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Individuals with a permanent disability to renew a DIS ID permit. Persons with a temporary disability should complete form MV2933, Temporary Disabled Parking Identification Permit Application. DIS ID permits are valid in all 50 states, D.C. and Puerto Rico. For more information see: wisconsindmv.gov/Pages/dmv/vehicles/dsbld-prkg
Submit a copy of the registration for your expiring parking permit and a certificate of disability (form HSMV 83039). The form must be completed and signed by the certifying authority within the last 12 months.
The parking certificate is provided to assist persons with a physical disability and provide better access to public places and facilities. Only one parking certificate is issued per disabled individual if you also display license plates.
The persons with a Disability placard and/or license plates are to be used exclusively for a person with a disability named on the identification card. The identification card is nontransferable and shall be revoked is used by any other person.
Disabled parking license plates may be issued to a person with a permanent disability that limits or impairs the ability to walk, who is one of the following: Owner of a vehicle. Lessee of a vehicle.
A person with disabled parking plates and/or a permanent disability DIS ID permit must be re-certified by an authorized health care specialist every four years. Healthcare specialists can certify first-time and recertify disabled parking eligibility online disabledparking.wi.gov
APPLICANT INFORMATION. Disability Access parking credentials may be issued to an individual with a disability or a parent, stepparent, or legal guardian of an individual with a disability. Applicants with permanent disabilities are eligible for two (2) disability placards per person OR one (1) placard per person AND one (1) license plate decal ...
Disabled Parking Application. (Section 27-19-56, MS Code of 1972) Section 1. Certification to be Completed by Licensed Physician or Nurse Practitioner. I do hereby certify that. Printed Name of Disabled Person. Address. City. State. Zip. has the following condition: Cannot walk 200 feet without stopping to rest; or.
To qualify for a disability parking permit, the physician or Advance Practice Registered Nurse (APRN) must certify that the applicant has a disability that limits or impairs the ability to walk 200 feet without stopping to rest and has been diagnosed with at least one of the conditions
Application for an Accessible Parking Permit. Need help downloading or filling forms? Please check our Help page for solutions to common issues. Alert! Adobe is making changes that affect all PDF forms. PDF Forms will no longer work with older versions of Adobe Reader including Adobe Reader XI.