Notary or mvd agent signature date county state commission expires : You can access the application by going to your local arizona motor vehicle division (mvd) office or printing the document online. Must be signed by an arizona physician, registered nurse, nurse practitioner, audiologist, or hospital administrator. Fill out the applicant and vehicle information sections of the form. Vehicle identification number (vin) year make current plate number.
Web to apply, you must submit: If your selection requires additional documentation and you are unable to order online you may fill out a special plate application. Web please read all the requirements on this form. Most plates may be ordered online at www.azmvdnow.gov.
Web placard type disability parking placard hearing impaired placard. Mail drop 801z special plates unit. Vehicle identification number (vin) year make current plate number.
How to check status of handicap placard Fill out & sign online DocHub
Applicant name (person with a disability or hearing impaired or organization) phone ( ) date of birth. You can access the application by going to your local arizona motor vehicle division (mvd) office or printing the document online. Web select and order personalized and specialty plates online at azmvdnow.gov. Parking in a disabled space in. Web complete the information below, only if requesting a disability license plate.
Web please read all the requirements on this form. Web to get a handicap placard in arizona, you have to fill out the proper paperwork and submit it either by mail or in person at an mvd location. Please allow up to six weeks for processing.
Web Download The Form:
Medical certification on the application, completed by a licensed physician, osteopath, or chiropractor. Web please read all the requirements on this form. Web to apply, you must submit: Mail the completed application and payment to the address listed above.
Visit Any Mvd Office Or Authorized Third Party Office, Or Write To Request Disability Plates And Placards.
Vehicle identification number (vin) year make current plate number. Must be signed by an arizona physician, registered nurse, nurse practitioner, audiologist, or hospital administrator. The application must include medical certification from a licensed physician. Web for eligibility see reverse side of the application.
Applicant Name (Person With A Disability Or Hearing Impaired Or Organization) Phone.
Most plates may be ordered online at www.azmvdnow.gov. Updated on jan 31, 2024. Please allow up to six weeks for processing. Update address & contact info.
Anyone Having A Qualifying Disability Can Apply For A Handicap Placard.
Web select and order personalized and specialty plates online at azmvdnow.gov. Parking in a disabled space in. New placard number (mvd use) placard renewal/replacement request. The vehicle must be owned or leased by the person with a disability or hearing impairment.
Web select and order personalized and specialty plates online at azmvdnow.gov. Notary or mvd agent signature date county state commission expires : If you own or lease a vehicle, you can also apply for a handicap license plate. A postage and handling fee is required for a disability plate. I understand that by submitting this form i have read the front and back of this form and agree to take.