TO ONE SET Need a copy of current membership card from the Missouri Jaycees

Yes Form 1716 $15 $15 Non-Military Both 301466 1997 1

Kansas City Chiefs $35 minimum EUAS dated within the last six months from Kansas City Chiefs Childrens Fund

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999

2007 NEW 234

Kansas City Royals $35 minimum EUAS dated within the last six months from Kansas City Royals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 469

Kansas City Zoo $35 minimum EUAS dated within the last six months from Kansas City Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013047 2001 6

Kappa Alpha Psi $25 minimum EUAS dated within the last six months from Kappa Alpha Psi

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 11

Kingdom of Calontir $25 minimum EUAS dated within the last six months from Kingdom of Calontir

Yes Form 1716 $15 $15 Non-Military Personalized 3013098 2002 36

Knights of Columbus $25 minimum EUAS dated within the last six months from Knights of Columbus

Yes Form 1716 $15 $15 Non-Military Personalized 301459 1995 31

Korea Defense Service Medal

Proof of Military Eligibility showing applicant was honorably discharged and received the Korea Defense Service Medal

Yes Form 4601 $15 $15 Military Personalized 301474 2015 13

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 6 - Revised 232020

Korean War

Proof of Military Eligibility showing applicant was honorably discharged and received the Korean Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Korean Service Medal

Yes Form 4601 $15 $15 Military Both 301464 1997 74

Legion of Merit

Proof of Military Eligibility showing applicant was discharged and received the Legion of Merit or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Legion of Merit

Yes Form 4601 $15 $15 Military Both 3013158 2010 82

Lewis and Clark $25 minimum EUAS dated within the last six months from Missouri Travel Council or DOR

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013133 2004 0

Lincoln University $25 minimum EUAS dated within the last six months from Lincoln University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 10

Lindenwood University

$25 minimum EUAS dated within the last six months from Lindenwood University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 5

Lions Club $25 minimum EUAS dated within the last six months from Lions Club

Yes Form 1716 $15 $15 Non-Military Both 301468 1999 54

March of Dimes $25 minimum EUAS dated within the last six months from March of Dimes

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013032 2004 0

Marine Corps Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 1218

Marine Corps League

Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military and a copy of current Marine Corps League membership card

Yes Form 4601 $15 $15 Military Personalized 301448 1988 88

Maryville University $25 minimum EUAS dated within the last six months from Maryville University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 6

Masonic Grand Lodge

$25 minimum EUAS dated within the last six months from Masonic Grand Lodge

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 82

Masters $25 minimum EUAS dated within the last six months from Missouri Association of State Troopers Emergency Relief Society (MASTERS)

Yes Form 1716 $15 $15 Non-Military Personalized 3013130 2004 457

Merchant Marine Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 6

Missouri 4-H Copy of current 4-H membership card for applicant or applicants child

Yes Form 1716 $15 $15 Non-Military Personalized 301481 2002 32

Missouri Agriculture (Farm Bureau)

$25 minimum EUAS dated within the last six months from the Farm Bureau

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013079 2004 0

Missouri Association of Municipal Utilities

$25 minimum EUAS dated within the last six months from the Missouri Association of Municipal Utilities

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013067 2019 0

Missouri Association of Realtors

$25 minimum EUAS dated within the last six months from the Missouri Association of Realtors

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 229

Missouri Bicycle and Pedestrian Federation

$30 minimum EUAS dated within the last six months from Missouri Bicycle and Pedestrian Federation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 306

Missouri Botanical Garden

$35 minimum EUAS dated within the last six months from the Missouri Botanical Garden

Yes Form 1716 $15 $15 Non-Military Personalized 3013043 2001 123

Missouri Boys State $25 minimum EUAS dated within the last six months from the Missouri Boys State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 5: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 5 - Revised 232020

Friends of Wyatt ndash Childhood Cancer Awareness

$5 minimum EUAS dated within the last six months from Friends of Wyatt

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2016 0

Gateway Arch $25minimum EUAS dated within the last six months from Jefferson National Parks Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013117 2002 103

