Form MV-145V, Application for Severely Disabled Veteran, Severely Disabled Veteran Motorcycle Plate Decal or Disabled Veteran Registration Plate Completed Form Examples and Samples

View practical examples of how to fill out Form MV-145V, Application for Severely Disabled Veteran, Severely Disabled Veteran Motorcycle Plate Decal, or Disabled Veteran Registration Plate. Simplify your Pennsylvania DMV application process with our clear, step-by-step samples.
Completed Pennsylvania Form MV-145V for a disabled veteran license plate.

Source document used: Veteran Personal Correspondence

Dear DMV Processing Team, I am writing to submit my application for the Severely Disabled Veteran plate for my vehicle. My name is Robert J. Miller, born on March 12, 1968, and I currently reside at 442 Maplewood Drive, Harrisburg, PA 17101. My Pennsylvania driver's license number is PDL-99887766. Regarding my vehicle, the title number is T-88223344, and the current registration plate is PA-DV777, which expires on August 31, 2026. The VIN for my truck is 1G1RC5E78GL990011. My service-connected disability rating is 100%, and my VA file number is VA-9988776655. I have attached my VA Summary of Benefits letter as proof of eligibility, as I prefer this over having a regional office complete the certification section. I am signing this declaration on May 15, 2026, in Dauphin County, Pennsylvania, USA. My daytime phone number is 717-555-0123. My wife, Sarah Miller, born February 20, 1970, with license number PDL-11223344, will be the co-applicant on the registration. Her contact number is 717-555-0124. I am hoping for a personalized plate if possible; my top choice is 'VET01', followed by 'VET02' and 'USA77'. Thank you for your assistance in processing this application for the Severely Disabled Veteran Plate (E4).