Homepage Free Mv 145A PDF Template
Outline

The MV-145A form, hosted by the Pennsylvania Department of Motor Vehicles (dmv.pa.gov), is a critical document for individuals with disabilities seeking parking placard applications. This form facilitates several types of requests, including original applications for both permanent and temporary placards, renewals for permanent placards, replacements due to loss, defacement, or never receiving the initial placard, and changes in personal information like address or name. Not requiring any fee, the form is designed to be accessible and straightforward, with specific sections for health care provider certification to verify the applicant’s condition. Additionally, it offers provision for severely disabled veterans to apply, emphasizing the document’s inclusivity. Significantly, this form is pivotal for ensuring that individuals with disabilities or severe health conditions can obtain the necessary authorization to use parking spaces designated for their exclusive use, thereby enhancing their mobility and accessibility to various locations. With explicit warning against any form of document falsification, the form underlines legal adherence and integrity in the application process. Completing and submitting the MV-145A form is a key step towards accessing the benefits and privileges designed to support the mobility of persons with disabilities in Pennsylvania.

Document Preview

MV-145A (7-21)

www.dmv.pa.gov

PERSON WITH DISABILITY PARKING PLACARD APPLICATION NO FEE REQUIRED

SEE REVERSE SIDE FOR INSTRUCTIONS AND ELIGIBILITY REQUIREMENTS

FOR DEPARTMENT USE ONLY

Bureau of Motor Vehicles • P.O. Box 68268 • Harrisburg, PA 17106-8268

q ORIGINAL REQUEST - qPermanent Placard

CHECK ( 4) APPROPRIATE BLOCKS BELOW

qSeverely Disabled Veteran qTemporary Placard

q RENEWAL REQUEST - (For Permanent Placards Only)

q REPLACEMENT REQUEST - qPLACARD

qID CARD qDefaced qLost q Stolen q Never Received PREVIOUS PLACARD # __________________

q CHANGE OF ADDRESS - Complete Sections A and E. NOTE: Notarization is not required.

qCHANGE OF NAME - Complete Sections A and E. Check here to indicate reason for change of name: qMarriage qDivorce qOther: ______________________

APERSON WITH DISABILITY INFORMATION - LIST NAME AND ADDRESS OF PERSON WITH DISABILITY - NOTE: If listing an out-of-state address, you must also complete and attach Form MV-8.

 

Last Name (or Full Business Name)

First Name

 

 

Middle Name

PA DL/Photo ID#

 

 

 

Date of Birth

 

 

 

 

 

 

 

 

 

 

 

or Bus. ID#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

City

 

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NOTE: If you are the parent or adult charged by law with the natural parent’s rights, duties and responsibilities acting on behalf of a minor child (under 18) in place of the child’s natural parents (person in

 

loco-parentis), you must complete the information below. In addition, a parent, including an adoptive or foster parent who has custody care or control of the child or adult child or a spouse may sign on

 

behalf of the child, adult child or spouse (applicant) provided the applicant meets eligibility requirements (1) through (8).

 

 

 

 

 

 

 

 

 

 

 

Name of Parent, Person in Loco Parentis or Spouse

 

 

 

 

 

 

Relationship to Applicant

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street Address

 

 

 

 

 

 

City

 

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATION FROM A HEALTH CARE PROVIDER LICENSED OR CERTIFIED IN PA OR A CONTIGUOUS STATE (NEW YORK, NEW JERSEY, DELAWARE, MARYLAND, WEST VIRGINIA OR

B

OHIO). THIS SECTION MUST BE COMPLETED IN FULL. HEALTH CARE PROVIDERS MAY ONLY CERTIFY DISABILITIES WITHIN THEIR SCOPE OF PRACTICE. WARNING: Altering or forging a

document issued by the Department, such as a disabled person parking placard, or possessing, using or displaying such a document knowing it to have been altered, forged or counterfeited,

 

is a misdemeanor of the first degree pursuant to the Vehicle Code, 75 Pa.C.S. Section 7122, punishable by a fine of not more than $10,000 or imprisonment of not more than five years, or both.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I hereby certify that the person with the disability listed above is under my care and has the following condition listed on the reverse side of this

 

 

UNCORRECTED

 

application under “Eligibility Requirements”: _______________

(NOTE: Only those conditions listed on the reverse side of this application qualify

R

20/

 

 

 

 

 

 

List Reason Code # Here

 

an applicant for a person with disability placard.)

