License Plate Form – Kansas City Kansas Fire Department

Distinctive License Plate Certification

License plate certification is only for Active and Retired KCKFD firefighters/Paramedics and must be named on the certification. All forms are subject to approval from the Chief and/or Designee. Please allow 2 to 3 business days for processing.

REGISTRATION INFORMATION

Current License Plate No

Registration Year

County

VIN Number

Type of Application

Certification Expires Month

Year

OWNER INFORMATION

Vehicle Owner's or Leasee's Name

First Name

Employment Status

Middle Initial

Daytime Phone Number

Last Name

Address

City

State

Zip

Quantity