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SECTION 1 - TO BE COMPLETED BY APPLICANT - eCCLIX 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your full name in the designated field. Ensure that you print clearly for legibility.
  3. Next, provide your phone number. This is important for any follow-up communication regarding your application.
  4. Fill in your address, including street or post office box, city, state, and zip code. Double-check for accuracy to avoid processing delays.
  5. Select one of the checkboxes indicating whether you currently hold a disabled parking license or a disabled veteran license.
  6. Sign the form where indicated as the applicant. This confirms that all information provided is true and accurate.
  7. Lastly, enter your Social Security Number in the specified field to complete this section of the application.

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For application, Section .1 of the Application for Disabled Persons Special Parking Permit (opens in PDF) must be completed and signed by the applicant. IfRead more

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