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.
Edit, Download, and Sign the Application for Disability or Hearing Impaired Plates in Pennsylvania
Form
eSign
Add Annotation
Share Form
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.
How PrintFriendly Works
At PrintFriendly.com, you can edit, sign, share, and download the Application for Disability or Hearing Impaired Plates in Pennsylvania along with hundreds of thousands of other documents. Our platform helps you seamlessly edit PDFs and other documents online. You can edit our large library of pre-existing files and upload your own documents. Managing PDFs has never been easier.
Edit your Application for Disability or Hearing Impaired Plates in Pennsylvania online.
You can edit this PDF directly on PrintFriendly using our user-friendly PDF editor. Easily add, remove, or modify text and fields within the document. Enjoy a seamless editing experience without leaving the PrintFriendly website.
Add your legally-binding signature.
Sign the PDF on PrintFriendly using our integrated e-signature tool. Simply open the document, add your signature in the designated area, and save your changes. It's quick, secure, and doesn't require you to leave the platform.
Share your form instantly.
Share the PDF on PrintFriendly effortlessly with our sharing feature. Click the share button, choose your sharing method—email, link, or social media—and distribute your document instantly. Keep everyone in the loop without leaving the site.
How do I edit the Application for Disability or Hearing Impaired Plates in Pennsylvania online?
You can edit this PDF directly on PrintFriendly using our user-friendly PDF editor. Easily add, remove, or modify text and fields within the document. Enjoy a seamless editing experience without leaving the PrintFriendly website.
1
Open the PDF on PrintFriendly's editor.
2
Click on the text area you want to edit.
3
Make the necessary changes to the information.
4
Save your edits.
5
Download or share the edited PDF.
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.
Frequently Asked Question
How do I start editing the PDF?
Open the PDF in PrintFriendly's editor and click on any text field to begin making changes.
Can I save my edited PDF?
Yes, after editing, you can download the updated PDF directly from PrintFriendly.
How do I add a signature to the PDF?
Use our e-signature tool to add your signature in the designated areas and save your changes.
Can I share my PDF after editing?
Yes, you can share your edited PDF via email, link, or social media using PrintFriendly's sharing features.
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.
