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Get PA form MV-145A 2009

F a leg or both legs as evidenced by the use of a parking placard. wheelchair walker q crutches q q cane/quad cane q q q other prescribed device Officer’s Signature Badge Number City Office Street Address State Zip Code Telephone Number ( ) CERTIFICATION FROM VETERANS ADMINISTRATION REGIONAL OFFICE ADMINISTRATOR OR HIS/HER DESIGNATED REPRESENTATIVE (Philadelphia or Pittsburgh) OR SERVICE UNIT IN WHICH THE VETERAN SERVED. This is to certify that the veteran listed above with VA.

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