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Get WA DOL TD-420-073 2018-2024

Ication AND A SEPARATE signed authorization from your healthcare provider to any vehicle licensing office or mail to: Special Plate Unit, Department of Licensing, PO Box 9043, Olympia, WA 98507. Applicant PRINT or TYPE Name (Last, First, Middle initial) Mailing address (PO Box or street address and apartment number, if applicable) (Area code) Daytime phone Email Date of birth (mm/dd/yyyy) Gender Male  City Current license plate, if applicable X State Female ZIP code Re.

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