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APPLICATION FOR TEMPORARY PLACARD - State of New Jersey - state nj 2026

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The document is an application form for a Temporary Placard issued by the State of New Jersey, intended for individuals who have temporarily lost mobility or require assistance. It includes sections for applicant information, medical certification, and terms and conditions regarding the use of the placard. A fee of $4.00 is required, and the placard is valid for up to six months with one possible recertification.

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Click ‘Get Form’ to open the APPLICATION FOR TEMPORARY PLACARD in the editor.
In SECTION A, enter your personal information including your name, address, driver license number, date of birth, sex, eye color, height, and weight. Ensure all details are accurate for a smooth application process.
Proceed to SECTION B where a medical practitioner must certify your eligibility. Fill in their name, address, telephone number, and National Provider Identification Number (NPI #). This section is crucial as it validates your need for the temporary placard.
Review SECTION C carefully. Familiarize yourself with the terms and conditions regarding the use of the temporary placard. Make sure you understand the legal implications of providing false information.
Finally, sign and date at the bottom of the form to confirm your agreement with the terms outlined. If applicable, ensure that a police chief's signature is obtained in the designated area.

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Can I walk into DMV in NJ without an appointment?

To apply for a temporary parking placard: Go to your local Police Station, Traffic Division to get an application. There is a place on the application where your doctor must docHub that you need the placard. Return the completed application to the Police Department with a $4 fee payable to Motor Vehicle Commission.

How long is a temporary handicap placard good for in NJ?

* The temporary placard is valid for no longer than 6 months from the date of issue and can only be recertified once, for a period not to exceed 6 months.

Do I need an appointment to get a handicap placard in NJ?

Walk-ins are only allowed for first time licenses/IDs/permits, name changes, and red decals at Licensing Centers. Other MVC transactions that cant be completed online require an appointment that customers need to schedule at NJMVC.gov.

How do I apply for a temporary placard?

In California, you can apply for a temporary disabled person parking placard through the DMV while waiting for the permanent one. Submit a completed Application for Disabled Person Parking Placard or Plates (Form REG 195) along with a medical certification from a licensed physician.

How to apply for a temporary handicap placard in NJ?

Obtain certification from a qualified medical practitioner that you are qualified for a temporary placard; see Qualifications for medical certification information. Submit the completed application to a municipal police department along with a check or money order for $4 made payable to NJMVC.

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