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Com. APPLICATION REQUIREMENTS The form 83039 must be accurately completed including the Physician/Certifying Practitioner s Statement of A Florida driver license number or Florida identification number is required unless the authorized physician certifies that the applicant s disability is too severe to visit or be transported to an office to obtain a driver s license or identification card. This disability must be due to a condition listed in 2 8 on the reverse side of this form in the Physician/Certifying Practitioner s Statement of Certification section. as permanently disabled on the application if the person provides a certificate of disability issued within the last 12 months pursuant to this subsection. RENEWAL INSTRUCTIONS Submit a copy of the registration for your expiring parking permit and a certificate of disability form HSMV 83039. HSMV 83039 - REV. 10/15 PROVISIONS OF LAW Section 316. 1958 Florida Statutes provides that motor vehicles displaying a license plate or parking....

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How to fill out the FL Form online

This guide provides clear and comprehensive instructions on how to successfully fill out the FL Form for a disabled person parking permit online. Follow the steps outlined below to ensure that your application is completed accurately and efficiently.

Follow the steps to fill out the FL Form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin the form by entering the name of the individual with the disability as listed on their Florida driver license or ID card. Make sure to include the date of birth for verification purposes.
  3. Provide the individual’s current disabled parking permit number, if applicable, and their email address to facilitate communication.
  4. Fill out the address section, ensuring that all information is accurate and complete, including city, state, and zip code.
  5. Include a signature from either the disabled person or their guardian and add the phone number with the date signed for contact reasons.
  6. In the subsequent section, indicate the Florida driver license or ID number, if applicable for the permit requested.
  7. Select any applicable conditions regarding movement, such as marking frequent traveler or quadriplegic if relevant.
  8. Have the physician or certifying practitioner complete their statement of certification. This includes specifying the nature of the disability and confirming it limits mobility.
  9. Ensure the certifying authority signs the document, providing their license number and state of licensure to validate the certification.
  10. Once all sections are filled out and reviewed for accuracy, save your changes. Users can download, print, or share the form as needed.

Start filling out your FL Form online today to secure your disabled parking permit.

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