Disabled Toll Permit Replacement Permit Request Form - dot state fl 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the 'APPLICANT INFORMATION' section. Enter your first name, middle name, last name, date of birth, and contact details including area code and phone number.
3. Provide your address details including apartment number, city, state, and zip code.
4. In the 'ORANGE DISABLED TOLL PERMIT NUMBER' section, input your existing permit number.
5. Complete the 'APPLICANT DRIVERS LICENSE INFORMATION' by entering your Florida license number or other state license number if applicable.
6. Fill in the 'VEHICLE INFORMATION' section with details such as vehicle year, make, VIN number, permanent license plate number, and model.
7. Select the reason for replacement from the options provided and ensure you attach a copy of your vehicle insurance card as required.
8. Finally, sign and date the form at the bottom before submitting it via mail as electronic submissions are not accepted.

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