Arizona Disability Placard and Plate Application
This application form allows individuals with disabilities to request a disability placard or plate in Arizona. It provides detailed instructions for eligibility and necessary documentation. The form must be completed carefully to ensure valid processing.
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How do I fill this out?
To fill out the application, start by selecting the type of placard or plate you are applying for. Provide accurate personal information including your Arizona ID and vehicle details. Ensure you have the required medical certification completed by a licensed health care professional.
How to fill out the Arizona Disability Placard and Plate Application?
1
Select the appropriate placard or plate type.
2
Fill in your personal and vehicle information accurately.
3
Ensure a medical professional completes the certification.
4
Sign and date the application.
5
Submit the application as per the provided instructions.
Who needs the Arizona Disability Placard and Plate Application?
1
Individuals with permanent disabilities require the placard for accessible parking.
2
Veterans with 100% disability status may apply for the placard.
3
Individuals with temporary disabilities need a placard for a limited time.
4
Caregivers or family members of individuals with disabilities may need the placard for transportation.
5
People with hearing impairments may qualify for specialized plates and notifications.
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What are the instructions for submitting this form?
To submit the completed application form, either mail it to the Special Plates Unit at PO Box 2100, Phoenix AZ 85001-2100, or visit your local MVD office. Alternatively, you may also fax the completed form to the provided number on the application. For more direct assistance, calling the MVD hotline at 800-251-5866 is recommended for accurate guidance.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting the application include the start of the eligibility review period and renewal deadlines for temporary placards. Each application must be renewed per the specified intervals to maintain active status. Ensure you are aware of any upcoming traffic regulations that may affect your use of the placard.
What is the purpose of this form?
The purpose of this form is to provide a standardized method for Arizona residents with disabilities to request a placard or license plate. It ensures that individuals with qualifying conditions can access special parking privileges tailored to their needs. By offering this form, the state helps facilitate easier mobility for disabled individuals.
Tell me about this form and its components and fields line-by-line.
- 1. Name of person with disability: Full name, including first, middle, and last name.
- 2. Arizona Street Address: The applicant's current residential address in Arizona.
- 3. Mailing Address: An optional field for a different mailing address.
- 4. Daytime Phone Number: A contact phone number for further communication.
- 5. Date of Birth: Applicant's date of birth.
- 6. Arizona ID or Driver License #: Identification number related to the applicant.
- 7. Vehicle Identification Number (VIN): The VIN of the vehicle for which the application is being made.
- 8. Medical Certification: A section to be completed by a qualified health care professional.
What happens if I fail to submit this form?
Failing to submit the application may result in the loss of eligibility for a disability placard or plate. Without the proper documentation completed, you may not receive necessary parking privileges. It's essential to ensure that all fields are filled accurately to prevent delays in processing.
- Delayed Processing: Incomplete applications may lead to delays, preventing timely access to the disability parking benefits.
- Ineligibility: Failure to provide the necessary medical certification could result in ineligibility for a placard or plate.
- Legal Issues: Using a disability parking space without proper documentation may invite legal issues or fines.
How do I know when to use this form?
- 1. First-time Application: Use the form to apply for a disability placard or plate for the first time.
- 2. Renewal Application: Utilize this form to renew an existing disability placard or plate.
- 3. Replacement Request: Fill out the application for replacing a lost or stolen placard.
Frequently Asked Questions
What is the purpose of this application?
This application allows individuals with disabilities in Arizona to request a disability placard or plate for accessible parking.
How do I complete the medical certification?
A licensed healthcare professional must fill out the medical certification section, confirming your eligibility based on specific health criteria.
Can I apply for a temporary disability placard?
Yes, you can apply for a temporary placard that must be recertified after six months.
What if my vehicle is leased?
If your vehicle is leased, a document showing you as a lessee is required to apply for the placard or plate.
How long does it take to receive my placard or plate?
Processing times can vary, but you should receive your placard or plate within a few weeks after submission.
Can my disability placard be transferred to another vehicle?
Yes, a disability plate may be transferred to a qualifying vehicle by visiting the nearest MVD or Authorized Third Party Office.
Are hearing impaired plates personalized?
No, hearing impaired plates cannot be personalized due to their reserved number format.
What should I do if I lose my placard?
If your placard is lost or stolen, you can request a replacement without a fee.
Can I share this application with someone else?
Yes, you can share the application PDF with others who may need to fill it out.
What phone number can I call for assistance?
For assistance, you can call Phoenix: 602-255-0072 or Tucson: 520-629-9808.
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