Application for Handicap Parking Space

State:
Multi-State
Control #:
US-122EM
Format:
Word; 
Rich Text
Instant download

About this form

The Application for Handicap Parking Space is a legal document that employees use to request a designated parking permit for individuals with motor disabilities. This form is necessary for employees seeking temporary access to designated handicap parking spots within the company parking lot. Unlike permanent handicap permits, which must be obtained through local municipalities, this form streamlines the process for temporary needs and includes a recommendation from a medical professional.

Key parts of this document

  • Employee information: Name and contact details of the applicant.
  • Justification: A section for explaining the need for a handicap parking permit.
  • Parking schedule: Days of the week and hours that parking is needed.
  • Vehicle details: Year, make, model, color, and license plate information.
  • Physician recommendation: Requirement for a signed diagnosis from a medical professional.
  • Signature line: Area for the applicant's signature and date of submission.
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Common use cases

This form is needed when an employee requires temporary handicap parking access due to a medical condition affecting mobility. Common scenarios include recovering from surgery, experiencing exacerbated symptoms of a chronic condition, or any temporary disability that makes standard parking challenging. Employees must submit this application to their employer to ensure legal parking in designated areas.

Who should use this form

  • Employees with temporary disabilities or health conditions affecting mobility.
  • Individuals seeking convenience during a short-term recovery period.
  • Those needing to access company facilities more easily due to mobility issues.

How to prepare this document

  • Fill in your name and contact information clearly at the top.
  • State the reasons justifying your need for the handicap parking permit.
  • Indicate the specific days and times you require parking access.
  • Provide details about your vehicle, including its make and model.
  • Attach the physician's recommendation as specified.
  • Sign and date the application before submission to your employer.

Notarization guidance

This form does not typically require notarization to be legally valid. However, some jurisdictions or document types may still require it. US Legal Forms provides secure online notarization powered by Notarize, available 24/7 for added convenience.

Mistakes to watch out for

  • Failing to attach the physician's recommendation.
  • Leaving out vehicle information or providing incorrect details.
  • Not specifying the required days and hours of parking.
  • Submitting the form without a signature or date.

Benefits of using this form online

  • Convenient access to legal templates that can be downloaded instantly.
  • Editable fields make it easy to fill out the form accurately.
  • Guaranteed reliability of forms drafted by licensed attorneys.

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FAQ

Persons with disabilities may apply for a permanently disabled person's parking permit/placard from the County Tag Office where the disabled person lives by submitting Form MV-9D Disabled Person's Parking Affidavit signed by a licensed doctor of medicine or osteopathic medicine, a podiatrist, an optometrist, or a

If you have a Blue Badge you may qualify to have a disabled resident parking bay marked outside or near your home.However there are some disabled persons' parking bays near shops and community facilities which any Blue Badge holder can use.

A permanent placard may be obtained by making an appointment at any Secretary of State office. The placard application must be completed by the applicant and a physician, chiropractor, optometrist, physician's assistant or nurse practitioner. Branch offices cannot accept photocopies of completed applications.

You can apply online on the website of the Irish Wheelchair Association, or email maats@iwa.ie. You can apply online on the website of the Disabled Drivers Association or email parkingcard@ddai.ie. A parking card costs 20ac35.

Download the Application for Persons with Disabilities Parking Placard and/or License Plate (Form VTR-214) Have your doctor or health care provider complete the Disability Statement section of the application. Submit the completed application and payment (if applicable) to your county tax office.

Some health conditions that commonly qualify a person for a handicap permit include: Inability to walk without the use of a brace, cane, crutch, prosthetic device, wheelchair or similar device. Diseases that limit walking or the ability to use your legs. Advanced lung or cardiac disease.

If your disability means that you need to park close to your home, your local council can help. If you live in an area where everybody parks on the street, you can arrange to have a special disabled parking space created for your car or for a car driven by somebody living at your address who helps you get around.

A copy of your blue parking placard from Service Alberta. A copy of your placard registration showing your current address.

You can get the Application for Disabled Person Placard or Plates (Form REF 195) by going to your local California Department of Motor Vehicles (DMV) Office or printing the document online. There is no fee for a permanent parking placards and license plates, but there is a $6 fee for a temporary parking placards.

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Application for Handicap Parking Space