Disabled Parking Placard Application Department of Motor Vehicles 120 State Street Agency of Transportation Montpelier, Vermont 05603-0001 802.828.2000 dmv.vermont.gov This certifies that the individual whose name appears below has been issued a Disabled Parking Placard as specified in 23 V.S.A. §304a. This certifies that the non-profit organization whose name appears below has been issued a Volunteer Driver Disabled Parking Placard as specified in 23 V.S.A. §304a. PLEASE NOTE: THE PLACARD ...
DMV-41-TR (Rev. 01/2022) West Virginia Department of Transportation Applicant MUST Enter SSN Here Division of Motor Vehicles Parking Application for a Mobility Impaired Person DMV Completes Placard Detail Below Plate Mail to: Mobility Impaired Placards & Plates PO Box 17010 Charleston, WV 25317 and/or Questions: 1-800-642-9066 Placard dmv.wv.gov Detail PART I TO BE COMPLETED BY THE APPLICANT (You must follow the instructions provided on the back of this form.) A.) Applicant Information DO NOT FORGET ...
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 Motor Vehicles P.O.Box68268 Harrisburg, PA 17106-8268 CHECK ( 4) APPROPRIATE BLOCKS BELOW qORIGINAL REQUEST - Permanent Placard Severely Disabled Veteran Temporary Placard q q q qRENEWALREQUEST - (For Permanent Placards Only) REPLACEMENT REQUEST - PLACARD ID CARD Defaced Lost Stolen Never Received PREVIOUS PLACARD # __________________ q q ...
DMV NEW PERMIT NUMBER(S) PLATE NUMBER MO. YEAR STATE OF CONNECTICUT USE REPLACEMENT EXPIRES DEPARTMENT OF MOTOR VEHICLES ONLY OVER THE COUNTER SALES UNIT PERMANENT PARKING PLACARD - 60 STATE STREET, WETHERSFIELD CT 06161-5052 APPLICATION FOR A PERSON WHO IS BLIND OR HAS A DISABILITY Telephone: (860) 263-5154 Fax: (860) 263-5556 B-225P Rev. 3-2021 dmv.hpapp@ct.gov INSTRUCTIONS: PART A must be completed by applicant. Applicant must have a Connecticut License or ID card. If you are blind and ...
'LVDEled Person3DUNLQJ3HUPLWPlacard $SSOLFDWLRQ/Renewal: ,QGLYLGXDOV INSTRUCTIONS: 1. You and your physician complete the appropriate sections below. NOTE: Incomplete applications will not be processed. 2. See reverse for Permit types, period of validity, and requirements. 3. Submit the completed application at any DMV office OR Mail to: DMV Driver Transactions Unit 1905 Lana Ave NE Salem, Oregon 97314 $33/,&$171$0( /$67),5670,''/( '$ ...
STATE OF RHODE ISLAND DIVISION OF MOTOR VEHICLES DISABILITY PARKING PLACARDS OFFICE 600 New London Avenue Cranston, RI 02920-3024 Phone: 401-462-4368 www.dmv.ri.gov Application must be completed in the disabled person’s name (not parent, caretaker, guardian or P.O.A.) Applicant must be a Rhode Island resident. This application must be submitted within thirty (30) days of the physician’s certification. Please note that the information provided in this application may affect your driver’s license ...
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