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MED 10 (05/25/2016) DISABLED PARKING PLACARD OR LICENSE PLATES APPLICATION Purpose: Persons with disabilities use this form to apply for a disabled parking placard or disabled parking license plates.

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How to fill out the DMV Handicap Application online

Filling out the DMV Handicap Application online is an essential step for individuals seeking a disabled parking placard or license plates. This guide provides a step-by-step walkthrough to help users complete the application accurately and efficiently.

Follow the steps to successfully complete your application.

  1. Press the ‘Get Form’ button to obtain the DMV Handicap Application form and open it for editing.
  2. Begin by providing your full legal name. Ensure you enter your last name, first name, middle name, and suffix if applicable. This information must match your identification documents.
  3. Enter your DMV assigned number or social security number in the designated field. This information is vital for identity verification.
  4. Fill in your current residence address. If this address differs from what is recorded in the DMV's database, you must also complete an 'Address Change Request' form.
  5. Provide your daytime or cell phone number for contact purposes, making sure to include the area code.
  6. Complete the birth date field using the format mm/dd/yyyy. This is important for age verification.
  7. Indicate your gender by selecting either male or female.
  8. Fill in your physical characteristics such as height, weight, hair color, and eye color for identification purposes.
  9. Choose the type of application you are submitting by checking the appropriate box for either a disabled parking placard, disabled parking license plates, or both.
  10. If applicable, select the reason for applying for a replacement placard, if this pertains to your situation.
  11. Complete the certification section by signing and dating the form. This confirms that all information provided is accurate.
  12. Lastly, review your completed form. You can then save changes, download it for your records, print it, or share it as needed with the DMV or your medical professional for further certification.

Complete your DMV Handicap Application online today for a smoother process.

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Plate Exempt from Registration and Special Plate Fees: Requirements: Must provide either a signed Certificate of Disability (form VSA 54) signed by a veteran service officer or a U.S. Department of Veteran Affairs benefit letter. The letter must indicate that the disability is service-connected.

AAA branches also offer these DMV services: New and used boat transfers. Release of liability. Replacement license plates. Disabled person parking placards.

Disability Certification Requirements Your application for a temporary or permanent disabled parking placard or license plate must include a certification of your disability from your physician, physician's assistant, nurse practitioner, podiatrist, or chiropractor.

You can renew or replace your permanent disabled parking placards or plates using these methods: Online. Mail. In person at any DMV customer service center or DMV Select office.

You have lost the use of one or more lower extremities, or both hands. You have a diagnosed disease that substantially impairs or interferes with mobility. You are unable to move without the aid of an assistive device. You have specific, documented visual problems, including lower-vision or partial-sightedness.

Individuals may apply for a disability tag/placard using the Mississippi Disabled Parking Application Form (PDF). This form must be certified by the applicant's physician or nurse practitioner as being permanently disabled. Permanently disabled individuals may receive two disability tags and two placards.

In most states, you will need to wait between two and four weeks.

Special DV disabled parking license plates issued under this subsection shall authorize the vehicles upon which they are displayed to use parking spaces reserved for persons with disabilities that limit or impair their ability to walk.

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