Printable dmv handicap form 2025

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dmv ca gov handicap placard form Preview on Page 1

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  1. Click ‘Get Form’ to open the printable DMV handicap form in the editor.
  2. Begin by entering your Social Security Number in the designated light gray box at the top of the form. This is crucial for processing your application.
  3. Complete Section A with your personal information, including your name, gender, birthdate, and contact details. Ensure accuracy as this information is essential for identification.
  4. In Section B, indicate whether you are requesting a mobility impaired plate or placard. If applicable, provide details about any lost or stolen items.
  5. If applying for a license plate, fill out Section C with vehicle and insurance information. Include details such as make, model year, and VIN.
  6. Sign and date the application at the bottom of Part I. If necessary, a legal guardian may sign on your behalf.
  7. Part II must be completed by a licensed physician who will certify your mobility impairment. Ensure all required fields are filled out accurately.

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Who is eligible. Connecticut residents who are blind, disabled, qualifying veterans, or guardian to a disabled minor under age 18, and non-residents under qualifying conditions, can request an accessibility parking permit. You can request a renewal of a renewable parking permit within 6 months of its expiration.
Once youve filled out an application for a handicap parking placard, return it to your local DMV. You can return your application in-person or by mail. If you return your application by mail, you may need to pay a fee and wait until your parking placard is mailed to you.
The applicants condition is TEMPORARY (6 Months or Less - please indicate above). INSTRUCTIONS: PART A must be completed by applicant. Applicant must have a Connecticut License or ID card.
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