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Get IL VSD 415.9 2016-2024

This space for use by Secretary of State. When replacing a permanent disability parking placard, submit all documentation and fees to the Springfield office. If mailing, use the address at left. www.cyberdriveillinois.com Name of Person with Disability _________________________________________________________________ Address ______________________________________ City/State/ZIP __________________________________ Telephone _____________________________________ Date of Birth ___________________.

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