Form MVR-17 template
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Emergency Medical Services Plate Application
This document is an application form for obtaining an Emergency Medical Services (EMS) plate from the Maine Bureau of Motor Vehicles. The applicant, identified by name and license number, requests the plate along with a one-time $5.00 fee and a copy of their current registration. They may also opt for a vanity plate for an additional $25.00 fee. The EMS licensee must immediately notify the Secretary of State if they cease to be a licensed emergency medical services person and return the plate. The registered vehicle weight of the vehicle assigned the plate cannot exceed 10,000 pounds (29-A MRSA §519-A). Applicants should submit their application, copy of registration, and payment to the Specialty Plate Clerk.
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