Placard renewal replacement request form 40 0112-2026

1. Click ‘Get Form’ to open the placard renewal replacement request form 40 0112 in the editor.
2. Begin by selecting the type of placard you are requesting: either 'Disability Parking Placard' or 'Hearing Impaired Placard'.
3. Indicate your request type by checking either 'Renewal' or 'Replacement'. If you are replacing a lost, stolen, destroyed, or mutilated placard, ensure to return the mutilated one.
4. Fill in your name as the applicant, along with your phone number and mailing address. If applicable, include the organization representative's name and title.
5. Enter your current placard number and complete the city, state, and zip code fields.
6. Certify your eligibility by checking the appropriate box for individuals or organizations. Ensure to provide your signature if required.
7. For renewals, remember that a notary or MVD agent signature is necessary. Complete the acknowledgment section with date and county details.

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