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Motor Vehicle Administration 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062 VR-059 (02/12) Application for License Plates for Facilities Please read instructions on back carefully before completing.

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How to fill out the Vrvr 059 online

The Vrvr 059 form is essential for facilities looking to obtain license plates specifically designed for the transportation of individuals with disabilities. This guide will provide you with a clear and straightforward approach to completing the form effectively.

Follow the steps to complete the Vrvr 059 form online.

  1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
  2. Fill out Section A, which requests information about the facility. Include the name of the facility, the Soundex number, street address, FEIN number, city, county, state, and zip code.
  3. If the vehicle is leased, proceed to Section B to provide the leasing company information. Enter the name of the owner, their street address, city, county, state, and zip code.
  4. Complete Section C, which requires details about the vehicle. Enter the Vehicle Identification Number (VIN), vehicle class, year, present tag number, make, model, present sticker number, body style, and title number.
  5. In Section D, review the Certification Statement. This statement certifies that the vehicle is exclusively used for transporting individuals with disabilities. Sign where indicated, providing your name, telephone number, date, and if applicable, the signature and contact information of the facility representative.
  6. Once all sections are completed, you may save your changes. You can then download, print, or share the form as needed.

Ready to apply for your license plates? Complete the Vrvr 059 form online today.

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