To submit this form, mail it to the Disability and Communication Access Board at P.O. Box 3377, Honolulu, HI 96801. Also, you can contact the office at (808) 586-8121 for assistance. Make sure to include all required documents and allow time for processing.

Important dates for placard renewals in 2024: All renewals must be submitted 60 days prior to expiration. For 2025, ensure compliance with any new regulations that may affect your renewal process.

The purpose of this form is to facilitate the renewal of disability placards for eligible individuals. It ensures that those with disabilities continue to receive the necessary access to parking accommodations. By maintaining up-to-date information, the form helps streamline the renewal process for both applicants and the Disability and Communication Access Board.

• 1. Applicant Information: Personal details of the individual applying for the placard.
• 2. Physician Certification: Section for a medical professional to provide necessary information.
• 3. Identification: Field to attach a copy of the applicant's ID.
• 4. Mailing Address: Address where the completed application will be sent.
• 5. Signature: Signature field for affirming all provided information is accurate.

Failing to submit this form may result in the inability to renew your disability placard. Consequently, this could lead to parking fines or the need for alternative arrangements. It's crucial to adhere to the submission deadlines and requirements.

• Expired Placard: Using an expired placard may lead to fines.
• Inaccessibility: Failure to renew could limit access to designated parking.
• Application Denial: Incomplete forms may result in denial of the renewal.

• 1. Renewing Expired Placard: Used for renewing a placard that has expired.
• 2. Application for New Placard: For those who have become newly eligible.
• 3. Updating Information: To update personal or physician information post-approval.