 

 

L

20/

 

 

 

 

 

NOTE: If reason code #1 is listed above, please indicate the individual's visual acuity by completing the chart to the right:

 

 

B

20/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If reason code #4 is listed above, please indicate the type of device used: ________________________________________________

 

 

CORRECTED

 

 

R

20/

 

 

 

 

 

Temporary placards are only issued for a period of time not to exceed six months. If the applicant requires additional time after the expiration of

 

 

 

 

 

L

20/

 

 

 

 

 

the placard issued, the applicant must be recertified by a health care provider.

 

 

 

 

B

20/

 

 

 

 

 

Health Care Provider’s Printed Name

 

 

Health Care Provider’s Signature

 

 

 

 

 

Medical License No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Street Address

 

 

 

City

 

State

Zip Code

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

CERTIFICATION BY POLICE OFFICER - Police officer may only certify that the applicant does not have full use of a leg or both legs, or is blind.

 

NOTE: If Section B above is completed, please skip this Section and go on to Section E.

 

 

 

 

 

 

 

 

 

This is to certify that the person with disability listed above has the condition listed and is entitled to the use and privileges of the person with disability

 

parking placard.

qis blind, OR does not have full use of a leg or both legs as evidenced by the use of a: qwheelchair

qwalker

 

qcrutches

q cane/quad cane

 

 

q other prescribed device

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer’s Printed Name

 

 

 

 

Officer’s Signature

 

 

 

 

 

Badge Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Office Street Address

 

 

 

City

 

State

Zip Code

 

Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

CERTIFICATION FROM U.S. DEPARTMENT OF VETERANS AFFAIRS REGIONAL OFFICE ADMINISTRATOR (PHILADELPHIA OR PITTSBURGH)

DOR SERVICE UNIT IN WHICH THE VETERAN SERVED OR A LEGIBLE PHOTOCOPY OF THE APPLICANT'S LETTER OF PROMULGATION, AWARDS LETTER, SINGLE NOTIFICATION, OR SUMMARY OF BENEFITS LETTER.

qThis is to certify that the veteran listed above with VA number ___________________________, has a 100% service-connected disability or has the following service connected disability reason code number _______, listed on the reverse side of this application under “Eligibility Requirements.” NOTE: If reason code #4 is listed, please indicate the type of device used: __________________________.

Authorized Printed Name and Title: ____________________________________________ Authorized Signature: ____________________________________________

qIn lieu of the U.S. Department of Veterans Affairs Regional Office Administrator certification, I have attached a legible photocopy of my Letter of Promulgation, Awards Letter, Single Notification Letter, or Summary of Benefits Letter that indicates I have a 100% service-connected disability.

E NOTARIZATION AND APPLICANT SIGNATURE - Person with disability, natural parent or other authorized person listed in Section A must sign below.

SUBSCRIBED AND SWORN

 

 

 

I state that I have read and signed this application after its completion, and I swear or

TO BEFORE ME:

MONTH

DAY

YEAR

 

affirm that the statements made herein are true and correct, and that any statement

 

 

 

 

 

 

made on or pursuant to this application is subject to the penalties of 18 Pa.C.S.

 

 

 

 

 

 

 

 

SIGNATURE OF PERSON ADMINISTERING OATH

 

 

Section 4903 (a)(2) (relating to false swearing), which shall include punishment of a

 

 

 

 

fine not exceeding $5,000, or to a term or imprisonment of not more than two years,

S

 

 

 

 

 

or both.

