Mississippi disabled parking application form 76 104 2025

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To apply for a disabled tag and/or placard, you need to submit to your county Tax Collector a Mississippi Disabled Parking Application, Form 76-104. The application must be completed by your licensed physician or nurse practitioner. There is no additional fee required to obtain a Disabled License Plate or Placard.
There is no fee for placards.
Individuals may apply for a disability tag/placard using the Mississippi Disabled Parking Application Form (PDF). This form must be certified by the applicants physician or nurse practitioner as being permanently disabled. Permanently disabled individuals may receive two disability tags and two placards.
Individuals may apply for a disability tag/placard using the Mississippi Disabled Parking Application Form (PDF). This form must be certified by the applicants physician or nurse practitioner as being permanently disabled.
Get a handicap parking placard application form, have your doctor fill out their portion, you fill out your portion and either mail it to the address on the form or take it to your local dmv. If your doctor says you are not disabled you cant get one also.
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