Form 96 0104-2025

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The document is an application form for obtaining an Individual Disability – Hearing Impaired Plate or Placard in Arizona. It outlines the eligibility criteria, required medical certification, and application process for individuals with disabilities or hearing impairments. The form includes sections for personal information, vehicle details, and medical professional verification. It also provides guidelines on the use of disability plates and placards, renewal procedures, and penalties for misuse.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (111 Votes)
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What qualifies for handicap parking in Utah?

Qualifications for Disabled Parking cannot walk 200 feet without stopping to rest; cannot walk without the use of, or assistance from, a brace, cane, crutch, another person, prosthetic device, wheelchair or other devices; is restricted by lung disease to a specific standard; uses portable oxygen;

How long does it take to get a CA DMV disabled placard?

If you renew online, you should receive your placard within two to four weeks. If you have not received your renewed placard by June 1, 2025, contact us using our online chat or call 1-800-777-0133.

How to ask a doctor for a handicap placard?

Ask your health-care provider to fill out and sign the portion that certifies disability. (Again, in some states, certification requirements might be waived if youre visibly disabled and appear in person at the DMV.) Submit the application by mail or in person.

Who qualifies for a handicap parking spot?

Who qualifies for a handicap parking permit? As with everything else, the specific qualifications for a handicap parking permit will vary from state to state. Generally, the criteria is a persons ability to walk a distance of 100-200 yards without having to stop and rest.

How do I apply for a handicap placard in Arizona?

How to fill out the Arizona Disability Placard and Plate Application? Select the appropriate placard or plate type. Fill in your personal and vehicle information accurately. Ensure a medical professional completes the certification. Sign and date the application. Submit the application as per the provided instructions.

96 0104 form

Form 96 0104 printable Form 96 0104 online Form 96 0104 pdf MVD handicap placard form AZ MVD handicap placard form Arizona handicap placard application online Arizona handicap placard renewal form Arizona handicap PLACARD application pdf

What qualifies for handicap parking in Michigan?

There are a variety of qualifying disabilities such as: Inability to walk more than 200 feet without having to stop and rest; use of wheelchair, walker, crutch; lung disease, etc.

How do you ask your doctor for a handicap placard?

Get a handicap parking placard application form, have your doctor fill out their portion, you fill out your portion and either mail it to the address on the form or take it to your local dmv. If your doctor says you are not disabled you cant get one also.

How much does a handicap placard cost in PA?

Registration Plates/Placards Specialty Registration PlatesAmount Legislative: $97.00 Persons with Disability Placard: No Fee Persons with Disability (an additional $64 fee to personalize): $13.00 Press Photographer (an additional $128 fee to personalize): $13.0013 more rows