Go Team USA $25 minimum EUAS dated within the last six months from United States Olympic Committee

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013167 2012 0

God Bless America One time $10 donation to WWI Memorial Trust Fund collected by DOR

Yes Form 1716 $15 $15 Non-Military Personalized 3013097 2002 2096

Great Rivers State $25 minimum EUAS dated within the last six months from Missouri Stream Team Coalition

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 108

Gulf War Veteran ndash Desert Storm

Proof of Military Eligibility showing applicant was honorably discharged and received the Southwest Asia Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Southwest Asia Service Medal

Yes Form 4601 $15 $15 Military Both 3013077 2000 415

Hearing Impaired Kids Endowment Fund

$25 minimum EUAS dated within the last six months from the Hearing Impaired Kids Endowment Fund

Yes Form 1716 $15 $15 Non-Military Personalized 3013082 2002 33

Helping Schools $15 minimum EUAS dated within the last six months from participating local school

Yes Form 1716 $15 $15 Non-Military Personalized 301454 1995 30

Historic Personalized

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year and proof of ownership

Yes Form 570 $4625 $15 Non-Military Personalized 301130 1977 8307

Honorable Order of Kentucky Colonels

$25 minimum EUAS dated within the last six months from Honorable Order of Kentucky Colonels

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Honorary Consular Need a copy of their Consular Identification card issued by the US Department of State

Yes Form 1716 $15 $15 Non-Military Personalized 26140 1955 19

Irsquom Pet Friendly $25 minimum EUAS dated within the last six months from Missouri State Humane Association (MOSHA)

Yes Form 1716 $15 $15 Non-Military Personalized 3013087 2002 703

Jaycees LIMITED TO ONE SET Need a copy of current membership card from the Missouri Jaycees

Yes Form 1716 $15 $15 Non-Military Both 301466 1997 1

Kansas City Chiefs $35 minimum EUAS dated within the last six months from Kansas City Chiefs Childrens Fund

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999

2007 NEW 234

Kansas City Royals $35 minimum EUAS dated within the last six months from Kansas City Royals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 469

Kansas City Zoo $35 minimum EUAS dated within the last six months from Kansas City Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013047 2001 6

Kappa Alpha Psi $25 minimum EUAS dated within the last six months from Kappa Alpha Psi

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 11

Kingdom of Calontir $25 minimum EUAS dated within the last six months from Kingdom of Calontir

Yes Form 1716 $15 $15 Non-Military Personalized 3013098 2002 36

Knights of Columbus $25 minimum EUAS dated within the last six months from Knights of Columbus

Yes Form 1716 $15 $15 Non-Military Personalized 301459 1995 31

Korea Defense Service Medal

Proof of Military Eligibility showing applicant was honorably discharged and received the Korea Defense Service Medal

Yes Form 4601 $15 $15 Military Personalized 301474 2015 13

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 6 - Revised 232020

Korean War

Proof of Military Eligibility showing applicant was honorably discharged and received the Korean Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Korean Service Medal

Yes Form 4601 $15 $15 Military Both 301464 1997 74

Legion of Merit

Proof of Military Eligibility showing applicant was discharged and received the Legion of Merit or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Legion of Merit

Yes Form 4601 $15 $15 Military Both 3013158 2010 82

Lewis and Clark $25 minimum EUAS dated within the last six months from Missouri Travel Council or DOR

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013133 2004 0

Lincoln University $25 minimum EUAS dated within the last six months from Lincoln University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 10

Lindenwood University

$25 minimum EUAS dated within the last six months from Lindenwood University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 5

Lions Club $25 minimum EUAS dated within the last six months from Lions Club

Yes Form 1716 $15 $15 Non-Military Both 301468 1999 54

March of Dimes $25 minimum EUAS dated within the last six months from March of Dimes

