Application For Persons With Disabilities Parking Placard And Or License Plate {VTR-214}

VTR-214 - APPLICATION FOR PERSONS WITH DISABILITIES PARKING PLACARD AND/OR LICENSE PLATE. Persons with Disabilities Parking Placard: Submit the completed application and payment (if required) in the form of a personal check, money order, or cashier’s check with proof of eligibility to your local county tax assessor-collector’s office or the county tax assessor-collector’s office where you are seeking medical treatment. IMPORTANT: The signature of a licensed medical professional must be notarized on page 2 if an original prescription is not submitted. An original prescription must include the disabled person's name, the signature of the licensed medical professional (as defined on page 2), and a statement if the disability is permanent or temporary. Persons with Disabilities License Plate: Submit the completed application and payment (if required) in the form of a personal check, money order, or cashier’s check with proof of eligibility to your local county tax assessor-collector’s office. Contact the appropriate local county tax assessor-collector’s office for processing application by mail. Do not mail cash. Include a copy of the photo identification (ID) if applying by mail. • An original prescription is acceptable proof if not providing a written statement or completing the Disability Statement below. • A parking placard may be issued to persons with a permanent or temporary disability. There is no fee for a placard issued to a person with a permanent disability, and a $5 fee (per placard) if issued to a person with a temporary disability. • Disabled Person license plates displaying the International Symbol of Access (ISA) may be issued to persons with a permanent disability (limit one set of plates). • Limit one (1) placard for persons with Disabled Person license plates. Limit two (2) placards for persons with no Disabled Person license plates. • Attach a separate application if an additional set of Disabled Person plates is needed for certain specially equipped vehicle(s) with gross weight of 18,000 lbs. or less. www.FormsWorkflow.com