Disability Parking Placard Application Michigan
This PDF provides the Michigan Department of State Disability Parking Placard Application. It outlines the application process and medical eligibility criteria for obtaining a disability parking placard. Users will find essential instructions and guidelines for completing the application efficiently.
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How do I fill this out?
To successfully fill out the Disability Parking Placard Application, begin by providing your personal details in Part 1. Next, ensure your physician or healthcare provider completes Part 2 with the necessary medical evaluations. Finally, if eligible for free parking, complete Part 3 and double-check all information before submission.

How to fill out the Disability Parking Placard Application Michigan?
1
Complete Part 1 with your personal information.
2
Have your physician fill out Part 2 regarding your medical eligibility.
3
If applicable, complete Part 3 for free parking qualifications.
4
Sign the application at the designated places.
5
Submit the completed application at a Secretary of State office or via mail.
Who needs the Disability Parking Placard Application Michigan?
1
Individuals with disabilities needing special parking assistance.
2
Caregivers of disabled persons who require parking accommodations.
3
Organizations providing transportation for disabled individuals.
4
Healthcare professionals assisting patients in applying for placards.
5
Residents of Michigan seeking to apply for disability benefits related to parking.
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What are the instructions for submitting this form?
Once the application is fully completed and signed, you may submit it by presenting it at any Secretary of State branch office. Alternatively, you can mail the application to the Michigan Department of State, Special Services Branch, PO Box 30764, Lansing, MI 48918. For additional inquiries, it is advisable to contact the Department's Information Center at 1-888-767-6424 for support.
What are the important dates for this form in 2024 and 2025?
Important deadlines for submitting your application include renewal dates for existing placards, typically set at four years after issue. It's essential to stay updated on any changes to state regulations regarding disability parking. New applicants should submit their applications as soon as their medical eligibility is established.

What is the purpose of this form?
The purpose of the Disability Parking Placard Application is to provide individuals with disabilities the opportunity to obtain a parking placard that allows for easy access to designated parking spaces. This form must be completed accurately to ensure that the applicant meets the medical eligibility criteria laid out by the Michigan Department of State. By obtaining this placard, individuals can benefit from reduced barriers when accessing public spaces.

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

- 1. Name: Full name of the applicant.
- 2. Date of Birth: Applicant's date of birth.
- 3. Signature: Signature of the disabled individual or representative.
- 4. Physician's Certification: Section completed by the physician confirming the disability.
- 5. Free Parking Qualifications: Details necessary for applicants seeking free parking.
What happens if I fail to submit this form?
Failure to submit the Disability Parking Placard Application may result in the inability to obtain necessary parking privileges. Without this application, applicants risk not receiving the accommodations needed for their mobility challenges.
- Increased Parking Challenges: Not having a placard can lead to difficulties finding accessible parking.
- Legal Penalties: Using disabled parking without proper authorization may lead to fines.
- Inaccessibility: Lacking a placard makes it harder for individuals with disabilities to access necessary locations.
How do I know when to use this form?

- 1. New Applications: Individuals who require a placard for the first time.
- 2. Renewals: Current placard holders needing to renew their status.
- 3. Free Parking Qualifications: If applicable, for individuals seeking free parking benefits.
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