SPECIAL PARKING PERMIT REQUEST FORM 2025

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  1. Click ‘Get Form’ to open the SPECIAL PARKING PERMIT REQUEST FORM in the editor.
  2. Begin by entering your Last Name and First Name in the designated fields. This information is essential for identification purposes.
  3. Fill in your Home Address, including City, State, and Zip Code. Accurate details ensure proper processing of your request.
  4. Provide your Email Address and Mobile Phone number for communication regarding your permit status.
  5. Select your Category from the options provided (Contractor, Non-UConn Health Employee, Physician, Volunteer, Other) by checking the applicable box.
  6. Complete the Vehicle/Motorcycle Registration Information section by entering details such as Handicap Permit # (if applicable), License Plate #, State, Make, Model, and Color for each vehicle you wish to register.
  7. Choose your Payment Type from Cash, Check, Credit Card, or Transfer Voucher. Ensure you understand that if you no longer require parking, you must return your permit.
  8. Finally, sign where indicated and provide the Permit Issue Date and Permit Cancel Date if applicable. This confirms your request and agreement to the terms outlined.

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The applicant must meet one or more of the following criteria ( 49-4-301, MCA): cannot walk 200 feet without stopping to rest; is severely limited in ability to walk because of an arthritic, neurological, or orthopedic condition; is so severely disabled that the person cannot walk without the use of or
Applications can be submitted online at .accesscanberra.act.gov.au/disabilityparking, by mail to PO Box 582 DICKSON ACT 2602 or submitted in person at an Access Canberra Service Centre.
Ask your health-care provider to fill out and sign the portion that certifies disability. (Again, in some states, certification requirements might be waived if youre visibly disabled and appear in person at the DMV.) Submit the application by mail or in person.