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Instructions Application And Petition Packet For New Organizational License Plates Form. This is a Ohio form and can be use in Bureau Of Motor Vehicles Statewide.
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Tags: Instructions Application And Petition Packet For New Organizational License Plates, BMV 4810, Ohio Statewide, Bureau Of Motor Vehicles
OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
INSTRUCTIONS, APPLICATION, AND PETITION PACKET
FOR NEW ORGANIZATIONAL LICENSE PLATES
INSTRUCTIONS
This document provides information to assist your organization in submitting your application for
participation in the special license plate program.
Organizations must first obtain 500 signatures from people who intend to purchase a set of these
plates. Below is a copy of the petition form that may be used to obtain the signatures. You may copy
our form or create one of your own. If you create your own petition, it must contain the required
information. You must then contact a legislator who will agree to draft a bill for your organization’s
plates. The legislator will then submit the bill to the General Assembly for approval.
While the bill is going through the legislative process, you MUST submit the following documents to
our office:
A completed application form (see below to download application).
A statement from the authorized agent of the organization granting the BMV permission to
print the organization’s logo on Ohio license plates.
An electronic file of your organization’s logo and name.
File needs to be saved as Vector art.
Include PMS colors, Fonts (if text is not paths), include both Text and Logo as Vector art,
and include Color Sample.
The Logo size can be no more than 2.5” wide and 3.25” high.
The Text size can be no more than 5.5”wide and .75” high.
The original petitions with the 500 signatures.
Organizations must sell 500 sets of plates per year. If these minimums are not met by the second
year, your organization will be terminated from the program. Issuance of these plates is approved for
passenger vehicles, noncommercial trucks and motor homes.
The completed documents must be sent to the Bureau of Motor Vehicles, Dealer Licensing &
Specialty Plate Section, P.O. Box 16521, Columbus, Ohio 43216-6521. The telephone number is
614-995-1228. Upon receipt of these items, a sample license plate will be manufactured and sent to
you for approval, after your design is approved.
Good luck in your endeavors!
BMV 4810 10/10 Page 1 of 3
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OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
APPLICATION FOR NEW ORGANIZATIONAL LICENSE PLATES
NAME OF ORGANIZATION
FEDERAL TAX ID NUMBER
ADDRESS OF ORGANIZATION
CITY
CONTACT PERSON FIRST NAME
LAST NAME
ADDRESS
CITY
PHONE NUMBER
FAX NUMBER
STATE
ZIP CODE
MI
STATE
ZIP CODE
EMAIL ADDRESS
SUPPLY THE DESIGN FOR THE PLATES
(ARTWORK, SPECIFIC PMS COLORS AND NUMBERS MUST BE ATTACHED)
SIGNATURE OF AUTHORIZED AGENT
TITLE
DATE
X
COMPLETED DOCUMENTS MUST BE SENT TO:
Ohio Department of Public Safety
Bureau of Motor Vehicles
Dealer Licensing & Specialty Plate Section
P.O. Box 16521
Columbus, Ohio 43216-6521
BMV 4810 10/10 Page 2 of 3
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OHIO DEPARTMENT OF PUBLIC SAFETY
BUREAU OF MOTOR VEHICLES
PETITION TO ESTABLISH ORGANIZATIONAL LICENSE PLATE
We, the undersigned, wish to have the State of Ohio Legislature consider a bill to authorize the Ohio Bureau of Motor
Vehicles to produce specialty license plates designated to the
.
We the undersigned do intend to support this effort by purchasing the
Specialty License Plates from the Ohio Bureau of Motor Vehicles. We understand there will be an additional cost to the
standard license plate fee and also understand a portion of the proceeds will go to the designated fund.
PLEASE FILL OUT COMPLETELY THE FOLLOWING INFORMATION (Duplicate this form as necessary)
(PRINT or TYPE)
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
SIGNATURE
PHONE NUMBER (Include area code)
ZIP
X
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
PHONE NUMBER (Include area code)
ZIP
SIGNATURE
X
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
PHONE NUMBER (Include area code)
SIGNATURE
ZIP
X
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
PHONE NUMBER (Include area code)
ZIP
SIGNATURE
X
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
PHONE NUMBER (Include area code)
SIGNATURE
ZIP
X
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
SIGNATURE
PHONE NUMBER (Include area code)
ZIP
X
FIRST NAME
LAST NAME
MI
ADDRESS
CITY
STATE
CURRENT LICENSE PLATE NUMBER
OH DRIVER LICENSE OR OH ID CARD NUMBER
PHONE NUMBER (Include area code)
ZIP
SIGNATURE
X
FOR ADDITIONAL INFORMATION ON THIS PETITION, PLEASE CONTACT
CIRCULATOR OF PETITION INFORMATION
TOTAL NUMBER OF SIGNATURES
NAME
TELEPHONE
ADDRESS
CITY
STATE
ZIP
THANK YOU FOR SUPPORTING OUR PETITION DRIVE
BMV 4810 10/10 Page 3 of 3
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