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013032 2004 0

Marine Corps Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 1218

Marine Corps League

Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military and a copy of current Marine Corps League membership card

Yes Form 4601 $15 $15 Military Personalized 301448 1988 88

Maryville University $25 minimum EUAS dated within the last six months from Maryville University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 6

Masonic Grand Lodge

$25 minimum EUAS dated within the last six months from Masonic Grand Lodge

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 82

Masters $25 minimum EUAS dated within the last six months from Missouri Association of State Troopers Emergency Relief Society (MASTERS)

Yes Form 1716 $15 $15 Non-Military Personalized 3013130 2004 457

Merchant Marine Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 6

Missouri 4-H Copy of current 4-H membership card for applicant or applicants child

Yes Form 1716 $15 $15 Non-Military Personalized 301481 2002 32

Missouri Agriculture (Farm Bureau)

$25 minimum EUAS dated within the last six months from the Farm Bureau

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013079 2004 0

Missouri Association of Municipal Utilities

$25 minimum EUAS dated within the last six months from the Missouri Association of Municipal Utilities

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013067 2019 0

Missouri Association of Realtors

$25 minimum EUAS dated within the last six months from the Missouri Association of Realtors

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 229

Missouri Bicycle and Pedestrian Federation

$30 minimum EUAS dated within the last six months from Missouri Bicycle and Pedestrian Federation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 306

Missouri Botanical Garden

$35 minimum EUAS dated within the last six months from the Missouri Botanical Garden

Yes Form 1716 $15 $15 Non-Military Personalized 3013043 2001 123

Missouri Boys State $25 minimum EUAS dated within the last six months from the Missouri Boys State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 6: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 6 - Revised 232020

Korean War

Proof of Military Eligibility showing applicant was honorably discharged and received the Korean Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Korean Service Medal

Yes Form 4601 $15 $15 Military Both 301464 1997 74

Legion of Merit

Proof of Military Eligibility showing applicant was discharged and received the Legion of Merit or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Legion of Merit

Yes Form 4601 $15 $15 Military Both 3013158 2010 82

Lewis and Clark $25 minimum EUAS dated within the last six months from Missouri Travel Council or DOR

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013133 2004 0

Lincoln University $25 minimum EUAS dated within the last six months from Lincoln University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 10

Lindenwood University

$25 minimum EUAS dated within the last six months from Lindenwood University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 5

Lions Club $25 minimum EUAS dated within the last six months from Lions Club

Yes Form 1716 $15 $15 Non-Military Both 301468 1999 54

March of Dimes $25 minimum EUAS dated within the last six months from March of Dimes

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013032 2004 0

Marine Corps Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 1218

Marine Corps League

Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military and a copy of current Marine Corps League membership card

Yes Form 4601 $15 $15 Military Personalized 301448 1988 88

Maryville University $25 minimum EUAS dated within the last six months from Maryville University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 6

Masonic Grand Lodge

$25 minimum EUAS dated within the last six months from Masonic Grand Lodge

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 82

Masters $25 minimum EUAS dated within the last six months from Missouri Association of State Troopers Emergency Relief Society (MASTERS)

Yes Form 1716 $15 $15 Non-Military Personalized 3013130 2004 457

Merchant Marine Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 6

Missouri 4-H Copy of current 4-H membership card for applicant or applicants child

Yes Form 1716 $15 $15 Non-Military Personalized 301481 2002 32

Missouri Agriculture (Farm Bureau)

$25 minimum EUAS dated within the last six months from the Farm Bureau

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013079 2004 0

Missouri Association of Municipal Utilities

$25 minimum EUAS dated within the last six months from the Missouri Association of Municipal Utilities

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013067 2019 0

Missouri Association of Realtors

$25 minimum EUAS dated within the last six months from the Missouri Association of Realtors

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2007 229

Missouri Bicycle and Pedestrian Federation

$30 minimum EUAS dated within the last six months from Missouri Bicycle and Pedestrian Federation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2011 306

