Application for Disability or Hearing Impaired Plates in Pennsylvania
This file is the Pennsylvania Department of Transportation's application for individuals with disabilities or hearing impairments to obtain special registration plates for their vehicles. It includes eligibility criteria, instructions for filling out the form, and details about the associated fees.
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How do I fill this out?
Filling out this application involves providing personal and vehicle information, certifying your disability status, and possibly obtaining a health care provider or police officer's certification. Make sure to follow the instructions carefully to ensure all necessary sections are complete. Additional instructions and eligibility requirements are provided on the reverse side of the form.
How to fill out the Application for Disability or Hearing Impaired Plates in Pennsylvania?
1
Check the type of registration plate requested.
2
Provide vehicle information and personal details.
3
Obtain certification from a health care provider if required.
4
Complete the optional personalization request if desired.
5
Sign the document and submit it to the Bureau of Motor Vehicles.
Who needs the Application for Disability or Hearing Impaired Plates in Pennsylvania?
1
Individuals with disabilities who require special registration plates for easier access to parking.
2
Persons with hearing impairments seeking a specific registration plate indicating their condition.
3
Parents or guardians acting on behalf of minor children with disabilities.
4
Spouses of individuals with disabilities applying for a plate on their behalf.
5
Organizations transporting individuals with disabilities in their vehicles.
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What are the instructions for submitting this form?
Send the completed application to the Bureau of Motor Vehicles, 1101 S. Front Street, Harrisburg, PA 17104-2516. For additional instructions and eligibility criteria, refer to the reverse side of the form or visit www.dmv.pa.gov. Ensure all mandatory fields are completed and certifications obtained before submission.
What are the important dates for this form in 2024 and 2025?
Important dates for submission vary yearly. Consult the latest guidelines on the Pennsylvania Department of Transportation's website for up-to-date information on when to submit your application.
What is the purpose of this form?
The purpose of this form is to allow individuals with disabilities or hearing impairments in Pennsylvania to obtain special registration plates for their vehicles. These plates provide easier access to designated parking spaces and ensure compliance with state regulations. The form collects essential personal, vehicle, and certification information to process the application.
Tell me about this form and its components and fields line-by-line.
- 1. Vehicle Information: Includes title number, vehicle identification number, and registration plate number.
- 2. Person with Disability Information: Captures details about the vehicle owner, co-owner, or the person with a disability.
- 3. Health Care Provider Certification: Certification by a licensed health care provider verifying the applicant's disability.
- 4. Police Officer Certification: Police certification that the applicant has a qualifying disability involving lack of use of legs or blindness.
- 5. Personalization Request: Optional section to request personalized registration plates with a specific configuration.
- 6. Unsworn Declaration and Signature: Section for the applicant or authorized person to declare the information is true and sign the application.
- 7. Eligibility Requirements: Lists the conditions that qualify an applicant for a disability registration plate.
What happens if I fail to submit this form?
Failing to submit this form may result in the inability to access designated disability parking spaces and other privileges associated with the special registration plates. Ensure all required sections are completed and certifications obtained to avoid delays.
- Loss of Parking Privileges: Without the special plates, you won't be able to park in designated disability spaces.
- Legal Compliance Issues: Failure to comply with state regulations may result in legal consequences.
- Delayed Processing Times: Incomplete submissions can lead to delays in receiving your registration plates.
How do I know when to use this form?
- 1. Personal Use: If you have a qualifying disability and need special registration plates.
- 2. Guardianship: Acting on behalf of a minor child or spouse with a qualifying disability.
- 3. Health Care Provider Certification: Needed for a health care provider to certify your disability status.
- 4. Police Certification: Required if a police officer must verify your disability.
- 5. Organizational Use: For organizations that transport individuals with disabilities and need special registration plates.
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Is there a character limit for personalized registration plates?
Yes, there are specific character limits depending on the plate type, such as five characters for Person with a Disability plates.
How long does it take to receive my personalized plate?
Allow 8 to 10 weeks for delivery after submitting your application.
What information is required from a health care provider?
A health care provider must certify your disability and provide their printed name, signature, medical license number, and contact information.
Do I need a police officer's certification?
A police officer's certification is required if the disability involves lack of use of legs or blindness and not certified by a health care provider.
What happens if my requested plate configuration is unavailable?
Your application will be processed on a first-come, first-served basis. If your requested configuration is taken, you will need to choose a different one.
Can I apply for multiple plates?
Only one registration plate is issued per qualified person for one vehicle.
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