Bee Friendly – Registration – Missouri State Beekeepers Association

This form will help you register for the Bee Friendly specialty license plate. If you have any questions regarding this process please read the FAQ found at https://www.mobees.org/beefriendly

This is a multi-step process, all steps must be completed to get your specialty plate.

Step 1 – Form 1716 (Missouri Department of Revenue)

I submitted my 1716 form at MISSOURI BEE DAY or a live MSBA EVENT (Only use if you have already turned in your 1716 form)

Yes

The first step to obtaining (and producing) the Bee Friendly license plate is to print off and complete the Missouri Department of Revenue Form 1716. There is a $15 fee associated with this form that will be collected later in the signup process.

To download this form click here

The form has the name of the license already populated on it, you will need to fill out the step 1 section .

If you are requesting a personalized plate (i.e. HNYBEE1) you will need to fill out step 3 on the 1716 form. There are limitations to your choices, please read the instructions completely for step 3. You can fill out six different choices you would prefer. Make sure you fill in the required description below your choice. To save yourself a lot of time from picking options that are already chosen (many bee related options are already in use) we strongly encourage you to click here to go the DOR website that can help you see what options are still available. Just click any plate option they have even though it is not the Bee Friendly option and it will tell you which letter combinations may still be available. Do not waste your choices on options that are already not available through this website.

To proceed with this application you will need to print the form above and then scan it back into your computer (preferred) OR take a very high quality image of the application (low resolution or unclear photos will be rejected) against a dark background and upload it below

I have printed off form 1716 from the link above(Required)

Yes

I have completed and SIGNED the bottom of the form (including section 4 where the plate will be delievered)(Required)

Yes

Copy and paste https://dor.mo.gov/license-office-locator/ in a new tab on your browser to lookup your closest license office

Are you requesting a personalized plate (custom letters/numbers)?(Required)

Yes

No

I have checked the availability of my personalization requests using the link provided above and they are available. I've also provided a description of the personalization I am requesting(Required)

Yes

How do you plan to submit the signed and completed form 1716?(Required)

Form 1716 Upload(Required)

Accepted file types: pdf, jpg, gif, Max. file size: 25 MB.

Please mail your completed form to:

Missouri State Beekeepers Association
Bee Friendly Application
7130 NW State Rte 92
Smithville, MO 64089

I understand I still have to complete the rest of this form and make my online payments to have my Bee Friendly License plate application submitted to the Missouri Department of Revenue(Required)

Yes

Step 2 – Required Information

Please provide us with your contact information so we may contact you with any concerns with your application

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

I am willing to allow MSBA to contact me regarding Bee Friendly Related news and events(Required)

Yes

Step 3 – Obtain an Emblem Use Authorization Statement (EUAS)

An Emblem Use Authorization Statement (EUAS) is a document that certifies your eligibility to obtain a Missouri specialty license plate. It is required for your initial application for a Bee Friendly plate, as well as to be eligible for renewals.

For the first 200 license plates we will submit the EUAS directly to the Missouri Department of Revenue for you. In future years you will need to come back to this website to obtain an updated EUAS ($25 for one year renewals, $50 for two year renewals)

I understand that this year I will not be required to submit my Emblem Use Authorization Sheet directly, but for future registrations I will need to obtain one from this site to renew my specialty license plate ($25 for one year, $50 for two years)(Required)

Yes

I understand that this application process is separate from any regular fees or documents that may be required when I register my vehicle.(Required)

Yes

Step 3 – Fees

Select how many years you would like your EUAS to cover(Required)

Specialty Plate Fee

Price:

Missouri Department of Revenue Specialty Plate Fee (Not Registration Fees)

Coupon

Total

Payment Method