REG 195, Application for Disabled Person - PrivateMDS Preview on Page 1

REG 195, Application for Disabled Person - PrivateMDS 2026

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Definition and Meaning of REG 195

The "REG 195, Application for Disabled Person - PrivateMDS" form is an official document issued by the California Department of Motor Vehicles. It is used to apply for Disabled Person Placards or License Plates, which allow individuals with qualifying disabilities to access preferential parking. The form collects essential information such as personal details, vehicle information, and medical certification to establish eligibility.

How to Obtain the REG 195 Form

Obtaining the REG 195 form can be done through several convenient methods:

Online Download: The form is available for download on the California DMV website. This method allows you to print the form for manual completion or fill it directly using online tools like DocHub.
DMV Office: You can visit a local California DMV office to pick up a physical copy of the form.

Eligibility Criteria

Before applying, ensure that you meet the eligibility criteria for a Disabled Person Placard or License Plate as outlined in the REG 195 form:

Individuals with mobility impairments.
Persons who are legally blind or visually impaired.
Those with certain cardiac conditions or restricted breathing capabilities.

Verification through medical certification is required, as detailed on the form.

Steps to Complete the REG 195 Form

Personal Information: Start by filling in your personal details, including name, address, and driver's license or identification number.
Vehicle Details: Provide information about the vehicle you intend to use the placard or plate on, including make, model, and license plate number.
Medical Certification: A licensed medical professional must complete the medical certification section to verify the applicant's disability.
Signature and Date: Sign and date the form to attest that the information provided is accurate.

Important Terms Related to REG 195

Understanding the following terms will help you accurately complete the form:

Placard: A removable document displayed in a vehicle to indicate reserved parking rights.
License Plate: A metal plate affixed to a vehicle, providing similar rights to a placard.
Medical Certification: A signed statement by a licensed medical professional verifying a qualifying disability.

Legal Use of the REG 195 Form

To ensure compliance with the legal framework:

Use the placard or license plate strictly for their intended purpose.
Do not abuse or transfer the placard/plate to an unauthorized user.
Adhere to the parking regulations and only park in designated accessible parking spaces.

Form Submission Methods

Submission of the REG 195 form can be done through various methods:

In-Person: Submit the completed form at your local DMV office for immediate processing and issuance.
Mail: You can mail the form along with required documentation to the address mentioned on the form.

Key Elements of the REG 195 Form

When completing the REG 195, ensure you pay attention to these critical components to avoid rejection or delays:

Accurate personal and vehicle information.
Properly completed medical certification.
Applicant's signature for verification.

State-Specific Rules for REG 195

As the REG 195 is a form governed by California state regulations, applicants from other states should verify if similar provisions exist in their local jurisdictions. California-specific laws and guidelines must be followed for a successful application process.