 

 

 

 

 

 

T

 

SIGN IN PRESENCE OF NOTARY

 

 

 

 

(

)

 

A

 

 

 

 

Person with Disability Signature

 

Date

 

 

Telephone Number

 

M

 

 

 

 

 

 

THIS APPLICATION MAY BE DUPLICATED

P

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS

1.Permanent Placard - Complete Sections A, B or C (NOT BOTH) and E. NOTE: Individuals should list their PA Driver’s License (PA DL) or Photo ID# in the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N.).

2.Severely Disabled Veteran Placard - Complete Sections A, D and E.

3.Temporary Placard - Complete Sections A, B and E. NOTE: Only licensed health care providers* may certify disabilities for temporary placards. Temporary placards may be issued for a period up to six months and may not be extended for an additional period of time. When additional time is needed, a new application must be completed and certified by a health care provider. In addition, please list your previous placard number.

4.Renewal Request - Complete Sections A and E. NOTE: Notarization is not required.

5.Replacement Request - Indicate if applying for a replacement placard or ID card. Please check reason for replacement; Lost, Stolen, Defaced or Never Received. List your previous placard number and complete Sections A and E. NOTE: If product was not received within 90 days, please check the "Never Received" box or if product was not received for over 90 days please check the "Lost" box.

6.Change of Address - Complete Sections A and E. NOTE: Notarization is not required.

7.Change of Name - Complete Sections A and E. Check the block on the front of this application to indicate reason for change of name. NOTE:

Notarization is not required.

*Health Care Provider is defined as a physician, chiropractor, optometrist, podiatrist, physician assistant, or a certified registered nurse practitioner licensed or certified in Pennsylvania or a contiguous state. Health care providers may only certify disabilities within their scope of practice.

Placard Type

Eligibility Requirements

Qualifying Vehicles

Benefits

Person with Disability Placard

“Reason Codes”

Applicant:

(1)is blind.

(2)does not have full use of an arm or both arms.

(3)cannot walk 200 feet without stopping to rest.

(4)cannot walk without the use of, or assistance from, a brace, cane, crutch, another person, prosthetic device, wheelchair or other assistive device.

(5)is restricted by lung disease to such an extent that the person’s forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter or the arterial oxygen tension is less than 60 MM/HG on room air at rest.

(6)uses portable oxygen.

(7)has a cardiac condition to the extent that the person’s functional limitations are classified in severity as Class III or Class IV according to the standards set by the American Heart Association.

(8)is severely limited in their ability to walk due to an arthritic, neurological or orthopedic condition.

NOTE: If you are the parent or adult charged by law with the natural parent’s rights, duties, and responsibilities, acting on behalf of a minor child (under 18) in place of the child’s natural parents (person in loco-parentis), complete the appropriate information on the front side of this application.

In addition, a parent, including an adoptive or foster parent who has custody, care, or control of the child or adult child or a spouse, may sign on behalf of the child, adult child, or spouse (applicant) provided the person with disability meets eligibility requirements (1) through (8).

(1)A passenger vehicle or truck with a registered gross weight of not more than 14,000 lbs.

(2)The placard is required to be displayed when the vehicle is parked in areas designated for use by persons with disability only and must not be displayed when the vehicle is being operated on the highway.

NOTE: Organizations that operate a passenger vehicle to transport persons with disabilities must supply the Department with the following:

a)A notarized statement of how the placard will be used and the type of services that will be provided.

b)The weekly or monthly number of hours that the services are provided.

c)The make of the vehicle(s), including the title number, vehicle identification number and registration plate number. The vehicle(s) must be titled in the name of the organization and must be a passenger vehicle.

d)The number of placards required: (Organizations may not be issued more than eight placards in the organization’s name.)

