Penndot handicap placard form 2026

1. Click ‘Get Form’ to open the penndot handicap placard form in the editor.
2. Begin by selecting the appropriate request type in Section A: Original Request, Replacement/Renewal, or Change of Address/Name. Ensure you check only one box.
3. In Section B, provide your personal information including your first and last name, social security number, date of birth, and address. If applicable, include details for a minor child if you are acting in loco parentis.
4. Section C requires certification from a licensed physician. Ensure they complete this section fully, including their signature and medical license number.
5. If applicable, Section D is for certification by a police officer regarding mobility limitations. This section can be skipped if a physician has certified the disability.
6. Finally, complete Section E with your signature and date. If notarization is required, ensure it is done in the presence of a notary public.

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