Physical Disability Parking Placard Application
This document serves as the application for a physical disability parking placard from the Department of Public Safety. It contains sections for both the applicant and physician to fill out necessary information. Make sure to follow the instructions carefully to ensure proper processing of your application.
Edit, Download, and Sign the Physical Disability Parking Placard Application
Form
eSign
Add Annotation
Share Form
How do I fill this out?
To fill out this application, start by providing accurate personal information in Section 1. Then, ensure that a licensed physician completes Section 2 with their professional evaluation. Finally, review all sections for completeness before submission.
How to fill out the Physical Disability Parking Placard Application?
1
Begin by filling out Section 1 with your personal details.
2
Have your physician complete Section 2 with their assessment.
3
Sign the application as the applicant or responsible person.
4
Review the application for any missing information.
5
Submit the completed form to the Department of Public Safety.
Who needs the Physical Disability Parking Placard Application?
1
Individuals with physical disabilities who require a parking placard.
2
Caregivers of disabled individuals who assist with mobility.
3
Medical professionals who prescribe mobility assistance.
4
Those seeking a replacement for lost or damaged placards.
5
Family members of disabled persons needing accessible parking.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Physical Disability Parking Placard Application along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Physical Disability Parking Placard Application online.
Editing this PDF on PrintFriendly is simple and user-friendly. Just open the document in our editor and use the provided tools to make changes. Once edited, you can download the updated version without hassle.
Add your legally-binding signature.
You can easily sign the PDF on PrintFriendly by adding your signature with our intuitive signing tool. Just click where you need to sign, and either draw or upload your signature. Save your signed document for your records.
Share your form instantly.
Sharing your PDF on PrintFriendly is straightforward. After editing, you can easily generate a shareable link to send to others. This allows them to view or download the document directly.
How do I edit the Physical Disability Parking Placard Application online?
Editing this PDF on PrintFriendly is simple and user-friendly. Just open the document in our editor and use the provided tools to make changes. Once edited, you can download the updated version without hassle.
1
Open the PDF file in PrintFriendly.
2
Use the editing tool to make necessary adjustments.
3
Review changes for accuracy.
4
Once satisfied, save the edited document.
5
Download the final version to your device.
What are the instructions for submitting this form?
To submit this form, mail it to the Department of Public Safety, Driver Compliance Div. - Disability Parking Permits, P.O. Box 11415, Oklahoma City, OK 73136-0415. Alternatively, you may contact their office via phone at (405) 425-2693 for further instructions. For fax submissions, check the DPS website for the appropriate number. Double-check that all necessary fields are completed to avoid delays.
What are the important dates for this form in 2024 and 2025?
Important dates for the processing of this form include submission deadlines and renewal dates, which are generally specified by the Department of Public Safety. Ensure application is submitted within 60 days of physician signature for timely processing.
What is the purpose of this form?
The purpose of the Physical Disability Parking Placard Application form is to enable individuals with disabilities to obtain a designated parking permit. This form must be filled out accurately to ensure compliance with local regulations. It serves as a vital resource for facilitating mobility and accessibility for those who need it.
Tell me about this form and its components and fields line-by-line.
- 1. Applicant Name: First, middle, and last name of the individual applying.
- 2. Mailing Address: Current residential address where notices will be sent.
- 3. Date of Birth: The applicant's birth date for identification purposes.
- 4. Physician's Statement: Medical professional's assessment of the applicant's disability.
- 5. Placard Type: Indication of whether a new, renewal, or replacement placard is requested.
What happens if I fail to submit this form?
Failure to submit this form can result in lack of access to needed disabled parking privileges. Delays in processing can hinder mobility and access to necessary activities and events.
- Increased Mobility Challenges: Without a valid placard, individuals may face difficulties parking in accessible spaces.
- Legal Penalties: There could be fines or penalties for parking without proper credentials.
- Healthcare Accessibility: Missed healthcare appointments due to parking issues may arise.
How do I know when to use this form?
- 1. First-Time Application: To apply for the first time for a disability parking placard.
- 2. Replacement Request: To request a new placard if the original is lost or stolen.
- 3. Renewal Application: To renew an expiring disabled parking permit.
