Application For Ham Radio Operator Plates www.massrmv.com Registry of Motor Vehicles P.O Box 55895 Boston, MA 02205 -5895 Attn: Special Plates The Federal Communications Commission (FCC) describes amateur radio operators as people who “are qualified persons of any age who are interested in radio technique solely with a personal aim and without pecuniary interest.” Ham radio operators maintain and operate radio communications for the purpose of selftraining, intercommunication, and technical investigations. Operation of an amateur station requires an amateur operator license from the FCC. “Ham Radio Operator” registration plates can only be issued to persons with an active FCC license. Mail the completed application, a copy of your FCC license, and a $20 check, payable to MassDOT, to the address at the top of the form. Customer Information (please print): Name: Driver's License #: Address: City/State/Zip: Daytime Telephone: FCC License #: Current Plate # (if applicable): Ship Plate To: (Full -service RMV branch location) Signature: Date: Registry Use Only: Plate #: Date Issued: Batch #: Doc # 21584-1112