Get Application For Person With A Disability

This guide provides clear and supportive instructions on completing the APPLICATION FOR PERSON WITH A DISABILITY online. By following these steps, you will be able to fill out the necessary sections accurately to ensure a smooth application process.

Follow the steps to complete the application effectively.

1. Click ‘Get Form’ button to retrieve the form and open it in your preferred editor.
2. Begin with Section A, where you will enter vehicle owner information such as title number, vehicle identification number, last name, first name, and middle name. Ensure that the information mirrors what is on your current registration card.
3. Complete the co-owner information if applicable. Provide their last name, first name, middle name, driver's license or photo ID number, and date of birth.
4. Continue with your current tag number, city, street address, state, and zip code. Make sure these details are up to date and accurate.
5. If you are filling out the form for a minor child, complete the fields for the parent or person in loco parentis, including their name, relationship to the applicant, street address, and the age of the applicant.
6. Move on to Section B, where a health care provider must certify the application. This section must be completed in full. They will provide their name, signature, office street address, medical license number, and contact details.
7. If applicable, Section C allows for certification by a police officer only if Section B is not completed. The officer will certify that the applicant meets the necessary criteria for the registration plate.
8. In Section D, notarization and applicant signature are required. Ensure that the application is signed in the presence of a notary who will also fill out their information.
9. Finally, review all sections for accuracy. After ensuring all information is correct, you can save changes, download, print, or share the completed form as needed.

Complete your APPLICATION FOR PERSON WITH A DISABILITY online today to benefit from the relevant registration plates.