Official Chartered State Affiliate for the
Please follow the instructions below to order your specialty license plate:
1. Complete the Missouri Department of Revenue’s application for Specialty and Personalized Specialty License Plate here. (Form 1716). Make sure to select “Other” and free type "Missouri Society for Respiratory Care” on Step 2. Print and Save to a safe location on your computer.
2. Complete Emblem Use Authorization Statement here (EUAS). & Make Payment
Your EUAS, or Emblem Use Authorization Statement, is proof that you’ve contributed to the Missouri Society for Respiratory Care License Plate program and are eligible to display the Missouri Respiratory Therapists RT STRONG logo on your custom plates.
3. Make payment to the Missouri Society for Respiratory Care.
Applications postmarked after TBA may not be processed by the MSRC. Additional payment methods and responsibility to turn in all forms will be turned over to the individual wishing to obtain the specialty plates. Further information on this process will be forthcoming.
Missouri Society for Respiratory Care