LTO National Capital Region

Note: Fill up the form below only if you prefer to claim your replacement plates in another LTO District/Extension Office.

Plate Number:

LTO Office

Registered Owner Name:

Authorized Representative/ Claimant's Full Name:

Representative/Claimant's Home Address:

Sex:

Email:

Contact No: Exmaple Format: 0955-123-4567

By filling up this form, I grant my consent to LTO National Capital Region to the collection of my personal data.
(Click here to read the LTO-NCR Data Privacy Notice).

I also HEREBY CERTIFY that the information provided in this form is complete, true and correct.

Note: The Replacement Plate must be pick-up within 5-working days upon notice.