Arkansas 10 336 form 2025

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The document outlines the certification process for issuing special license plates or certificates for individuals with disabilities in Arkansas. It includes sections for licensed physicians and organizations to certify the disability status of applicants, detailing specific conditions that qualify for such certifications. Additionally, it provides important regulations regarding the use of these special plates and certificates, including penalties for misuse and requirements for renewal.

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Click ‘Get Form’ to open the Arkansas 10 336 form in the editor.
Begin with Part 1 if you are a licensed physician. Fill in your name, address, city, state, and zip code. Then enter the name and address of the person with a disability.
Indicate whether the disability is permanent or temporary by circling the appropriate option. If it’s temporary, provide the Social Security Number or Driver’s License Number.
Check all applicable boxes (A through L) that describe the individual’s condition. If none apply, list any permanent medical condition affecting mobility.
Sign and date the form as a certifying physician.
If completing Part 2 for an organization, fill in the organization's name, address, and Federal Employer Identification Number. Certify ownership or lease of vehicles used for transporting persons with disabilities.
Ensure an authorized official signs and dates this section.

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Versions	Form popularity	Fillable & printable
2007	4.7 Satisfied (146 Votes)
2001	4.3 Satisfied (70 Votes)

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Can disabled veteran plates park in handicap Arkansas?

Yes, these Disabled Veteran Specialty Plates are accessible for one vehicle of any Arkansas resident veteran. Also, your impairment needs to be service-connected as certified by the Veterans Administration (VA).

What qualifies for handicap parking in Arkansas?

Do You Qualify for a Permit? You cannot walk 100 feet without rest. You must use a wheelchair, cane, crutches, Zimmer frame, or other walking aid. You use a portable oxygen tank. You have a heart condition classified as Class III or Class IV ing to the standards set by the American Heart Association.

Whats the easiest way to get a handicap sticker?

How to Apply for a Handicap Parking Permit Get a handicapped parking application from the DMV office or online. Complete and sign the form. Ask your health-care provider to fill out and sign the portion that certifies disability. Submit the application by mail or in person.

What is the dealer reassignment form in Arkansas?

What do you need to renew handicap placard in Arkansas? You can either apply for a renewal for your permanent placard by mail to the Department of Finance and Administration, by calling the toll-free number 1-800-941-2580, or online.

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.

licensed physician's certification form 10 336

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What does a black handicap tag mean?

1:27 2:25 And allows the holder to park in designated handicap parking spaces. This tag is a vital tool forMoreAnd allows the holder to park in designated handicap parking spaces. This tag is a vital tool for individuals. Who need easier access to parking due to their mobility limitations.

Arkansas 10 336 form 2025

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Can disabled veteran plates park in handicap Arkansas?

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