Application for Disabled Parking Placard/Plate
This file provides the application form for Disabled Parking Placard or Plate in Massachusetts. It includes essential information and necessary requirements for applicants. Both disabled persons and healthcare providers must complete and sign this application.
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How do I fill this out?
Filling out this application requires careful attention to the sections designated for the disabled applicant and their healthcare provider. Ensure that all required fields are completed accurately. Follow the instructions closely to avoid delays in processing.
How to fill out the Application for Disabled Parking Placard/Plate?
1
Obtain the Disabled Parking Application form.
2
Complete the applicant's personal information in sections A, B, and C.
3
Provide the healthcare provider's information in sections D and E.
4
Sign and date the application where required.
5
Submit the completed application to Medical Affairs within thirty days.
Who needs the Application for Disabled Parking Placard/Plate?
1
Individuals with disabilities requiring accessible parking.
2
Healthcare providers certifying the eligibility of patients.
3
Veterans needing Disabled Veteran plates.
4
Caregivers assisting disabled individuals.
5
Family members of disabled persons applying on their behalf.
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What are the instructions for submitting this form?
To submit this form, mail the completed application to Medical Affairs, PO Box 55889, Boston, MA 02205-5889. Make sure to include any additional required documentation. For assistance, you can contact 857-368-8020 for more information.
What are the important dates for this form in 2024 and 2025?
Ensure that your application is submitted within thirty days of your healthcare provider's certification. Review deadlines for re-certification and updates to your information annually. Always check for updates from the Massachusetts Registry of Motor Vehicles regarding application processing times.
What is the purpose of this form?
The purpose of this Disabled Parking Application is to allow individuals with disabilities to obtain a parking placard or plate. This form facilitates access to designated parking spaces, providing mobility support for disabled individuals. It ensures that the application meets the regulatory standards set forth by the Massachusetts Registry of Motor Vehicles.
Tell me about this form and its components and fields line-by-line.
- 1. Last Name: The last name of the disabled applicant.
- 2. First Name: The first name of the disabled applicant.
- 3. Date of Birth: The birth date of the applicant in MM/DD/YYYY format.
- 4. Social Security Number: Last four digits of the applicant's social security number.
- 5. Residential Address: The actual residence address of the applicant.
- 6. Healthcare Provider Information: Details provided by the healthcare provider certifying the applicant's condition.
What happens if I fail to submit this form?
Failure to submit this form could result in lost opportunities for accessible parking. Your request for a placard or plate will remain unprocessed until all information is received. It is critical to address any issues that arise during the submission of your application.
- Incomplete Application: An incomplete application will be returned and delay your request.
- Non-compliance with Guidelines: Failure to meet necessary medical or eligibility criteria may lead to denial.
- Submission Timeliness: Applications must be submitted within specified time frames.
How do I know when to use this form?
- 1. Applying for a Placard: Use this form when applying for a disabled parking placard.
- 2. Requesting a Plate: Use this form to request a disabled parking plate if you own a vehicle.
- 3. Renewing Your Application: Submit this form to renew your current disabled parking credentials.
Frequently Asked Questions
How do I fill out the Disabled Parking Application?
Start by entering the applicant's details, ensuring all sections are completed accurately.
Can I edit this PDF online?
Yes, you can easily edit the PDF using the PrintFriendly editor.
Is there a fee for the Disabled Parking application?
No fee is required for a placard, but there may be fees for plates depending on registration.
How do I submit the application?
Submit your completed application to Medical Affairs via mail or as directed in the instructions.
What should I do if my application is incomplete?
An incomplete application will be returned, so double-check all fields before submission.
Can I apply for multiple placards?
It is illegal to have more than one placard.
What if the healthcare provider does not certify my condition?
Without certification, the application cannot be processed.
Do I need to show proof of disability?
Yes, the application requires a healthcare provider's certification of your condition.
How long does processing take?
Processing may take up to thirty days after submission.
What happens if I provide false information?
Providing false information may lead to legal repercussions under Massachusetts Law.
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