Frequently Asked Questions
What is a physical disability parking placard?
It is a permit that allows individuals with disabilities to park in designated parking spaces.
How do I apply for a placard?
Fill out the application form, ensuring both sections are complete, and submit it to the Department of Public Safety.
What if I lost my placard?
You can apply for a replacement by completing Section 1 of the form.
Who needs to fill out Section 2?
A licensed physician or qualified medical professional must complete Section 2.
How long does it take to process the application?
Processing takes approximately 20 business days after receipt.
Can I use the placard in any vehicle?
Yes, it may be used in vehicles operated by or transporting the individual with a disability.
What is the penalty for misuse of the placard?
Misuse can result in a misdemeanor charge and a fine of $500.
How many placards can I request?
You can request up to 2 placards but only one replacement for losses.
When do I need to renew my placard?
Renew your placard according to the guidelines provided in the issuance letter.
What do I do if my physician refuses to sign?
You may seek a second opinion or consult another licensed professional.
Related Documents - Disability Parking Application
Preparticipation Physical Evaluation Form
The Preparticipation Physical Evaluation Form is used to assess the physical health and fitness of individuals before they participate in sports activities. It covers medical history, heart health, bone and joint health, and other relevant medical questions.
Health Insurance Tax Credits Guide 2015
This document provides a comprehensive guide on health insurance and premium tax credits for the 2015 tax year. It explains the tax filing rules, eligibility criteria, and detailed instructions for claiming and reporting premium tax credits. Essential for individuals who bought health insurance through the ACA Marketplaces.
TSP-77 Partial Withdrawal Request for Separated Employees
The TSP-77 form is used by separated employees to request a partial withdrawal from their Thrift Savings Plan account. It includes instructions for completing the form, certification, and notarization requirements. The form must be filled out completely and submitted along with necessary supporting documents.
Ray's Food Place Donation Request Form Details
This file contains the donation request form for Ray's Food Place. Complete the general information section and follow the guidelines to submit your donation request at least 30 days in advance. The form includes fields for organization details and donation specifics.
Pastoral Ministry Evaluation Form for Board of Elders
This evaluation form is designed for the Board of Elders to assess and provide feedback on a pastor's ministry. It aims to offer affirmation and identify areas for improvement. The form covers preaching, worship leading, pastoral care, administration, and more.
Health Provider Screening Form for PEEHIP Healthcare
This file contains the Health Provider Screening Form for PEEHIP public education employees and spouses. It includes instructions on how to fill out the form for wellness program participation. The form collects personal, medical, and screening details to assess wellness.
Common Law Marriage Declaration Form for FEHB Program
This form is used to declare a common law marriage for the purpose of enrolling a spouse under the Federal Employees Health Benefits (FEHB) Program. It requires personal details, marriage information, and additional documentation. Submission instructions and legal implications are included.
MyPRALUENT™ Enrollment Form Instructions and Details
This document provides comprehensive instructions and details for enrolling in the MyPRALUENT™ program, including benefits, patient assistance, and clinical support. It outlines the required patient, insurance, and prescriber information, as well as the steps for treatment verification and household income documentation.
Application for Certified Copy of Birth Certificate
This form is used to request a certified copy of a birth certificate from the Clerk of Court Office. It includes details about the applicant, the person named on the certificate, and requires a photo ID and the correct fee. This form is only for walk-in services.
Torrance Memorial Physician Network Forms for Patients 18+
This file contains important forms for patients 18 years and older registered with Torrance Memorial Physician Network. It includes patient registration, acknowledgment of receipt of privacy practices, and financial & assignment of benefits policy forms. Complete these forms to ensure your medical records are up-to-date and to understand your financial responsibilities.
Vodafone Phone Unlocking Guide: Steps to Unlock Your Phone
This guide from Vodafone provides a step-by-step process to unlock your phone. Learn how to obtain your unlock code by filling out an online form. Follow the instructions to complete the unlocking process.
Texas Automobile Club Agent Application Form
This file is the Texas Automobile Club Agent Application or Renewal form, which must be submitted within 30 days after hiring an agent. The form includes fields for agent identification, moral character information, and requires signature from both the agent and an authorized representative of the automobile club. Filing fees and submission instructions are also provided.
