Connecticut Handicapped Special Permit Application
This file contains important instructions and information regarding the Special Permit Application for handicapped individuals in Connecticut. Users can find specific details about eligibility requirements, procedures for filling out the application, and instructions for submission. This form is essential for those seeking a new or replacement parking permit due to disability.
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How do I fill this out?
Filling out this form requires careful attention to the provided instructions. Ensure both Part A and Part B are completed accurately. Having the necessary documentation ready will facilitate a smooth application process.

How to fill out the Connecticut Handicapped Special Permit Application?
1
Complete Part A of the application form.
2
Have your physician or qualified professional complete Part B.
3
Gather necessary identification and supporting documents.
4
Submit the completed application via mail, in-person, or electronic methods.
5
Pay any applicable fees for temporary permits if required.
Who needs the Connecticut Handicapped Special Permit Application?
1
Individuals with disabilities who require special parking accommodations.
2
Parents or guardians of disabled persons seeking support.
3
Organizations dedicated to transporting disabled individuals.
4
Healthcare professionals assisting patients with the application process.
5
Anyone needing to renew or replace an existing permit.
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What are the instructions for submitting this form?
Submit this form by mailing it to the Connecticut DMV at 60 State Street, Wethersfield, CT 06161-5056. Alternatively, you can deliver it in person at any DMV branch office. For electronic submissions, you may fax your application to (860) 263-5556 or email it to dmv.hpapp@ct.gov for processing.
What are the important dates for this form in 2024 and 2025?
For the fiscal years 2024 and 2025, ensure you submit your special permit applications by the designated deadlines set by the Connecticut DMV. Dates for renewal and new applications typically occur annually, so check with the DMV for exact timelines. Staying informed about these important dates will ensure you maintain compliance and secure your permit.

What is the purpose of this form?
The purpose of this form is to facilitate access to special parking permits for individuals with disabilities. It ensures that those who require additional support for mobility have the necessary documentation to comply with state regulations. This application serves not only individuals but also organizations assisting disabled persons, fostering inclusivity and support within the community.

Tell me about this form and its components and fields line-by-line.

- 1. Permit Number: Unique identifier for the permit.
- 2. Applicant Name: Full name of the individual applying.
- 3. Address: Residential address of the applicant.
- 4. Date of Birth: Birthdate of the applicant for verification.
- 5. Physician Information: Details of the certifier who validates the disability.
- 6. Signature: Signatures required from both applicant and physician.
What happens if I fail to submit this form?
Failure to submit this form correctly may result in delays or denial of the requested permit. It is crucial to ensure that all sections are completed and accurate. Incomplete applications are typically returned to the applicant for necessary corrections, which can further delay the approval process.
- Incomplete Application: Applications missing required information will be returned.
- Incorrect Certification: Invalid signatures or certifications may lead to application rejection.
- Submission Errors: Improper submission methods can result in delays in processing.
How do I know when to use this form?

- 1. New Applications: For individuals applying for a special permit for the first time.
- 2. Renewals: For existing permit holders seeking to renew their permits before expiration.
- 3. Replacement Permits: When a permit has been lost or damaged and needs to be replaced.
Frequently Asked Questions
Who qualifies for the Special Permit Application?
Individuals with disabilities that significantly impair mobility can qualify for this permit.
How do I fill out Part A of the application?
Part A should be completed by the applicant, providing personal identification details.
Is there a fee for the permanent permit?
No fee is charged for a permanent permit; however, a $5.00 fee is required for temporary permits.
Can I submit the application via email?
Yes, you can submit the application via email as long as it is complete.
What if my application is returned?
If any part of the application is incomplete or incorrect, it will be returned for corrections.
How quickly can I get my permit?
Processing times may vary, but completed applications are typically processed promptly.
What documents do I need to apply?
You will need your identification and any medical certification confirming your disability.
Can I renew my permit online?
Renewal processes vary, and it's best to check the specific guidelines provided by the DMV.
Do I need to surrender my driver's license?
Yes, if you are applying due to blindness, you must surrender your driver's license.
Can organizations apply for a permit?
Yes, organizations that transport disabled individuals can apply for a special permit.
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