West Virginia Mobility Impaired Parking Application
This document is the Parking Application for a Mobility Impaired Person from the West Virginia DMV. It provides necessary details and instructions for applicants seeking mobility impaired parking privileges. Ensure you follow all guidelines for a smooth application process.
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How do I fill this out?
To fill out this application, begin by entering your personal details in Section 1. Next, ensure a licensed physician completes Section 2. Finally, review your form for accuracy before submission.

How to fill out the West Virginia Mobility Impaired Parking Application?
1
Enter your personal information in Section 1.
2
Have a licensed physician complete Section 2.
3
Verify your application details for accuracy.
4
Submit the completed form to the DMV.
5
Wait for your placard or plate to be processed.
Who needs the West Virginia Mobility Impaired Parking Application?
1
Individuals with permanent mobility impairments requiring parking accommodations.
2
Caregivers needing to park closer to facilities for mobility impaired individuals.
3
Elderly individuals with difficulty walking.
4
Veterans with disabilities affecting their mobility.
5
Patients recovering from surgery who require temporary parking assistance.
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What are the important dates for this form in 2024 and 2025?
Keep track of your application deadlines and renewal dates. Mobility impaired license plates expire each year or every other year, so ensure you check your mails for renewal notifications.

What is the purpose of this form?
The form serves as an official application for residents of West Virginia seeking a mobility impaired parking permit. It ensures that individuals with mobility impairments can access parking spaces designed to accommodate their needs. This helps enhance mobility and accessibility within the community.

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

- 1. Applicant Information: Personal details such as name, address, and social security number.
- 2. Plate and/or Placard Information: Details regarding the requested mobility impaired plate or placard.
- 3. Vehicle and Insurance Information: Information about the vehicle for which the permit is requested.
- 4. Applicant's Certification: A section where the applicant certifies their condition.
- 5. Patient Condition and Physician's Certification: Condition details to be filled by a licensed physician.
What happens if I fail to submit this form?
Failure to submit this form correctly may result in delays or rejection of your application. It's crucial to ensure that all required sections are completed accurately.
- Incomplete Information: Missing details may lead to a return of your application.
- Signature Issues: Lack of necessary signatures from the physician can invalidate the application.
- Wrong Documentation: Incorrect supporting documents may result in processing delays.
How do I know when to use this form?

- 1. Initial Application: For first-time requests for mobility impaired parking permits.
- 2. Replacement Request: When a placard or license plate is lost, stolen, or damaged.
- 3. Renewal of Existing Permits: To renew an expiring mobility impaired parking permit.
Frequently Asked Questions
How do I apply for a mobility impaired parking permit?
Complete the application form and submit it to the DMV.
Can my physician fill out the form electronically?
Yes, your physician can complete the form using our editing features.
Is there a fee to apply for a mobility impaired placard?
A replacement placard costs $5.00, but initial applications may be free.
How long does it take to receive my placard?
Processing times vary, but you will receive a renewal reminder before expiration.
What should I do if my placard is lost?
Request a replacement at any DMV Regional Office or by mail.
Can I use this placard in other states?
Yes, mobility impaired placards issued in West Virginia are typically honored in other states.
Who qualifies for a mobility impaired parking permit?
Individuals with a valid mobility impairment as certified by a physician.
Can I use this form for temporary disabilities?
Yes, but a temporary permit is valid for up to six months.
What happens if I fill out the form incorrectly?
Your application may be returned for corrections, delaying the process.
Is there a specific format for the physician's signature?
The physician must print their name and include their medical license number.
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