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Application for Maryland Parking Placards/License Plates
For quickest processing of your disability placard, upload this form to our online services portal at:
https://mymva.maryland.gov/TAP/IND/?Link=Disability
Please read instructions on back carefully before completing form.
Instructions:
Purpose:
An individual with a disability may use this form to request placards, license plates and/or motorcycle plates that will allow a vehicle in which he/she is riding to park in a parking space reserved for the disabled. Two types of placards are available: Temporary Placards (red), which are valid for a period of up to 6 months; and Permanent Parking Placards (blue), which are valid until the death of the disabled individual. An applicant may request a parking placard, license plate and motorcycle plates at the same time. See the Form Completion Instructions below.
Fee Information:
Placard: There is not a fee for the placard(s). Plates: A request for a disability plate and/or motorcycle plate requires the assessment of the substitute/replacement tag fee. Please submit your completed application along with the appropriate $20.00 fee. If requesting a disability plate and/or motorcycle plate(s) and it’s time to renew your vehicle registration, the registration fee is also required.
What can I apply for?
An individual with a permanent disability may apply for:
• One placard, or
• One regular disability plate, or
• One placard and one regular disability plate, or
• Two placards
In addition, up to two motorcycle disability plates can be requested with any combination listed above.
An individual with a Temporary disability may apply for:
• One or two temporary placards
What sections should I fill out?
Parking Placard – Complete Section A. An approved medical provider needs to complete Section C.
License Plates or Motorcycle Plates – Complete Sections A & B. An approved medical provider needs to complete Section C. You may only request
a disability plate or motorcycle plate(s) if the vehicle is titled in the name of the individual with a disability.
Note:
• A doctor’s certification may not be required if the individual has a disability that meets the definition of code 6 or V.
• For a replacement placard, only complete section A. For replacement plates, complete sections A & B.
• For temporary placards, Disability Code 10 is to be used.
Permanent Disability Codes
- Has lung disease to such an extent that forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter, or arterial oxygen tension (p02) is less than 60
mm/hg on room air at rest. - Has cardiovascular disease limitations classified in severity as Class III or Class IV according to standards set by the American Heart Association.
- Is unable to walk 200 feet without stopping to rest.
- Is unable to walk 200 feet without the use of, or the assistance from, a brace, cane, crutch, another person, prosthetic device, or other assistance device.
- Requires a wheelchair for mobility
- Has lost an arm, hand, foot or leg (See Note D)
- Has lost the use of an arm, hand, foot or leg.
- Has a permanent disability, that adversely impacts the ambulatory ability of the applicant and which is so severe that the person would endure a hardship or be subject to a risk of injury if the privileges accorded a person for whom a vehicle is specially registered were denied.
- Has a permanent impairment of both eyes so that: 1) The central vision acuity is 20/200 or less in the better eye with corrective glasses, or 2) There is a field defect in which the peripheral field
has contracted to such an extent that the widest diameter of visual field subtends an angular distance no greater than 20 degrees in the better eye (See Note C) - Temporary Placard – Disability is not permanent but would substantially impair the person’s mobility or limit or impair the person’s ability to walk for at least three weeks, and is so severe that the person would endure a hardship or be subject to risk of injury if the Temporary Permit was denied.
Reserved for use by veterans with 100% disability. The Veterans Administration has certified by letter that the applicant has a 100% service connected disability. A letter from the Veterans Administration indicating the disability percentage must be submitted with this form.
Notes:
A. A licensed physician, licensed nurse practitioner or licensed physician’s assistant may certify all qualifying conditions listed.
B. A licensed chiropractor, licensed podiatrist or licensed physical therapist may certify disability codes 3 through 8, and 10.
C. A licensed optometrist may certify only qualifying conditions regarding vision.
D. The person with a disability may self-certify the conditions listed under Disability Code 6 by appearing in person with proper identification. In this situation, only the disabled person’s name and Disability Code must be recorded. If, however, a doctor certifies the loss of a limb, the doctor must complete all of Section C.
If someone other than the applicant submits the application for Disability Plates or Placards they must provide a state issued ID. Applications may also be mailed with the appropriate fees to the Motor Vehicle Administration, 6601 Ritchie Highway N.E., Glen Burnie, Maryland 21062 Attn: Disability Unit.