Missouri Botanical Garden

$35 minimum EUAS dated within the last six months from the Missouri Botanical Garden

Yes Form 1716 $15 $15 Non-Military Personalized 3013043 2001 123

Missouri Boys State $25 minimum EUAS dated within the last six months from the Missouri Boys State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 7: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 7 - Revised 232020

Missouri Demolay $25 minimum EUAS dated within the last six months from Missouri Demolay

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013148 2004 0

Missouri Elks Association

$15 minimum EUAS dated within the last six months from Elks Yes Form 1716 $15 $15 Non-Military Personalized 3013118 2002 34

Missouri Federation of Square amp Round Dance Clubs

$25 minimum EUAS dated within the last six months from Missouri Federation of Square and Round Dance Clubs

Yes Form 1716 $15 $15 Non-Military Personalized 3013096 2002 29

Missouri Fraternal Order of Police

$25 minimum EUAS dated within the last six months from Missouri Fraternal Order of Police

Yes Form 1716 $15 $15 Non-Military Personalized 3013103 2002 28

Missouri Girls State $25 minimum EUAS dated within the last six months from the Missouri Girls State

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013173 2016 0

Missouri Hospice Association

$25 minimum EUAS dated within the last six months from Missouri Hospice amp Palliative Care Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2007 0

Missouri Junior Golf Foundation

$25 minimum EUAS dated within the last six months from Missouri Junior Golf Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 301473 2012 22

Missouri Nurses Foundation

$25 minimum EUAS dated within the last six months from Missouri Nurses Foundation

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2015 3

Missouri Remembers POWMIA

None Yes Form 1716 $15 $15 Non-Military Both 3013055 2000 528

Missouri Society of Professional Engineers

$25 minimum EUAS dated within the last six months from Missouri Society of Professional Engineers

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013132 2004 0

Missouri Southern State University

$25 minimum EUAS dated within the last six months from Missouri Southern State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 30

Missouri State Council of Firefighters

$25 minimum EUAS dated within the last six months from Missouri State Council of Firefighters

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

Missouri State University

$25 minimum EUAS dated within the last six months from Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 174

Missouri Task Force 1

LIMITED TO ONE SET Copy of applicantrsquos current Missouri Task Force One ID card

Yes Form 1716 $15 $15 Non-Military Personalized 3013107 2002 25

Missouri Travel Council

$25 minimum EUAS dated within the last six months from Missouri Travel Council

Yes Form 1716 $15 $15 Non-Military Personalized 3013119 2002 103

Missouri University of Science amp Technology

$25 minimum EUAS dated within the last six months from Missouri University of Science amp Technology

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 143

Missouri Valley College

$25 minimum EUAS dated within the last six months from Missouri Valley College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 16

Missouri Western State University

$25 minimum EUAS dated within the last six months from Missouri Western State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 26

MKN Conference of Teamsters

$25 minimum EUAS dated within the last six months from MKN Conference of Teamsters

Yes Form 1716 $15 $15 Non-Military Personalized 3013101 2002 30

MO-AG $25 minimum EUAS dated within the last six months from MO-AG

Yes Form 1716 $15 $15 Non-Military Personalized 3013065 2002 10

Mustang Club of St Louis

$25 minimum EUAS dated within the last six months from Mustang Club of St Louis

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2011 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 8: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 8 - Revised 232020

NAACP $25 minimum EUAS dated within the last six months from NAACP

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013074 2004 0

National Guard Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 174

National Multiple Sclerosis Society

$25 minimum EUAS dated with the last six months from the National Multiple Sclerosis Society

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2012 0

National Rifle Association

$25 minimum EUAS dated within the last six months from the National Rifle Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013170 2012 0

National Wild Turkey Federation

$25 minimum EUAS dated within the last six months from the National Wild Turkey Federation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013166 2012 0

Navy Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 301448 1988 713

Navy Cross Proof of Military Eligibility showing applicant received the military service award or medal known as the Navy Cross

