This form is for the request of a new handicap placard when age 85 is reached. If you do not already have a placard and need one for a medical condition, you will need to apply in person at your local DMV branch. If you already have a handicap placard and wish to renew, please use this form to apply.
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NOTE: Please have your drivers license or ID handy before you begin. Fields denoted by an asterisk (*) are required.