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INSTRUCTIONS. Permanent Placard - Complete Sections A, B or C (NOT BOTH) and E. NOTE: Individuals should list their PA Driver’s License (PA DL) or Photo ID# in the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N.). Severely Disabled Veteran Placard - Complete Sections A, D and E.
In order to obtain a placard, Form MV-145A (PDF), "Persons with Disability Parking Placard Application" must be completed by the person with a disability, a health care provider, or a police officer and returned to PennDOT. Permanent placards are valid for five years and renewed in March or September.
CERTIFICATION FROM A HEALTH CARE PROVIDER LICENSED OR CERTIFIED IN PA OR A CONTIGUOUS STATE (NEW YORK, NEW JERSEY, DELAWARE, MARYLAND, WEST VIRGINIA OR OHIO). THIS SECTION MUST BE COMPLETED IN FULL. HEALTH CARE CERTIFY DISABILITIES WITHIN THEIR SCOPE OF PRACTICE.
Persons with Disability Registration Plate. PennDOT shall issue a special registration plate for a passenger car or truck with a registered gross weight of not more than 14,000 pounds, designating the vehicle so licensed as being used by a person with a disability. Benefits:
Send completed application to: PA Department of Transportation Bureau of Motor Vehicles P.O. Box 68268 Harrisburg, PA 17106-8268 Visit the Driver and Vehicle Services web site at www.dmv.state.pa.us
Complete the information to the left if you qualify as a person in loco parentis, parent (including adoptive parent or foster parent), or a spouse of a person who qualifies for a Person with Disability registration plate as specified in reason code 1 through 8 on the reverse side of this form.
CERTIFICATION FROM A HEALTH CARE PROVIDER LICENSED OR CERTIFIED IN PA OR A CONTIGUOUS STATE (NEW YORK, NEW JERSEY, DELAWARE, MARYLAND, WEST VIRGINIA OR OHIO). THIS SECTION MUST BE COMPLETED IN FULL. HEALTH CARE PROVIDERS MAY ONLY. CERTIFY DISABILITIES WITHIN THEIR SCOPE OF PRACTICE.
In order to obtain a placard, Form MV-145A (PDF), "Persons with Disability Parking Placard Application" must be completed by the person with a disability, a health care provider, or a police officer and returned to PennDOT. Permanent placards are valid for five years and renewed in March or September.
100% service-related disability. OR. A qualifying permanent disability related to military service. Your doctor's certification will determine which placard you are eligible for. To apply, you will need the Person with Disability Parking Placard Application (Form MV-145A), which MUST be: Notarized.
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