Department of public safety handicap parking placard application fillable form 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your full name, including first, middle, and last names, along with your date of birth in the designated fields.
3. Fill in your mailing address accurately, ensuring that all components such as street address, city, state, and zip code are complete.
4. Provide your driver license or ID number and a contact phone number for any follow-up inquiries.
5. Read the notice regarding the review of your ability to operate a vehicle and sign where indicated.
6. The physician must complete their section by selecting the appropriate conditions that apply to you. They will also need to provide their diagnosis and confirm whether you can safely operate a vehicle.
7. Indicate the type of placard requested (temporary or 5-year) and ensure all physician details are filled out correctly before submission.

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