(1)Parking permitted in spaces designated for disabled persons and for 60 minutes in excess of legal parking period except where local ordinances or police regulations provide for the accommodation

of heavy traffic during morning, afternoon or evening hours.

(2)Upon request of a person with disability, local authorities may erect on the highway as close as possible to the person’s residence a sign(s) indicating that the place is reserved for the person with disability, that no one else may park there unless a person with disability plate or placard is displayed and that any unauthorized person parking there will be subject to a fine.

Severely

Disabled

Veteran

Placard

(1)100% service-connected disability certified by the U.S. Department of Veterans Affairs (Pittsburgh or Philadelphia) or service unit in which the veteran served or as shown on the applicant’s Letter of Promulgation, Awards Letter, Single Notification Letter, or Summary of Benefits Letter.

(2)Same disabilities as listed above for Person with Disability Placard but must be service-

Same as 1 and 2 above for Person with Disability Placard.

Same as above for Person with Disability Placard.

Use of Person with Disability and Severely Disabled Veteran Placards:

. Parking in a designated persons with disability parking space is only permitted with this parking placard when the vehicle is being used for the transportation of the person for which the parking placard was issued.

. Any vehicle lawfully displaying a parking placard will qualify for parking in areas designated only for use by persons with a disability. NOTE: This parking placard can not be used to park where parking is prohibited.

Send completed application to: PennDOT, Bureau of Motor Vehicles, P.O. Box 68268, Harrisburg, PA 17106-8268

Visit us at www.dmv.pa.gov or call us at 717-412-5300. TTY callers — please dial 711 to reach us.

Document Attributes

Fact Name Description
Form Identifier MV-145A
Issue Date July 2021
Website www.dmv.pa.gov
Purpose Person with Disability Parking Placard Application
Fee Requirement No fee required
Processing Agency Bureau of Motor Vehicles, Harrisburg, PA
Notarization Requirement Notarization is not required
Eligibility Features detailed eligibility requirements focusing on disabilities that impair mobility
Governing Law Vehicle Code, 75 Pa.C.S. Section 7122

How to Fill Out Mv 145A

Filling out the MV-145A form is a necessary step for individuals with disabilities, severely disabled veterans, or organizations assisting such persons to apply for a parking placard in Pennsylvania. This process ensures that those who need special parking considerations due to health conditions have access to designated parking spots. The guidelines below are designed to assist applicants in accurately completing the form to avoid delays in the process.

  1. Review the eligibility requirements on the reverse side of the form to ensure you meet the criteria for a Person with Disability Parking Placard or a Severely Disabled Veteran Placard.
  2. Select the type of request at the top of the form: Original Request, Renewal Request, Replacement Request, Change of Address, or Change of Name. Check the appropriate box for the type of placard needed: Permanent, Temporary, or Severely Disabled Veteran.
  3. Section A – Person with Disability Information: Fill in the applicant's last name, first name, middle name, PA DL/Photo ID#, Date of Birth or Business ID#, and complete address including street address, city, state, zip code, and email address. If the application is on behalf of a minor or an individual in loco parentis, complete the required fields for the parent, person in loco parentis, or spouse, including their relationship to the applicant, and address.
  4. Section B – Certification from a Health Care Provider: This section needs to be completed by a licensed health care provider certifying the disability. The provider must list the condition that qualifies the applicant, based on the conditions listed on the back of the form. If applicable, include the individual's visual acuity or the type of mobility device used.
  5. For Severely Disabled Veterans only, complete Section D with the certification from the U.S. Department of Veterans Affairs Regional Office Administrator or attach the necessary documentation to prove a 100% service-connected disability or the specific service-connected disability reason code.
  6. Section E – Notarization and Applicant Signature: The applicant, a parent, person in loco parentis, or spouse (where applicable) must sign the form in the presence of a notary. Include the date of signing and a contact telephone number.
  7. If the application is for a Change of Address or Name, ensure to complete the necessary sections (A and E) and provide the required information for these changes.
  8. Review the completed form for accuracy and completeness to ensure all relevant sections are filled out according to the instructions provided on the reverse side of the application.
  9. Send the completed form to the address specified at the bottom of the form: PennDOT, Bureau of Motor Vehicles, P.O. Box 68268, Harrisburg, PA 17106-8268. No fee is required.

