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picture1_Dmv Placard Pdf 228621 | Mv 145a


 73x       Filetype PDF       File size 0.15 MB       Source: www.dot.state.pa.us


File: Dmv Placard Pdf 228621 | Mv 145a
MV-145A(5-22) www.dmv.pa.gov PERSON WITH DISABILITY P ARKING PLACARD APPLICA TION NO FEE REQUIRED FOR DEPARTMENT USE ONLY SEE REVERSE SIDE FOR INSTRUCTIONS AND ELIGIBILITY REQUIREMENTS Bureau of ...

icon picture PDF Filetype PDF | Posted on 02 Mar 2023 | 2 years ago
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...Mv a www dmv pa gov person with disability p arking placard applica tion no fee required for department use only see reverse side instructions and eligibility requirements bureau of motor vehicles o box harrisburg check appropriate blocks below qoriginal request permanent severely disabled veteran temporary q qrenewalrequest placards replacement id card defaced lost stolen never received previous qchange address complete sections e change name here to indicate reason marriage divorce other qqq information list note if listing an out state you must also attach form last or full business first middle dl photo date birth bus street city zip code email are the parent adult charged by law natural s rights duties responsibilities acting on behalf minor child under in place parents loco parentis addition including adoptive foster who has custody care control spouse may sign applicant provided meets through relationship certification from health provider licensed certified contiguous new york ...
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