The only plate form Washington publishes, and it is not the one most sellers go looking for. There is no plate surrender form in the Washington set - plates are handed in over a counter or posted to Olympia. This one is for a plate that has been lost, stolen or mutilated, and a seller meets it when the plates that are supposed to come off the car cannot be found.
Written against 420-504 (R/8/16), issued under RCW 46.17.200 and WAC 308-96A-070. If the plates on a car you are selling have gone missing, this is the form - but think about the order. Replacing them so you can hand them in, when what you actually want is for the department to know they are gone, is a longer road than telling a licensing office the situation and asking which of the two they want first.
Two documents, and they are not the same thing. Take the blank 420-504 from the dol.wa.gov copy so you get the revision that is current today.
This is the actual 420-504, rendered from the PDF the Washington State Department of Licensing publishes and completed end to end: letterhead, every field, and the blocks at the foot.
Name of the registered owner and driver licence number.
Watch out: It has to be the registered owner. A replacement plate application from somebody who is not on the record does not get one.
Where the plates are posted, and how the department reaches you about it.
Watch out: Plates come by post, so this is the address they arrive at - not necessarily the residence address on the vehicle record.
Plate number, tab expiration date, identification number, year and make.
Watch out: The plate number is the one being replaced. If you cannot remember it, it is on the registration you have to photocopy anyway.
One of three ticks.
Watch out: Stolen has consequences the other two do not: the department will not reissue the same combination on a plate reported stolen.
Automobile, motorcycle, large trailer or small trailer, then the design if it is not a standard plate.
Watch out: The form gives its own example of a background design. If your plates carry one and you leave the line blank, what comes back will be plain.
One signature line, after the form is printed out.
Watch out: There is no notarisation block here, which makes this one of the few forms in the Washington set you can complete and post without seeing anybody.
A tick, and an additional fee that has to go in with the application.
Watch out: Tick without paying and you get the next available combination. On an ordinary sale it rarely matters - the plates are coming off the car anyway.
Ten decal ticks, and a grid for printing a personalised plate exactly as it reads.
Watch out: The grid is transcribed character by character, spaces and hyphens included. The form's own example is three characters and a space, and it is there because people get it wrong.
| On the form | What to put in it |
|---|---|
| Name of registered owner and driver licence number | The applicant band, printed rather than signed. |
| Mailing address, city, state, ZIP code, daytime phone number | Where the replacement plates will be posted. |
| License plate number, tab expiration date, identification number, Year, Make | The vehicle band, and the plate number is the one being replaced. |
| I am applying for a replacement plate because the current plate(s) has been | Three ticks: lost, stolen, mutilated. |
| Plate type | Four ticks: automobile, motorcycle, trailer large, trailer small. |
| Background design | One line, and the form gives its own example: Keep Kids Safe. |
| Date and Signature of registered owner | One signature line, with the instruction to print the form out before signing. |
| To keep your standard or special plate number | A tick, with a warning attached: include the additional fee, or the replacement plates will be the next available combination. |
| Armed forces collection plates | Ten ticks for the decal that was on the existing plate - veteran, retired, active duty, reserves, disabled veteran, army guard, air guard, army retired, air retired, fallen hero. |
| Personalized plate | A row of boxes to print the plate exactly as it should read, including hyphens and spaces, with the form's own worked example: U R GR8. |
Every line here was read off 420-504 (R/8/16) itself — the PDF is here — and off the Washington State Department of Licensing pages. This is plain-language help with a form, not legal advice, and where our wording and the agency's differ, theirs governs.
Back to all Washington seller paperwork, or what selling a car in Washington involves.