Once the application is submitted, the processing time may vary. It is important to provide accurate and complete information to avoid any delays. For further assistance, the contact information provided on the form should be utilized to address any questions or concerns about the application process.

More About Mv 145A

  1. What is the MV-145A form used for?

    The MV-145A form is an application used in Pennsylvania to request a Person with Disability Parking Placard. These placards allow individuals with disabilities to park in designated parking spaces which are closer to building entrances. There are three types of requests that can be made with this form: an original request for a new placard, a renewal request for permanent placards, or a replacement request if a placard is lost, stolen, defaced, or never received.

  2. Is there a fee for the application or the placard?

    There is no fee required to apply for the Person with Disability Parking Placard using the MV-145A form.

  3. Who can certify a disability for the purpose of this application?

    A health care provider licensed or certified in Pennsylvania or a contiguous state (New York, New Jersey, Delaware, Maryland, West Virginia, or Ohio) can certify a disability. Eligible health care providers include physicians, chiropractors, optometrists, podiatrists, physician assistants, or certified registered nurse practitioners. They may only certify disabilities within their scope of practice.

  4. Can temporary placards be renewed or extended?

    Temporary placards are issued for a period not to exceed six months and cannot be extended. If additional time is required after the expiration of the initial placard, a new application must be completed and certified by a health care provider.

  5. What should I do if I need to change my address or name?

    To change your address or name on your Person with Disability Parking Placard, complete Sections A and E of the MV-145A form. Indicate the reason for a name change directly on the form. Notarization is not required for these updates.

  6. Are there specific eligibility requirements to qualify for a placard?

    Yes, the application lists several eligibility requirements, including being blind, not having full use of an arm or both arms, inability to walk 200 feet without stopping to rest, and several other conditions that severely limit mobility or require the use of assistive devices.

  7. Can an organization apply for a Person with Disability Parking Placard?

    Organizations that operate passenger vehicles to transport persons with disabilities can apply for a placard. They must provide a detailed notarized statement regarding how the placard will be used, the type of services provided, and the vehicle information. Organizations may not receive more than eight placards.

  8. What benefits does the placard offer?

    The placard allows parking in spaces designated for disabled persons and, in some cases, for 60 minutes in excess of the legal parking period, except where local ordinances provide for the accommodation of heavy traffic. Additionally, upon request and subject to local authority approval, signs may be erected near the person's residence to indicate a reserved parking space.

  9. How do I submit the completed MV-145A application?

    Once completed and signed, send the MV-145A form to the PennDOT Bureau of Motor Vehicles at the provided address: P.O. Box 68268, Harrisburg, PA 17106-8268. Further information and assistance can be found by visiting the Pennsylvania DMV website or calling their customer service number.

Common mistakes

When filling out the MV-145A form for a Person with Disability Parking Placard in Pennsylvania, applicants often encounter pitfalls that can delay or invalidate their application. Awareness of these common mistakes is crucial to ensure a smooth application process.

