Physically Disabled License Plate Application
Form 750-C
Revised 01/2023
Name
Address
City, State, Zip
Daytime Phone Number Email Address (optional)
The boxes below are required to be completed. This information can be found on your current vehicle registration.
I certify that the plate will be displayed on the following vehicle:
Remittance made payable to Service Oklahoma must
accompany the application. Driver License number
must appear on check or money order.
Applicants for replacement must indicate current
special plate number in the space indicated below.
Original For Automobile (D)
Original For Motorcycle (DMN)
Replacement
Fee: $5.00
($5.00 mail fee. Allow 8 weeks for processing.)
To qualify for a Physically Disabled License Plate,
you must have a current 5-year parking
placard from Service Oklahoma. Temporary
placards do not qualify. Indicate your disabled
parking permit number and the expiration date of
the permit issued by Service Oklahoma below:
Placard Number Expiration Date
MVC
Decal # on License Plate
(Example: 0F00000)
Year and Make
License
Plate Number
Oklahoma Title Number
(Not VIN Number)
Decal
Expiration
All Physically Disabled License Plates are issued
for a period of one (1) year. All original and
replacement applications must be submitted to
Service Oklahoma at the address on Page 2 of this
application. This application must be completed
in the same name as your placard.
Read Reverse Side Carefully
Signature:
By signing below, I hereby afrm, under penalties of perjury, that I understand all other plates will be ceased upon issuance
of a new specialty plate.
Please Check One:
Single License Plate or Replacement
Duplicate License Plates or Replacement
(To Be Displayed on Front and Rear of Same Vehicle)
Original (D2) License Plate and Decal
Replacement
Fee: $15.00
($10.00 fee and $5.00 mail fee. Allow 8 weeks for processing.)
Form 750-C
Page 2
Read All Instructions Before Completing Application
1. Once a special plate is issued and assigned to a vehicle, it shall be the only plate displayed on the vehicle.
When a new plate is issued and assigned to a vehicle, all plates previously assigned to the vehicle will be
ceased. All ceased plates should be disposed of or surrendered to a Licensed Operator or Service
Oklahoma.
2. When a new specialty plate is issued and assigned to a vehicle, the new plate will expire the same month
as the previous plate.
3. Once a special license plate has been assigned to an applicant, the applicant shall have priority to such
license plate for succeeding years, provided a timely paid application for renewal is submitted. To ensure
receipt of a renewal application each year, notify Service Oklahoma of any change in your address.
4. Upon renewal of the special or personalized plate all renewal fees will be due for both primary and
specialty registration. Penalties will apply.
5. Transfers of all plates, including specialty plates, from one vehicle to another vehicle, can only occur when
titling a vehicle.
Service Oklahoma
PO Box 26940
Oklahoma City, OK 73126-0940
Telephone: (In-State toll free) 800-522-8165
Phone: 405-521-2468
https://service.ok.gov
Physically Disabled License Plate Application