Yes Form 4601 $15 $15 Military Personalized 3013052 2012 0

Nixa Education Foundation

$15 minimum EUAS dated within the last six months from Nixa Education Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013162 2011 0

North Central Missouri Experimental Aircraft Association

$25 minimum EUAS dated within the last six months from North Central Missouri Chapter 944 of the Experimental Aircraft Association

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2019 0

Northwest Missouri State University

$25 minimum EUAS dated within the last six months from Northwest Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 72

Omega Psi Phi $25 minimum EUAS dated within the last six months from Omega Psi Phi

Yes Form 1716 $15 $15 Non-Military Personalized 3013086 2002 42

Operation Enduring Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Enduring Freedom

Yes Form 4601 $15 $15 Military Personalized 3013090 2002 263

Operation Iraqi Freedom

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal Global War on Terrorism Service Medal or Iraq Service Medal or any other proof applicant served in support of Operation Iraqi Freedom

Yes Form 4601 $15 $15 Military Personalized 3013078 2004 476

Operation Noble Eagle

Proof of Military Eligibility showing applicant was honorably discharged or is currently serving and received the Global War on Terrorism Expeditionary Medal or Global War on Terrorism Service Medal or any other proof applicant served in support of Operation Noble Eagle

Yes Form 4601 $15 $15 Military Personalized 3013116 2002 11

Optimist Club-Friend of Youth

$25 minimum EUAS dated within the last six months from Optimist Club

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013131 2004 0

Order of the Arrow $25 minimum EUAS dated within the last six months from Boy Scouts of America

Yes Form 1716 $15 $15 Non-Military Personalized 3013095 2002 21

Order of the Eastern Star ndash Grand Harmony Chapter

$25 minimum EUAS dated within the last six months from Eastern Star

Yes Form 1716 $15 $15 Non-Military Personalized 301462 1995 25

Paramedic LIMITED TO ONE SET $15 minimum EUAS dated within the last six months from Mo Emergency Medical Services Association (MEMSA)

Yes Form 1716 $15 $15 Non-Military Personalized 301467 1999 68

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 9: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 9 - Revised 232020

Park University $25 minimum EUAS dated within the last six months from Park University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999 4

Parks and Recreation $25 minimum EUAS dated within the last six month from Parks and Recreation

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Pearl Harbor Survivor

Proof applicant is a Pearl Harbor Survivor Yes Form 4601 $15 $15 Military Both 301447 1988 6

Pittsburg State University

$25 minimum EUAS dated within the last six months from Pittsburg State University

Yes Form 1716 $15 $15 Non-Military Personalized 3013150 2012 164

Pony Express $25 minimum EUAS dated within the last six months from Pony Express Museum (St Joseph MO)

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013169 2012 0

Prince Hall Grand Lodge Masons

$25 minimum EUAS dated within the last six months from Prince Hall Masons

Yes Form 1716 $15 $15 Non-Military Personalized 301458 1995 41

Purple Heart

Proof of Military Eligibility showing applicant was discharged and received the Purple Heart Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Purple Heart Medal

Yes Form 4601 None None Military Both 301451 1991 2250

Ranken Technical College

$25 minimum EUAS dated within the last six months from Ranken Technical College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1999

2008 NEW 11

Regular Personalized None Yes Form 1716 $15 $15 Non-Military Personalized 301130 1977 116048

Retired Air Force Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1470

Retired Army Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 1959

Retired Coast Guard Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 82

Retired Marine Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 377

Retired Marine Corps League

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 5

Retired Merchant Marine

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 0

Retired National Guard

Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW 119

Retired Navy Proof of Military Eligibility showing honorable retirement or 20 or more years of honorable service or copy of military retirement certificate or copy of retired military ID card

Yes Form 4601 None None Military Personalized 301441 1994

2001 NEW

1009

Rockhurst University $25 minimum EUAS dated within the last six months from Rockhurst University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 10: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 10 - Revised 232020

