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PERSON WITH A DISABILITY PARKING PERMIT APPLICATION STATE OF HAWAII DISABILITY AND COMMUNICATION ACCESS BOARD FOR OFFICIAL USE ONLY 1st Placard # Applicant must present proof of identity. All forms.

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How to fill out the Parking Permit Application Form (posted April 2014) - Hawaii online

Filling out the Parking Permit Application Form is an essential step for individuals seeking a parking placard due to disabilities. This guide provides clear, step-by-step instructions to help users confidently navigate the form online.

Follow the steps to effectively complete your application.

  1. Press the ‘Get Form’ button to access the Parking Permit Application Form and open it in your preferred online document editor.
  2. Begin filling in the applicant's name in the designated section, including last name, first name, and middle initial.
  3. Provide your contact information by entering your phone number in the specified field.
  4. Fill in your birth date, making sure to use the format: month/day/year.
  5. Indicate your height in feet and inches, followed by your weight in pounds.
  6. Select your gender by marking the appropriate box.
  7. Enter your street address, including any apartment number, city, state, and zip code.
  8. If your mailing address differs from your street address, fill in the mailing address fields similarly.
  9. Indicate the county where you reside by selecting the appropriate option from the list provided.
  10. Specify the type of parking placard you are requesting by marking the applicable box and entering any serial numbers for previously issued placards.
  11. If applying for special license plates, complete the relevant sections, ensuring that you own the vehicle for which the plates are requested.
  12. Read and understand the terms to release medical information and provide your signature to authorize your physician to release necessary information.
  13. Have a licensed practicing physician or advanced practice registered nurse complete the certification section, including their signature and details.
  14. Once all sections are completed, review your application for accuracy and completeness before proceeding to save, download, print, or share the form.

Complete your Parking Permit Application Form online today to ensure timely processing of your request.

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Replacement of a lost, stolen, confiscated, or mutilated temporary (red) or long term placard (blue) that is still valid (complete side 1 only); or....You must present at a Satellite City Hall: The completed PA-3 Form. Your valid I.D. A check for $12 payable to: City and County of Honolulu.

Applying for a first time temporary (red) placard: Complete form PA-3 (physician/APRN to fill out Side 2) Make a copy of valid identification card. Send a $12.00 check made payable to: County of Maui. Mail all three items to: Division of Motor Vehicles & Licensing. 110 Ala Ihi Street, Suite 101. Kahului, HI 96732.

Fee. There is no fee to be paid for a permanent disability parking placard, but there is a $12.00 fee to obtain a temporary disability parking placard. A second temporary disability parking placard is available for $12.00.

Pursuant to Hawaii Revised Statutes §291.51-7, disability parking permits that have been issued by authorities of other states and countries may be used for the purpose of parking in reserved accessible parking spaces. All parking fees will apply.

To qualify for disabled parking in Hawaii, a person must have a disability that impairs their ability to walk and one or more of the following medical conditions: Cannot walk 200 feet without having to stop and rest due to an arthritic, neurological, orthopedic, oncological, renal, or vascular condition.

Persons interested in applying for Disability Parking Permits can obtain applications via the Disability and Communication Access Board website, by contacting the Hawai'i County Office of Aging by phone or at one of our locations.

Applying for a first time temporary (red) placard: Complete form PA-3 (physician/APRN to fill out Side 2) Make a copy of valid identification card. Send a $12.00 check made payable to: County of Maui. Mail all three items to: Division of Motor Vehicles & Licensing. 110 Ala Ihi Street, Suite 101. Kahului, HI 96732.

Submit a signed letter requesting an initial or renewal loading zone permit. The letter must include: Copy of the current vehicle registration • Vehicle information: license number, make, type, VIN number, address • Copy of vehicle inspection • Check made payable City and County of Honolulu.

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