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Applying for the UAMS / ACRC / Komen Breast Cancer License
Plate
In association with the Susan G. Komen Race for the Cure™, UAMS and ACRC (Arkansas
Cancer Research Center) are working together to offer special personalized Arkansas
breast cancer license plates. Below are instructions for applying for
the breast cancer education, research and awareness special license plate. Click here for a Microsoft Word version of the licenseplate request form. Click here for an Adobe Acrobat *.pdf version of the licenseplate request form. You will need Adobe Acrobat to view this file. Click here to get it.
INSTRUCTIONS FOR OBTAINING THE SPECIAL LICENSE PLATE RESTRICTIONS – Issuance is restricted to passenger cars, all ½ ton and ¾ ton trucks, and 1 ton trucks use for private transportation only. One (1) ton trucks used for commercial purposes must be registered with a commercial license. In addition to normal annual registration fees, there are additional fees in the amounts of twenty-five dollars ($25.00) for the Breast Cancer Research Fund and ten dollars ($10.00) for handling and administrative costs. These fees are due annually. See the bottom of this page for the Revenue Offices where these plates are available. If a special plate is lost, it may be replaced with another special plate only in the offices listed. The special plates may be renewed in any Revenue Office, by mail, Internet, or telephone. They may be transferred to a newly acquired vehicle in any Revenue Office. OBTAINING A SPECIAL LICENSE PLATE FOR A VEHICLE ALREADY TITLED AND REGISTERED TO THE APPLICANT REQUIREMENTS – Two options are available when obtaining a special plate when the vehicle is already titled and registered in the applicant’s name. Option 1 – If the applicant’s existing plate is current, it may be replaced with a special plate. With this option, the special plate will keep the same expiration date as the plate being replaced. Applicants will get the entire benefit of the full registration fee paid for the plate being replaced. However, since the expiration date will remain the same, they will not get a full year’s benefit of the $25.00 or $10.00 special fees. When renewing, the applicant will be required to pay both additional fees again. Fees for obtaining the plate using option 1 are as follows: Special design use fee for the special plate is………………………………$
25.00 Other requirements are: • Completed request for Susan G. Komen Breast Cancer Education, Research, and Awareness Special License Plate form. Option 2 – The applicant may request to pay the normal full year registration fee for the vehicle and begin the special license plate with a full year’s registration. With this option, the applicant will get full benefit of the $25.00 and $10.00 additional fees. However, no credit will be given for the time remaining on the plate being replaced. Fees for obtaining the plate using option 2 are as follows: The full year registration fee normally due for the vehicle will be due. For passenger cars, this fee will either be $17.00, $25.00, or $30.00 depending on the vehicle’s unladen weight. For qualifying trucks (see restrictions) the full year fee is $21.00. Special fee for Breast Cancer Research Fund is $25.00 Total fees depend on the normal registration fee for the vehicle and postage fees. Other requirements are: • Completed request for Susan G. Komen Breast Cancer Education, Research,
and Awareness Special License Plate form. - Proof of personal property assessment for the current year If the applicant’s existing license plate will expire the next calendar year, proof of personal property assessment and tax payment are not required. OBTAINING A SPECIAL PLATE FOR A NEWLY PURCHASED VEHICLE If obtaining a special plate is for a newly purchased vehicle, all normal documentation for title and registration is required. Applicants should contact their local Revenue Office for assistance. Apply in person only at the following Revenue Office locations: Fayetteville, Jonesboro, Pine Bluff, Texarkana, West Memphis, Harrison, Russellville, Conway, Mountain View, Hot Springs (Airport Office), Van Buren, and El Dorado. Apply by mail or in person at the following addresses:
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University of Arkansas for Medical Sciences
4301 W. Markham St., Little Rock, AR 72205
To Make an Appointment Call the Appointment Center at: 1-501-686-8000
For Patient Information/Rooms, Call 1-501-686-6416
To Direct Dial a Patient Room, call 1-501-614-2 and the Room Number
For General Information and for Numbers Not Listed, Call 1-501-686-7000
For International Patient Appointments, Call 1-501-686-8071
To Contact the Office of Communications & Marketing, Call: 1-501-686-8992