  1. Failing to check the appropriate block at the top of the form to indicate whether it's an original request, a renewal, a replacement, or a change of name or address. This decision directs the processing path of the application.
  2. Incorrectly listing personal information in Section A, particularly when it comes to the PA Driver’s License (PA DL) or Photo ID number for individuals, or the Business ID number (Bus. ID) for organizations. Precision here is vital for identity verification.
  3. Overlooking the need to complete and attach Form MV-8 for out-of-state addresses, which is a common error that leads to processing delays.
  4. Omitting the signature of a parent, guardian, or spouse where necessary. For applications involving minors, or adults in need of assistance, this endorsement is crucial.
  5. Not providing a complete certification from a health care provider in Section B or C. This certification is essential to verify the disability and the need for the placard. Providers must certify only within their scope of practice, and all parts of the section must be filled out accurately.
  6. Misunderstanding the eligibility requirements for disability placards or severely disabled veteran placards. Applicants sometimes select categories for which they do not qualify due to a misinterpretation of the listed conditions.
  7. Forgetting to list a previous placard number when applying for a replacement. This information helps in tracking the previous issuance and verifying the applicant’s history.
  8. Applying for a temporary placard without acknowledging the six-month validity limit. Applicants who need the placard for longer must be recertified by a healthcare provider after this period.
  9. Neglecting to check the reason for a name or address change when applicable. This oversight can slow down the processing time as the department seeks to clarify the applicant’s intent.
  10. Submitting the form without the necessary notarization for the applicant's signature in Section E. While notarization is not required in every case, ensuring that all declarations are properly sworn to is critical for the integrity of the application.

Applicants must approach the MV-145A form with attention to detail and a clear understanding of the requirements. Avoiding these common mistakes facilitates a more efficient processing time, ensuring that those who qualify receive their Person with Disability Parking Placard without unnecessary delay.

Documents used along the form

When dealing with the MV-145A form for a Person With Disability Parking Placard in Pennsylvania, individuals often find themselves needing additional documents to ensure their application is processed smoothly and in compliance with state regulations. Below is a list of documents commonly associated with the MV-145A application process:

  • MV-1: Application for Pennsylvania Title - Used when an individual is purchasing a new vehicle and needs to title it in their name. This title application is necessary for those who wish to register a vehicle simultaneously.
  • DL-180: Initial Non-Commercial Learner's Permit Application - Required for first-time drivers in Pennsylvania who wish to obtain a learner's permit. This form assesses eligibility and captures necessary personal information.
  • DL-180TD: Parent or Guardian Consent Form - A mandatory form for learners permit applicants under 18, ensuring parental consent for the application process.
  • DL-80: Non-Commercial Driver's License Application for Change/Correction/Replacement - Utilized when needing to update information on an existing driver's license, such as an address change or name correction.
  • MV-140: Request for Registration - This form is for individuals seeking to renew their vehicle registration in Pennsylvania. It's used in the event that the standard renewal notice is not received.
  • DL-901: Non-Commercial Driver's License Application for Renewal - Used when a current driver's license is approaching its expiration date and the individual wishes to renew it.
  • MV-4ST: Vehicle Sales and Use Tax Return/Application for Registration - Required for private sale vehicle transactions, this form handles the tax payment and application for vehicle registration simultaneously.
  • MV-8: Self-Certification of Continued Eligibility for Disabled Parking Placard - Necessary for those with a permanent disability to re-certify their condition to maintain their placard's validity.
  • MV-38O: Application for Duplicate Title - Used when the original vehicle title is lost, stolen, or damaged, allowing for the issuance of a new title without changing ownership details.

While handling the MV-145A form, it's crucial to have the right documentation ready to facilitate a hassle-free application process. These documents assist not only in the initial application but also in maintaining, updating, and ensuring the proper use of the disability parking placard. Each serves a specific purpose, from vehicle purchase and titling to personal identification and placard renewal. Staying informed and prepared with the necessary forms ensures compliance with Pennsylvania's Department of Motor Vehicles requirements.

Similar forms

  • The Application for Disabled Person License Plate is similar to the MV-145A form because it provides a means for individuals with disabilities to request special parking privileges. Both forms require certification from a healthcare provider to verify the disability and outline specific eligibility criteria that must be met. Additionally, they both offer options for permanent or temporary disability accommodations, although the specific terms and duration may vary.

