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VR164 (0717)
6601 Ritchie Highway, N.E., Glen Burnie, Maryland 21062Application for Special Registration Plates
Check box for the type of plate desired: Check Class:
Standard issue
Individual with
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To fill out vr-164 07-17 form, follow the steps below:
02
Start by entering the date and time of the incident in the designated fields.
03
Provide the name and contact information of the person reporting the incident.
04
Describe the incident in detail, including the location, nature of the incident, and any injuries or property damage that occurred.
05
If there were any witnesses to the incident, include their names and contact information.
06
Indicate whether law enforcement was notified and provide any relevant details.
07
If there were any medical services provided, provide the details of the medical facility and personnel involved.
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Who needs vr-164 07-17?
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The vr-164 07-17 form is needed by individuals or organizations who have been involved in an incident that requires reporting. This can include accidents, injuries, property damage, or any other incidents that may require documentation or further investigation.
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