Follow the steps to complete the application effectively.

1. Press the ‘Get Form’ button to download the DR 2219 form and open it in your preferred online editor.
2. Enter the name of the person with a disability. Make sure to type or print legibly using ink in the designated field.
3. Provide the date of birth of the individual applying for the parking privileges in the MM/DD/YY format.
4. Fill in the physical address including the city, state, and ZIP code in the specified fields.
5. If the mailing address differs from the physical address, complete the mailing address fields accordingly.
6. Confirm the certification by the applicant by signing and dating the form. The applicant certifies under penalty of perjury that they understand the requirements and responsibilities.
7. Complete the identification section by providing secure and verifiable identification details such as type of ID and ID number.
8. A licensed medical professional must complete their section, including checking the appropriate impairment box that applies. They should fill in their medical license number and issuing state.
9. Choose the appropriate type of disability placard or license plate options as provided in the options section on the form.
10. Ensure all fields are completed accurately. If an error is made, do not attempt to alter the form; start a new form instead.
11. Review the entire form for accuracy and completeness, then save your changes. You can download, print, or share the completed form as needed.

Complete your DR 2219 form online today for accessible parking privileges.