Form REG116 template
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Application for Awarded Medal Veterans' Plates for a Surviving Spouse
Complete this form if you are a surviving spouse and wish to apply for an an Awarded Medal Veteran's plate.
This document is an application form for surviving spouses to receive Veterans' Plates under Chapter 407 of the Acts of 2008. The application requires submission of a spouse's Honorable Discharge or Release from Active Duty document, Death Certificate, current vehicle registration, and other documents. Applicants must fill in their personal information, vehicle type, and choose the type of plate they want based on military awards. Plates include Silver Star, Bronze Star, Congressional Medal of Honor, Legion of Valor, Pearl Harbor Survivor, Distinguished Flying Cross, Purple Heart, and Ex-POW. Renewal periods vary by plate type. The application requires a signature and agreement to abide by rules and regulations.
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