Rocky Mountain Elk Foundation

$25 minimum EUAS dated within the last six months from Rocky Mountain Elk Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2008 0

Rotary International $25 minimum EUAS dated within the last six months from Rotary International

Yes Form 1716 $15 $15 Non-Military Personalized 3013080 2002 30

Safari Club International

$25 minimum EUAS dated within the last six months from Safari Club International

Yes Form 1716 $15 $15 Non-Military Personalized 3013050 2001 5

Search and Rescue (SARCOM)

$25 minimum EUAS dated within the last six months from Search and Rescue Council of Missouri (SARCOM)

No organization is disbanded

Form 1716 $15 $15 Non-Military Personalized 3013146 2004 2

Shriners $25 minimum EUAS dated within the last six months from Shriners

Yes Form 1716 $15 $15 Non-Military Personalized 3013051 2000 137

Sigma Gamma Rho $25 minimum EUAS dated within the last six months from Sigma Gamma Rho

Yes Form 1716 $15 $15 Non-Military Personalized 3013109 2002 4

Silver Star

Proof of Military Eligibility showing applicant was discharged and received the Silver Star Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Silver Star Medal

Yes Form 4601 $15 $15 Military Both 301456 1995 83

Some Gave All

$25 minimum EUAS dated within the last six months from VFW or DOR for applicants whose family member died in the line of duty while serving in the US armed forces though no proof of death is required

Yes Form 4601 $15 $15 Military Personalized 3013141 2006 127

Southeast Missouri State University

$25 minimum EUAS dated within the last six months from Southeast Missouri State University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 56

Special Olympics Missouri

$25 minimum EUAS dated within the last six months from Special Olympics Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 3013124 2004 43

St Louis Blues $35 minimum EUAS dated within the last six months from St Louis Blues

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 411

St Louis Cardinals $35 minimum EUAS dated within the last six months from St Louis Cardinals

Yes Form 1716 $15 $15 Non-Military Personalized 301472 1999 1379

St Louis College of Pharmacy

$25 minimum EUAS dated within the last six months from St Louis College of Pharmacy

Yes Form 1716 $15 $15 Non-Military Personalized 3013102 2002 12

St Louis University $25 minimum EUAS dated within the last six months from St Louis University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 139

St Louis Zoo $35 minimum EUAS dated within the last six months from St Louis Zoo

Yes Form 1716 $15 $15 Non-Military Personalized 3013045 2001 295

Stephens College $25 minimum EUAS dated within the last six months from Stephens College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

Street Rod

Notarized statement that says The vehicle to which I intend to register this Street Rod plate is 1 A vehicle that is older than 1949 or is a vehicle manufactured after 1948 to resemble a vehicle manufactured before 1949 and 2 Has been altered from the manufacturerrsquos original design or has a body constructed from non-original materials This vehicle is maintained for occasional transportation exhibitions club activities parades tours and similar uses and will not be used for general daily transportation

Yes Form 1716 $15 $15 Non-Military Both 301132 1981 66

Support Our Troops $25 minimum EUAS dated within the last six months from Missouri Support Our Troops Inc

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2006 0

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 11: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 11 - Revised 232020

Theta Chi Fraternity $25minimum EUAS dated within the last six months from Theta Chi Fraternity

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013147 2004 0

To Protect and Serve

Applicant must be ldquoa person wounded in the line of duty as a peace officer or a surviving spouse parent brother sister or adult child adopted child or stepchild of a person killed in the line of duty as a peace officer

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013128 2004 0

Tribe of Mic-O-Say (Kansas City)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - Kansas City Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 70

Tribe of Mic-O-Say (St Joseph)

$25 minimum EUAS dated within the last six months from Boy Scouts of America - St Joseph Chapter

Yes Form 1716 $15 $15 Non-Military Personalized 3013094 2002 13

Truman University $25 minimum EUAS dated within the last six months from Truman University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 38

Uniting All Abilities $25 minimum EUAS dated within the last six months from Day Solutions Foundation

