MVD-11201 Autism Plate Application – Fillable PDF Form

The MVD-11201 is the official New Mexico Motor Vehicle Division (MVD) application for an Autism (disability) license plate. This special plate provides recognition and certain parking privileges for drivers with autism spectrum disorder.

Our fillable PDF version lets you complete the entire application directly in your browser—no printing, scanning, or mailing required. Once you finish, you can download the completed PDF or submit it electronically through the Formize PDF Filler app.

What Is the MVD-11201 Autism Plate Form?

The form collects personal information, proof of diagnosis, vehicle details, and a fee schedule. It is required for anyone seeking a state‑issued autism plate in New Mexico.

How to Complete the Form Online

Simply click the Fill out this form button below. The Formize PDF Filler will load, and you can start entering your data immediately.

Common Mistakes to Avoid

• Leaving the physician’s certification section blank.
• Using an outdated address or vehicle VIN.
• Forgetting to attach the required supporting documents (medical diagnosis, proof of residency).
• Misspelling your name or Social Security Number.

Submission Instructions & Fees

After completing the form, you can either:

• Download the finished PDF, print it, and mail it with the $10 plate fee to the MVD address listed on the form.
• Submit the PDF electronically via the Formize portal if your local MVD office accepts digital submissions.

Where to Get Help

If you have questions about eligibility, required documentation, or the filing process, contact the New Mexico Motor Vehicle Division at 1‑800‑XYZ‑MVD or visit your nearest MVD office.