License Plate * License Plate State of Registry * Enter the state in which the plate was registered. Plate Type * - Select -PassengerCommercialCombinationVeteranAntiqueMotorcycleSuburbanLivery / TaxiTrailerPublic ServiceCamperSchool BusJitneyStateFarmTransporterBaileePOW Dealer Plate * Yes No If Yes, What Color? * Vehicle The Plate Should Be Attached To. * Year, Make, Model, Color, & VIN # Date The Plate Was Last Seen * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027 Time of Day The Plate Was Last Seen Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm Date You Noticed the Plate Was Missing * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20232024202520262027 TIme Of Day You Noticed The Plate Was Missing Hour Hour123456789101112 : Minute Minute000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 am pm How Many Plates Are Lost or Stolen? * Reporting Party Name * First and Last Address * Street, City, State, Zip Code Phone Number * Please leave the best phone number where you can be reached, including area code. Someone may need to call you to follow-up. Are You The Registered Owner Of The Plates? * Yes No If you are not the registered owner of the plates, please enter the registered owner's information in the fields below. Registered Owner Name * First and Last Registered Owner Address * Street, City, State, Zip Code Registered Owner Phone Number * Please include the best phone number where the registered owner can be reached, including area code. Someone may need to call with any follow-up questions. Where Was The License Plate Lost or Stolen? * Describe The Incident. Additional Information Please enter any additional information here.