Need $5000 and 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2018 0

University of Central Missouri

$25 minimum EUAS dated within the last six months from University of Central Missouri

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 64

University of Missouri ndash Columbia

$25 minimum EUAS dated within the last six months from University of Missouri - Columbia

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 2218

University of Missouri ndash Kansas City

$25 minimum EUAS dated within the last six months from University of Missouri - Kansas City

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 19

University of Missouri ndash St Louis

$25 minimum EUAS dated within the last six months from University of Missouri - St Louis

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 22

USO of Missouri $25 minimum EUAS dated within the last six months from USO of Missouri

$5000 payment req has been

satisfied need 200 applications

Form 1716 $15 $15 Non-Military Personalized 3013150 2017 0

US Veteran Proof of Military Eligibility that shows applicant was honorably discharged from the military

Yes Form 4601 $15 $15 Military Personalized 3013054

and 3014000

2004 758

Veterans of Foreign Wars

$25 minimum EUAS dated within the last six months from Veterans of Foreign Wars (VFW)

Yes Form 4601 $15 $15 Military Personalized 3013105 2002 42

Vietnam Veteran

Proof of Military Eligibility showing applicant was honorably discharged and received the Vietnam Service Medal or if applicant is currently serving proof of current service and a copy of orders or certificate that shows the applicant was awarded the Vietnam Service Medal

Yes Form 4601 $15 $15 Military Both 301457 1995 1689

Wartime Disabled (Disabled American Veterans)

Valid photo ID and valid membership card issued by the Disabled American Veterans

Yes Form 4601 $15 $15 Military Personalized 3013061 2006 87

Washington University

$25 minimum EUAS dated within the last six months from Washington University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 217

We Shall Not Forget

Applicants signature on application certifying they qualify for the plate Any immediate family member including step-family that wishes to pay tribute to a member of the US military who was a resident of Missouri and was killed in the line of duty may receive a personalized license plate bearing the initials of that veteran with a gold star on the left side of the plates followed by a three-letter description of the applicants relation to that veteran provided such license plate configuration is not currently in use

Yes Form 4601 None None Non-Military Personalized 3013142 2004 41

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666

Page 12: Fee or Both 01/02/20 · 2020-02-04 · exhibitions, club activities, parades, tours and similar uses and will not be used for general daily transportation." Yes Form 1716 $15 $15

Plate Name Requirements and Contact Information Plate Available to

Public Application

Initial Fee

Renewal Specialty

Fee

Military Non-Military

Stock Personalized

or Both

Statute Number

Year Authorized

Plate total as of

010220

Specialty Plate Chart - 12 - Revised 232020

Webster University $25 minimum EUAS dated within the last six months from Webster University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

Westminster College $25 minimum EUAS dated within the last six months from Westminster College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 14

William Jewel College

$25 minimum EUAS dated within the last six months from William Jewel College

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 17

William Woods University

$25 minimum EUAS dated within the last six months from William Woods University

Yes Form 1716 $15 $15 Non-Military Personalized 301449 1989 3

Wilsonrsquos Creek National Battlefield

$25 minimum EUAS dated within the last six months from Wilsons Creek National Battlefield Association

Yes Form 1716 $15 $15 Non-Military Personalized 3013041 200 41

Woman Veteran Proof of Military Eligibility showing applicant is currently serving or honorably discharged from military

Yes Form 4601 $15 $15 Military Personalized 3013172 2014 174

World War II Proof of Military Eligibility that shows applicant served in the military during WWII and was honorably discharged

Yes Form 4601 $15 $15 Military Both 301465 1997 48

Year of Manufacture

Vehicle must be 25 years old or older to qualify Need current proof of financial responsibility paid personal property tax receipt or waiver from previous year proof of ownership and a picture of a Missouri plate from the same year as the model year of the vehicle

Yes Form 570 $3125 None Non-Military Personalized 301131 1995 10666