Adot Form 96-0104 - I understand that by submitting this form i have read the. To apply for a disability plate or placard (both permanent and temporary), to add a disability symbol to a special license plate, or for a hearing impaired license plate or placard. Add or delete individual on a license. Mail the completed application and payment to the address listed above. Certify (or declare) that the foregoing is true and correct. Web for eligibility see reverse side of the application. For any person having possession of an abandoned vehicle to submit a report to mvd. Coversheet for authorized third parties for transmittal of abandoned vehicle reports. Mail the completed application and payment to the address listed above.
Add or delete individual on a license. To apply for a disability plate or placard (both permanent and temporary), to add a disability symbol to a special license plate, or for a hearing impaired license plate or placard. Coversheet for authorized third parties for transmittal of abandoned vehicle reports. Web for eligibility see reverse side of the application. Mail the completed application and payment to the address listed above. Certify (or declare) that the foregoing is true and correct. Mail the completed application and payment to the address listed above. I understand that by submitting this form i have read the. For any person having possession of an abandoned vehicle to submit a report to mvd.