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APPLICATION FOR DISABLED PERSON LICENSE PLATE, PLACARD AND/OR DECAL CERTIFICATION OF DISABILITY E. Certification of Disability: The section below must be completed by a medical doctor licenseda to practice medicine, Christian Science Practitioner listed in the Christian Science Journal, nurse practitioner (APRN), or physician's assistant (PA). Disabilities Parking Placard and/or License Plate . y . Instructions. Persons with Disabilities Parking Placard: Submit the completed application and payment (if required) in the form of a personal check, money order, or cashier’s check with proof of eligibility to your local county tax assessor-collector’s office or the county tax assessor- Fill out the applicant (patient) information on the form, sign and submit to the address at the bottom of the application, along with an indication that your previous placard had been lost, stolen or destroyed. We will issue a replacement placard with the same expiration as the original placard. The placard must be mailed to: Bureau of Motor Vehicles, P.O. Box 68268, Harrisburg, PA 17106-8268.

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(complete form VSA 10) * individuals with disabilities may obtain disabled license plates. Purpose: Persons with disabilities use this form to apply for a disabled parking placard or disabled parking license plates. Instructions: For a parking placard OR replacement placard ID card, submit this form with applicable fees. Placard or replacement ID If your placard is lost or stolen, you can replace it by presenting a copy of the Form VTR-214 that you originally submitted, to your local county tax assessor-collector office. If you do not have a copy of the form or the county tax assessor-collector office cannot verify the placard was issued, you will need to apply for a new disabled placard by completing a new application. placard(s) and the personal disabled identification card(s) shall be returned to the local county treasurer's office in exchanged for a regular county license plate if applicable. The healing arts licensed professional's name must be printed/typed in the space provided.

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APPLICATION PROCEDURES . In order to obtain a placard, Form MV-145A, “Person with Disability Parking Placard Application” must be The placard is portable from one vehicle to another . Hang the placard from the rearview mirror or place on the driver s side dash if there is no rearview mirror. The placard registration card must remain with each placard while in use.

Section 7122, punishable by a fine of not more than $10,000 or In order to obtain a placard, Form MV-145A (PDF), "Persons with Disability Parking Placard Application" must be completed by the person with a disability, a health care provider, or a police officer and returned to PennDOT. Permanent placards are valid for five years and renewed in March or September. Permanent placards are renewed in March and September each year. You will be mailed a renewal form approximately 60 days prior to its expiration. If you do not receive a renewal application, you should complete Form MV-145A, “Person with Disability Parking Placard Application.” disabled person parking placard, or possessing, using or displaying, such a document knowing it to have been altered, forged or counterfeited, is a misdemeanor of the first degree pursuant to the Vehicle Code, 75 Pa.C.S. Section 7122, punishable by a fine of not more than $10,000 or Disability registration plate, or possessing, using or displaying such a document knowing it to have been altered, forged or counterfeited, is a misdemeanor of the first degree pursuant to the Vehicle Code, 75 Pa.C.S.
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E.I.N.). 2.Severely Disabled Veteran Placard - Complete Sections A, D and E. VR-210-6b(5-18) Please read instructions on back carefully before completing form. A. Customer Identifying Information - Individual with a Disability FORM PA-1 SIDE 1 January 2018 PERSON WITH A DISABILITY PARKING PERMIT APPLICATION FIRST TIME, TEMPORARY & REPLACEMENT PLACARDS STATE OF HAWAII DISABILITY AND COMMUNICATION ACCESS BOARD 2 This form must be taken to a County issuing site. Applicant must present proof of identity.
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The placard will not allow vehicles to park where parking is prohibited. Send completed application to: PA Department of Transportation Bureau of Motor Vehicles P.O. Box 68268 Harrisburg, PA 17106-8268 In order to obtain a placard, Form MV-145A (PDF), "Persons with Disability Parking Placard Application" must be completed by the person with a disability, a health care provider, or a police officer and returned to PennDOT. To replace a disability placard, complete the Person with Disability Parking Placard Application (Form MV-145A).

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If the placard has expired, it can be destroyed;there is no need to return to PennDOT. APPLICATION PROCEDURES . In order to obtain a placard, Form MV-145A, “Person with Disability Parking Placard Application” must be To apply for a handicap parking permit, you will need: A completed Application for Disabled Person Parking Permit (Form HSMV 83039). Medical certification ON the application, dated within the last 12 months and signed by any of the following: Please read instructions on back carefully before completing form. A. Customer Identifying Information - Individual with a Disability Patient Name: Disability Code: Length of temporary disability (Temp. placard only): q 1 mo q 2 mo q 3 mo q 4 mo q 5 mo q 6 mo Application for Maryland Parking Placards/ License Plates Vehicle #1 Motorcycle #1 The placard is issued to the person, not to the vehicle.

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Can I notarize his paperwork? — C.O., Pennsylvania Although not addressed in statute, it is recommended that a Notary not notarize for a spouse, parent, sibling, or other family member related by heredity or marriage because the financial affairs of family members are often intertwined. FORM PA-1 SIDE 1 January 2018 PERSON WITH A DISABILITY PARKING PERMIT APPLICATION FIRST TIME, TEMPORARY & REPLACEMENT PLACARDS STATE OF HAWAII DISABILITY AND COMMUNICATION ACCESS BOARD 2 This form must be taken to a County issuing site. Applicant must present proof of identity. All forms of identification (ID) shall be current or valid.

To apply by mail, include payment of $5.00 in the form of a check or money order made payable to the BMV. There is no fee for a permanent parking placard or a parking placard issued to a company. 4.