Get Parking Placard Form

Filling out the Parking Placard Form online can be a straightforward process when you understand each section. This guide will provide clear and detailed steps to ensure you complete the application accurately.

Follow the steps to successfully complete the Parking Placard Form

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Identify the type of request you are making. Choose between an original request, renewal, replacement, or change of address/name by checking the appropriate box.
3. Provide your applicant information in Section A. Include the last name, first name, middle name, street address, city, state, zip code, and date of birth. If applicable, include the PA DL/Photo ID number or Business ID.
4. If you are acting on behalf of a minor, fill out the relationship to applicant and provide the name and address of the parent or person in loco parentis.
5. In Section B, ensure you have a health care provider complete the certification. They must confirm the applicant’s condition and sign the section. Make sure they include their medical license number and contact information.
6. If applicable, Section C is for police certification, which should be completed if the health care provider section is not filled out.
7. For veterans, Section D requires certification from a Veterans Administration representative, stating any service-connected disabilities.
8. Section E is the notarization and applicant signature section. Ensure the applicant, or authorized person, signs in the presence of a notary public.
9. Review all filled-out sections for accuracy. Save your changes in the editor, and proceed to download or print the completed form.
10. Submit the completed form to the PA Department of Transportation Bureau of Motor Vehicles as specified in the instructions.

Complete your Parking Placard Form online today!