Utah Disabled Person License Plates and Placards
This form is required for individuals applying for disabled person license plates or placards in Utah. It provides necessary information for certification by a physician. Completing this form accurately ensures timely processing of license plates and placards.
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How do I fill this out?
To fill out the form, start by entering your personal information in Section 1. Ensure that all necessary information is included, such as your driver's license number and date of birth. After completing the form, have your physician certify the disability in Section 3.

How to fill out the Utah Disabled Person License Plates and Placards?
1
Gather all required personal information.
2
Complete Section 1 with owner details.
3
Have your physician fill out Section 3.
4
Review the form for completeness and accuracy.
5
Submit the form to the appropriate office.
Who needs the Utah Disabled Person License Plates and Placards?
1
Individuals with permanent disabilities requiring special parking privileges.
2
Caregivers of disabled individuals who need transport assistance.
3
Senior citizens who may have difficulty walking.
4
Physicians who need to certify disabilities for their patients.
5
Organizations that provide transport services for disabled persons.
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What are the instructions for submitting this form?
To submit this form, complete it in full and send it to the Utah State Tax Commission at PO Box 30412, Salt Lake City, UT 84130. You can also submit via fax at 801-297-3911. Ensure that you retain a copy for your records and consider following up to confirm receipt.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting this form are ongoing as applications can be made at any time. It is beneficial to submit your application early in the year to avoid delays in processing. Ensure that you renew your placard or plates as necessary before the expiration date.

What is the purpose of this form?
The purpose of this form is to provide a legal means for residents of Utah who are disabled to obtain license plates and placards that permit them special parking privileges. This form serves to collect necessary information about the applicant and their disability. By ensuring that those who truly require it can have access to these privileges, the form promotes inclusivity and accessibility in public spaces.

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

- 1. Applicant Information: Contains personal details of the applicant, including name and address.
- 2. Disabled Person Care Facility Certification: Certifies if the applicant is affiliated with a care facility.
- 3. Physician Disability Certification: Requires the physician to verify and detail the nature of the applicant's disability.
What happens if I fail to submit this form?
Failing to submit this form can result in delayed approval of license plates or placards. It may also mean that you don't receive necessary parking privileges to assist in your mobility.
- Delay in Processing: Incomplete forms will lead to delays in obtaining the required placards or plates.
- Loss of Parking Privileges: Without this form, you may not be legally allowed to park in designated disabled spaces.
How do I know when to use this form?

- 1. New Application: Use this form to apply for disabled license plates or placards for the first time.
- 2. Renewal: This form can be completed for renewing previously issued plates or placards.
Frequently Asked Questions
What is the purpose of this form?
This form is used to apply for disabled person license plates and placards in Utah.
Do I need a physician's signature?
Yes, a licensed physician must certify the disability on the form.
Can I edit this PDF online?
Yes, you can easily edit this PDF using PrintFriendly's editing tools.
How do I submit this form?
You can submit the form by mail or in person at the designated office.
Is there a fee for the placard?
The windshield placard is free; however, there is a fee for the license plates.
What if I need to replace my placard?
You can apply for a replacement placard at no fee using this form.
How can I share this PDF?
You can share the PDF via email or social media directly from PrintFriendly.
What information do I need to fill out?
You will need personal information, a driver's license number, and disability certification from a physician.
Can I save my changes?
Yes, you can save your edited document to download later.
What should I do if I encounter problems?
Contact PrintFriendly support for assistance with editing or submissions.
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