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APPLICATION FOR HANDICAPPED PARKING PERMIT INSTRUCTIONS ON THE REVERSE SIDE Please mark one: ? New Please mark one: ? Permanent ? Renewal ? Previous Permit # ? Temporary ? Limited mobility expected.

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How to fill out the Sarpy Lite Form online

The Sarpy Lite Form is essential for individuals seeking a handicapped parking permit. This guide will provide you with clear steps to complete the form online, ensuring you have all necessary information at hand.

Follow the steps to successfully complete the Sarpy Lite Form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Select the type of application you are submitting by marking one of the options: 'New,' 'Permanent,' 'Renewal,' 'Temporary,' 'Second Permit,' or 'Replacement.' Make sure to provide the previous permit number if applicable.
  3. Enter your personal information, including your name, date of birth in the format (Month, Day, Year), address, and phone number.
  4. Indicate your gender by selecting either 'Male' or 'Female.'
  5. Acknowledge your understanding of the rights and responsibilities associated with the handicapped parking permit by signing and dating the application.
  6. The medical certificate section must be completed by a licensed physician, physician assistant, or nurse practitioner, who will document your medical condition as per the required criteria.
  7. If applying for a temporary permit, ensure the expected date of recovery is noted by your medical provider.
  8. Provide the certifier's name, address, and phone number. Ensure their signature is included.
  9. For issuing site use, ensure all information is correctly completed to facilitate the verification process.
  10. Once all information is filled, save changes, and choose to download or print the form for submission.

Complete your Sarpy Lite Form online today to secure your handicapped parking permit.

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