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Get DC DMV-ODPPA-01 2009-2024

, DC 20090, or fax to 202-729-7158 or 202-673-9908. APPLICANT INFORMATION Last Name First Name Address Date of Birth Middle Name Apt/Unit Number Social Security Number Driver License Number Identification Card Number City/State Telephone Number Expiration Date Identification Type Suffix Zip Code E-mail Address State Issued State Tag Number Expiration Date State Issued Placard Effective Date Placard Expiration Date I am applying for a one-week disability parking placard for.

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