Rhode Island Disability Parking Affidavit Form
This document serves as an affidavit for individuals who have lost their disability parking placard in Rhode Island. It provides the necessary instructions for canceling the lost placard and requesting a new one. Ensure you follow the outlined steps to successfully submit your request.
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How do I fill this out?
To fill out this affidavit, first provide the full name and address of the placard owner. Next, include the necessary identification details and notarization if submitting by mail. Finally, sign the affidavit to affirm the information provided is accurate.

How to fill out the Rhode Island Disability Parking Affidavit Form?
1
Fill in the placard owner's full name.
2
Provide the residential and mailing addresses.
3
Include the telephone number and date of birth.
4
Sign the affidavit, with a notarization if mailed.
5
Submit the affidavit to the Disability Placard Office.
Who needs the Rhode Island Disability Parking Affidavit Form?
1
Individuals with disabilities who have lost their placard.
2
Caregivers needing to assist a disabled person with the application.
3
Residents who require a new placard due to changes in residency.
4
Individuals seeking to correct personal details on existing placards.
5
Anyone who has temporarily misplaced their disability placard.
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Use the editing tools to make necessary changes.
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What are the instructions for submitting this form?
To submit this form, you can bring it directly to the Disability Parking Placard Office at 600 New London Avenue, Cranston, RI. You can also mail the completed form to the same address. Ensure you include all necessary signatures and notarization if required.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025, users should be aware of any changes in local laws regarding disability placards, as well as possible expiration dates for existing placards. Ensure to check the Rhode Island DMV website for specific deadlines concerning placard renewals or replacements during this period.

What is the purpose of this form?
The purpose of this form is to facilitate the process for individuals who have lost their disability parking placard. It ensures that a formal request is documented for issuing a new placard. This affidavit serves as a legal confirmation of the loss and provides the necessary information for the Division of Motor Vehicles to process the replacement efficiently.

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

- 1. Full Name: The complete legal name of the placard owner.
- 2. Date of Birth: The date of birth of the placard owner.
- 3. Residential Address: The physical address where the placard owner resides.
- 4. Telephone: Contact phone number for the placard owner.
- 5. Mailing Address: Address for correspondence, if different from residential.
- 6. Placard Number: The unique number of the lost placard, if known.
- 7. Signature of Placard Holder: Required signature affirming the truthfulness of the affidavit.
- 8. Notary Public: Signature and details of the notary, if applicable.
What happens if I fail to submit this form?
Failure to submit this form may result in the inability to obtain a replacement disability parking placard. Individuals may face delays while managing legal parking needs without the appropriate documentation. It is crucial to submit the affidavit promptly to avoid complications.
- Legal Penalties: Improper use of a placard may incur fines.
- Delayed Accessibility: Not having a valid placard limits access to designated parking.
- Increased Costs: Any fines incurred can lead to additional unexpected expenses.
How do I know when to use this form?

- 1. Loss of Placard: When the original placard is misplaced or lost.
- 2. Theft of Placard: If the placard was stolen and needs to be reported.
- 3. Replacement Request: When a new placard is required for continued disability parking access.
Frequently Asked Questions
What should I do if I lost my disability placard?
Fill out the affidavit form to request a new one.
How can I edit this PDF?
Upload the PDF to PrintFriendly and use the editing tools.
Do I need to notarize the affidavit?
Yes, if you are submitting the affidavit by mail.
How do I submit this form?
You can submit it in person or by mail to the Disability Placard Office.
What happens if I don't submit the affidavit?
You won't be able to receive a replacement placard.
Can someone else submit this form on my behalf?
Yes, but it must be signed and notarized by you.
Where can I find the mailing address for submission?
The mailing address is listed on the affidavit form.
Is there a fee for the replacement placard?
Typically, there is no fee for a replacement affixed to a lost placard.
How do I know if my new placard is issued?
Check with the Disability Placard Office for updates after submission.
Can I use the old placard until I receive a new one?
Using an expired or lost placard is prohibited and may result in fines.
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