Return of Expired Stickers / Decals (SHP-466) — Missouri State Highway Patrol

Accessible Web Version. This is an accessible HTML version of form SHP-466D.

This form is used for EXCHANGES only. Submission of this form is valid only between January 1 & April 30. Use SHP-455 to REQUISITION stickers / decals / authorities.

Station Information

Date

Station Name

Station Number

Street Address

County

City

Zip

Authorized Signature

Return of Expired Items

Safety Inspection Stickers

From #

Through #

Total # Being Exchanged

Credit @ $1.50 each

Motorcycle Decals

From #

Through #

Total # Being Exchanged

Credit @ $1.50 each

Total Credit Due for This Exchange: $0.00

Exchange Requested

Inspection Stickers Qty

Motorcycle Decals Qty

Safety Inspection Authorities Qty

All items @ $1.50 each

Total Cost Value for This Exchange: $0.00

Notice: “Total Credit Due for this Exchange” must equal “Total Cost Value For This Exchange” in order for a request to be processed. Failure to balance these two amounts will result in a return of the request.

Mailing Instructions

Mail to:
Missouri State Highway Patrol
Motor Vehicle Inspection Division
P.O. Box 568
Jefferson City, MO 65102