Kentucky Transportation Cabinet - Division of Motor Vehicle Licensing · Kentucky state form

TC 96-228 Disaster and Emergency Services Plate Application

Apply for a disaster and emergency services plate by providing applicant information and certification of current membership in an eligible organization.

What this form is

TC 96-228 is an application for a disaster and emergency services plate. The applicant provides contact information and certifies membership in a disaster and emergency services organization or volunteer rescue squad. The form also requires written evidence of current membership and an eligibility certification from an appropriate official. The applicant’s signature must be attested before an official or notary.

Who needs it

Members of a disaster and emergency services organization or volunteer rescue squad applying for a disaster and emergency services plate need this form.

Why it needs a notary

The applicant’s signature must be attested before an official or notary. This can be done online with a commissioned online notary.

How to submit it

Provide written evidence of current membership. The form must be signed by an appropriate mayor, county judge executive, or DES coordinator. The document does not specify where to submit it.