Web Results

Application for Disabled Person Parking Permit - Florida Highway ...

www.flhsmv.gov/dmv/forms/BTR/83039.pdf

This form is not valid for more than 12 months from the date of the certifying ... specific disability(ties) checked below (2-8), the disabled person parking permit ...

REG 195, Application for Disabled Person ... - DMV - California

www.dmv.ca.gov/portal/wcm/connect/aebb95cd-c20a-49bd-bc13-dd74120044fc/reg195.pdf?MOD=AJPERES

Travel Parking Placards are issued to applicants with permanent disabilities. ... WHITEoUT WILL VoID THIS foRm (INcLUDINg cHANgES WITH INITIALS) AND ...

Application for Persons with Disabilities Parking Placard - TxDMV.GOV

www.txdmv.gov/txdmv-forms/doc_download/955-vtr-214-application-for-persons-with-disabilities-parking-placard-and-or-license-plate

Form VTR-214 (rev. 05/14) ... making application on behalf of a person with a disability. DL or ID # and state ... Disabilities Parking Placard and/or. License Plate.

Disabled Parking Application for Individuals - DOL.WA.gov

www.dol.wa.gov/forms/420073.pdf

Permanent disabled parking choices (choose only one) ... Return this form and your signed authorization to the applicant. ... A parking permit for a person with disabilities may be issued only for a medical necessity that severely affects mobility ...

Disability Parking Placard Application - State of Michigan

www.michigan.gov/documents/bfs-108_16249_7.pdf

I am applying for a disability parking placard as provided in Public Act 300 of 1949. ... I am subject to the penalties described on the reverse side of this form.

VR-210 - MVA - Maryland.gov

www.mva.maryland.gov/_resources/docs/VR-210.pdf

Please read instructions on back carefully before completing form. ... park in any parking space designated for a person with a disability, other than an individual ...

Disability License Plates & Placards in Georgia | DMV.org

www.dmv.org/ga-georgia/disabled-drivers.php

To apply for any disability placard in Georgia, you will need a Disabled Person's Parking Affidavit (Form ...

Disability- Hearing Impaired Plate/Placard Application Form 96-0104

www.azdot.gov/docs/default-source/mvd-forms-pubs/96-0104.pdf?sfvrsn=3

Physical Disability — International Symbol of Access, for parking in specially marked ... I have read the front and back of this form and I fully understand and take.

Florida DHSMV - Disabled Parking Permits

www.hsmv.state.fl.us/dmv/disabled_pkg.html

... provide form HSMV 83039, Application For Disabled Person Parking Permit, ... provide regular transportation service to disabled persons having disabilities ...

disabled parking placard or license plates application

www.dmv.virginia.gov/webdoc/pdf/med10.pdf

May 25, 2016 ... APPLICANT INFORMATION (person with disability) ... Persons with disabilities use this form to apply for a disabled parking placard or disabled ...

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Application for a Parking Permit or License Plates For

dmv.ny.gov

Children of any age who have a severe disability are eligible for permits, as are ... NEW YORK CITY RESIDENTS - Send the application (form MV-664.1) to the ...

TxDMV.GOV - Disabled Parking, Placards & Plates

www.txdmv.gov

VTR-214 Application for Persons with Disabilities Parking Placard and/or License ... by the U.S. Department of Veterans Affairs on Form VTR-615, or a letter from ...

Application for Disability Parking Certificate - Minnesota Department ...

dps.mn.gov

Has applicant ever had a Minnesota Disability Parking Certificate .... NOTICE: All information supplied on this form is collected under the authority of Minnesota ...