Institutional/Organizational Disabled Parking Placard Application
This file is used to apply for disabled parking placards for institutions or organizations such as hospitals, hospices, and nursing homes. Complete the form with the necessary information and return it to the Virginia Department of Motor Vehicles. There is no fee for the application, and the placards will be mailed within approximately 15 days.
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How do I fill this out?
To fill out this form, gather the required information about your institution or organization. Ensure all fields are accurately completed and signed by an authorized representative. Return the completed form to the Virginia Department of Motor Vehicles.
How to fill out the Institutional/Organizational Disabled Parking Placard Application?
1
Gather required information about your institution or organization.
2
Complete all necessary fields accurately.
3
Have an authorized representative sign the form.
4
Ensure the current mailing address is provided.
5
Return the completed form to the Virginia DMV.
Who needs the Institutional/Organizational Disabled Parking Placard Application?
1
Hospitals require this form to obtain parking placards for transporting disabled patients.
2
Hospices need this form to secure parking placards for the benefit of their disabled residents.
3
Nursing homes use this form to apply for parking placards for their disabled visitors and residents.
4
Non-profit organizations supporting the disabled community use this form to request parking placards.
5
Government entities providing services to disabled individuals need this form to acquire parking placards.
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What are the instructions for submitting this form?
Complete the form with accurate information and ensure all required fields are filled. Sign the certification section and provide the current mailing address. Return the form to the Virginia Department of Motor Vehicles, Data Integrity, Post Office Box 85815, Richmond, Virginia 23285-5815. There is no fee for the application, and the processing time is approximately 15 days. Ensure to double-check the information before submission to avoid any delays.
What are the important dates for this form in 2024 and 2025?
Ensure to submit the application before requiring the placards. The estimated processing time is approximately 15 days.
What is the purpose of this form?
The purpose of this form is to enable institutions and organizations that serve the disabled community to apply for disabled parking placards. These placards are essential for facilitating the transportation and convenience of disabled individuals. The form is specifically designed to meet the needs of hospitals, hospices, nursing homes, non-profit organizations, and government entities. By submitting this application, eligible institutions can obtain parking placards without any fee. The form requires the institution to provide details such as their name, address, federal identification number, and the number of placards requested. The signed certification by an authorized representative ensures the placards are used appropriately.
Tell me about this form and its components and fields line-by-line.
- 1. Institution/Organization Name: The name of the institution or organization requesting the placards.
- 2. Current Mailing Address: The current mailing address of the institution or organization.
- 3. Federal Identification Number (FIN): The unique identification number assigned to the institution or organization.
- 4. City: The city where the institution or organization is located.
- 5. State: The state where the institution or organization is located.
- 6. Telephone Number: The contact telephone number for the institution or organization.
- 7. Zip Code: The zip code for the current mailing address of the institution or organization.
- 8. Number of Placards Requested: The number of parking placards being requested by the institution or organization.
- 9. Certification: A section where an authorized representative must sign to certify the accuracy and appropriate use of the placards.
- 10. Authorized Representative Name: The printed name of the authorized representative signing the form.
- 11. Authorized Representative Signature: The signature of the authorized representative.
- 12. Date: The date when the form was signed by the authorized representative.
What happens if I fail to submit this form?
Failing to submit this form can lead to the inability to obtain the necessary parking placards for your institution or organization. This may result in inconvenience and potential non-compliance with local regulations for disabled parking.
- Inconvenience: Without the placards, your institution may face difficulties in providing adequate parking options for disabled individuals.
- Non-compliance: Failing to secure the placards may lead to non-compliance with local regulations regarding disabled parking provisions.
- Potential Penalties: Misuse or allowing misuse of the placards can lead to penalties, including revocation of the placards.
How do I know when to use this form?
- 1. Hospital: Applying for placards to transport disabled patients.
- 2. Hospice: Securing placards for the benefit of disabled residents.
- 3. Nursing Home: Requesting placards for disabled visitors and residents.
- 4. Non-profit Organization: Acquiring placards to support the disabled community.
- 5. Government Entity: Obtaining placards for services provided to disabled individuals.
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