Get Emblem Use Authorization Form - Easter Seals Midwest - Eastersealsmidwest

Filling out the EMBLEM USE AUTHORIZATION FORM is an essential step for those seeking to utilize the emblem for specialty license plates. This guide provides clear, step-by-step instructions to ensure a smooth completion of the form online.

Follow the steps to successfully fill out the EMBLEM USE AUTHORIZATION FORM.

1. Click the ‘Get Form’ button to access the EMBLEM USE AUTHORIZATION FORM and open it in your preferred online document editor.
2. Begin by clearly printing your name in the designated field. This helps to ensure that the form is correctly attributed to you.
3. Next, fill in your address information by entering your street address, city, state, and zip code in the appropriate fields.
4. Provide your phone number in the designated space to ensure the organization can contact you if necessary.
5. Enter your email address in the provided field, allowing for a quick and efficient way to communicate regarding your application.
6. Prepare your payment by writing a $15 check payable to the Missouri Department of Revenue, ensuring you note 'Specialty License Plate' in the memo line.
7. Gather your completed form along with the check and the DOR 1716 application. Review all your entries for accuracy before submission.
8. Mail your completed form and payment to Easter Seals Midwest, Attention: Annual Giving Coordinator, at the specified address in Ballwin, MO.
9. For additional information or assistance, reach out via phone at 314-394-7135.
10. Once you have completed all the steps, you may save changes, download, print, or share the form as needed.

Complete your EMBLEM USE AUTHORIZATION FORM online today and take the first step toward your specialty license plate!