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

Online Form at www.TxDMV.gov ... making application on behalf of a person with a disability. DL or ID # and state ... Disabilities Parking Placard and/or. License ...

Application for Disability Parking Certificate - Minnesota Department ...

dps.mn.gov/divisions/dvs/forms-documents/Documents/MV_DisabilityParkingCertificate.pdf

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

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.

Application for Maryland Parking Placards/License Plates

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 ...

Application For Disability Access Parking Privileges - Alabama ...

revenue.alabama.gov/motorvehicle/mvforms/MVR326230.pdf

Application For Disability Access Parking Privileges. NOTICE: Return This Application To Your County Licensing Office. To Acquire Disability Access Placards ...

DISABLED PARKING PLACARD OR LICENSE PLATES ...

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

May 25, 2016 ... I also understand that the disabled parking placard or plates issued to ... with disabilities use this form to apply for a disabled parking placard or ...

PennDOT Form MV-145A

www.dot.state.pa.us/public/dvspubsforms/BMV/BMV Forms/mv-145a.pdf

hEALTh CARE PROVIDERS MAY ONLY CERTIFY DISAbILITIES WIThIN ThEIR ... document issued by the Department, such as a disabled person parking ...

Application for Disabled Parking Placard/Plate - Registry of Motor ...

www.massrmv.com/rmv/forms/20060.pdf

No - Please print your current disabled parking placard or plate number. C. I am ... the disability is at least 60% service connected. ... TO RELEASE MEDICAL RECORDS - I hereby authorize the healthcare provider completing this form to.

More Info

Application for a Parking Permit or License Plates For

dmv.ny.gov

disabilities see Part 2 of the application on page 3 of this packet. ... have their own application form, and not all agents issue permits for temporary disabilities.

TxDMV.GOV - Disabled Parking, Placards & Plates

www.txdmv.gov

VTR-214 Application for Persons with Disabilities Parking Placard and/or ... If you do not have a copy of the form or the county tax assessor-collector office ...

Disabled Parking Application for Individuals - DOL.WA.gov

www.dol.wa.gov

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 ...