Indiana state form 42070 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Applicant Information section. Enter your full name, address, Federal Identification number, Social Security number, and date of birth.
3. Proceed to Section 1 for the Application for Disability Plate. Check the appropriate box that describes your qualification for a Disability Plate and ensure you sign and date the form.
4. In Section 2, indicate whether you are applying for a new, duplicate, renewing, or additional Disability Placard. Again, check the box that applies to your disability status.
5. Complete Section 3 with the Practitioner’s Certification. Depending on your condition, have either a physician or an optometrist complete their respective certification sections.

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