DEALER CODE:
DEALER NAME:
ADDRESS:STREET
ADDRESS
CITY,
STATE,
ZIP
CODE
TELEPHONE:AREA
CODE,
TELEPHONE
NUMBER
CONTACT:FIRST
NAME,
LAST
NAME
REASON FOR REPLACEMENT
ACCIDENT DAMAGE
OTHER
REASON/EXPLANATION
PLEASE PROVIDE CORRECT VIN
APPLICATION FOR REPLACEMENT VIN PLATE
DEALER INFORMATION
MAIL (DO NOT FA X) THE COMPLETED REQUEST FORM WITH THE OLD PLATE TO:
TOYOTA MOTOR SALES, U.S.A. INC.
TECHNICAL COMPLIANCE DEPARTMENT, S207
19001 S. WESTERN AVENUE
TORRANCE, CA. 90509±2991
( )
ATTACH DAMAGED PLATE HERE
