Kiowa Tax Commission

Kiowa Tax Commission

Kiowa Tax Commission Order form for Renewals and New Tags
Nick Hutchins Introduction to the Online Ordering Form
Date

Month Day Year
Date
Name

First Name Last Name
Current Address

Street Address

Street Address Line 2

City State

Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com

Vehicle Information
Model/Make: i.e. Chevrolet Impala
Vehicle VIN
Tag Number
i.e. KA 3333
Type of Tag
i.e. Handicapped/Veteran/Motorcycle/Trailer/Exempt Tag
INSTRUCTIONS FOR UPLOADING FILES

For those that own a computer and printer with a scanner, scan and save your insurance, driver's license, and Tribal ID on your desktop. Once you save them, click and drag each one onto the applicable browse drop file box above. You may also email your insurance information to tax@kiowatribe.org. After hours, you may call 580-951-0210 should you encounter any problems or have any questions.
Insurance Information

Cancel of
Driver's License

Cancel of
Tribal Identification

Cancel of
DD-214 Discharge Certificate (If Applicable)

Cancel of
VA Letter (100% Disability) (If Applicable)

Cancel of
Handicapped Rearview Mirror Placard (If Applicable)

Required for applying for disability tag
Cancel of
Copy of Title

Original Title must be mailed overnight at your expense if you choose to order a new tag online. You will be responsible for this expense. In addition, we will charge $28.00 maximum to mail your new title, registration and license plate/decal to you. You will need to make the check out to the United States Post Office, and we will take your check to the post office and process your overnight delivery of your tag and paperwork. This service is only available to Tribal members who live more than two hours from Carnegie, and to disabled and handicapped Tribal members. Otherwise, you must drive to Tax Commission to obtain new tag and title.
Cancel of

Will you be purchasing a personalized tag?

Yes No
Enter What You Want on Your Personal Tag *
No more than 7 characters (includes space, hyphen, numbers, etc.)
Disability Tag
Select the 1/2 amount registration rate that matches the year of your vehicle. If you are handicapped, you must upload a copy of your rearview mirror placard in the upload section of this form.

My Products

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Signature

Clear
Please verify that you are human *
Rate the Usability of the Online Ordering Form

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5

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Add any comments or questions you may have and we will personally address these with you. Thank you for your order.
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