State Form 42070

State Form 42070 - Complete the Application For Disability Parking Placard Or Disability Plate Form 42070 You must have a physician with a valid and unrestricted license certify your application Pay applicable fees Temporary placards 5 Permanent placards Free License plates Standard taxes and registration fees

Download Application for Disability License Plate or Parking Placard State Form 42070 prior versions of this form will not be accepted If applying for a disability license plate or temporary disability placard include the amount due in the form of a check or money order A fee is not charged for a permanent disability parking placard

State Form 42070

State Form 42070

State Form 42070 (R13 / 11-13) Approved by State Board of Accounts, 2013 INDIANA BUREAU OF MOTOR VEHICLES Bureau of Motor Vehicles Winchester Mail Processing Center PO Box 100 Winchester, IN 47394 * This agency is requesting disclosure of your Social Security Number in accordance with IC 4-1-8.

Download Form 42070 Application for Disability License Plate or Parking Placard Indiana Fill out and download the Application for Disability License Plate or Parking Placard Form 42070 for Indiana online Get a blank PDF or Word version for free

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How to Apply for a Disability License Plate Placard You may apply for a disability license plate and or parking placard by completing an Application for Disability License Plate or Parking Placard State Form 42070 prior versions of this form will not be accepted

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After you have completed State Form 42070 you may get a parking placard at any BMV branch or by mailing it to the address on the form Certification by a health care provider is not required when the person has received or is eligible to receive a Disabled Hoosier Veteran license plate

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In Indiana you ll have to fill out State Form 42070 which is the Application for Disability Plate or Parking Placard You can get this form from the Indiana Bureau of Motor Vehicles Office nearest you Or you can print the form out online

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View download and print fillable State 42070 Application For Disability Plate Or Parking Placard in PDF format online Browse 10 Indiana Bmv Forms And Templates collected for any of your needs

1. I have permanent disability that requires the use of a wheelchair, walker, braces or crutches. 2. I have permanently lost the use of one or both legs. 3. My mobility is permanently restricted due to a pulmonary or cardiovascular disability, arthritic condition, orthopedic condition or neurological impairment.

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You can get the Application for Disability Plate or Parking Placard State Form 42070 by going to your nearest Indiana Bureau of Motor Vehicles Office or printing the document online If you re applying for a temporary disability placard you will need to mail in a 5 fee with your application

State Form 42070

View download and print fillable State 42070 Application For Disability Plate Or Parking Placard in PDF format online Browse 10 Indiana Bmv Forms And Templates collected for any of your needs

Download Application for Disability License Plate or Parking Placard State Form 42070 prior versions of this form will not be accepted If applying for a disability license plate or temporary disability placard include the amount due in the form of a check or money order A fee is not charged for a permanent disability parking placard

State Form 42070 Fill Out Printable PDF Forms Online