  • The Handicap Parking Permit Renewal Form is akin to the MV-145A form in that it is used for renewing an existing permit that grants parking privileges to individuals with disabilities. Both forms include sections for the applicant's personal information, and they require that the current status of the disability be confirmed by a qualified medical professional, reinforcing the need for continuous eligibility.

  • The Request for Replacement of Disabled Parking Placard mirrors the replacement request portion of the MV-145A form. These documents are essential for individuals who have lost, had stolen, or never received their disability parking placard. Each form necessitates the provision of the previous placard number (if available) and may request additional verification or reporting of the circumstances surrounding the loss or need for replacement.

  • The Veteran Disability Parking Application shares similarities with the MV-145A form, especially in the section dedicated to severely disabled veterans. Both forms require certification of the disability, directly linked to the veteran's service, and must be accompanied by appropriate documentation from the Department of Veterans Affairs or equivalent proof of a service-connected disability.

  • The Change of Address Notification for Disability Placard is analogous to the change of address section on the MV-145A form. They both facilitate the update of the applicant’s mailing and residency details in the respective department's records, ensuring that all correspondence and renewed placards reach the correct address without necessitating additional verification.

  • The Name Change Request for Disabled Parking is comparable to the MV-145A's name change section. Whether due to marriage, divorce, or other reasons, these forms allow individuals to update their name in the registry, ensuring their disability parking placard and any related documentation reflect their current legal name, often requiring proof of the name change such as a marriage certificate or court order.

Dos and Don'ts

When dealing with the MV-145A form, a Person with Disability Parking Placard Application, precision and attention to detail are key. This document, essential for those requiring special parking accommodations due to disabilities, demands careful handling to ensure eligibility and avoid unnecessary setbacks. Here are five do's and don'ts to guide you through the process:

  • Do carefully review the eligibility requirements listed on the reverse side of the application to ensure that you or the person you're applying for meets the criteria.
  • Do ensure that all information provided is accurate and up-to-date, including personal details and any relevant medical certification required for the application.
  • Do make sure that the health care provider's section is fully completed by a professional licensed in PA or a contiguous state. Their certification is crucial for the application's success.
  • Do double-check that all sections of the form relevant to your application type (original request, renewal, replacement, change of address, or name change) are complete before submission.
  • Do remember to send the completed form to the correct address provided by the Bureau of Motor Vehicles to avoid delays. Using the official website or calling the provided number for any queries can also ensure accuracy.
  • Don't leave sections incomplete. An incomplete application can lead to processing delays or the outright rejection of your application.
  • Don't forget to sign the application. An unsigned application is considered invalid and will not be processed.
  • Don't attempt to alter or forge the application or the placard once received. Doing so is not only illegal but also punishable with severe fines or imprisonment.
  • Don't disregard the need for a licenced health professional's certification. Only certain professionals can certify disabilities, and improper certification can invalidate your application.
  • Don't hesitate to reach out to the Bureau of Motor Vehicles for clarification or assistance if you encounter any issues or have any questions during the application process.

By following these guidelines, applicants can navigate the process more smoothly and increase their chances of a successful application. Remember, each detail matters and adhering to the requirements set forth by the DMV is pivotal in securing a Person with Disability Parking Placard.

Misconceptions

Many people have misconceptions about the MV-145A form, which is essential for those needing a Person with Disability Parking Placard in Pennsylvania. Let's clear up some common misunderstandings.

  • It's complicated to apply: Actually, the MV-145A form is straightforward. You don't need notarization for most sections, which makes the process quicker and less complicated than many think.
  • Any health condition qualifies: Not all health conditions will qualify for a disability placard. The form details specific eligibility requirements, and only those conditions listed are considered valid for placard issuance.
  • Only permanent placards are available: This is not true. The form offers options for both temporary and permanent placards, catering to those with short-term and long-term needs.
  • You can't renew a temporary placard: If your temporary condition persists, you can apply for a new temporary placard. However, a healthcare provider must certify your need again.
  • A doctor's note is enough: The certification section requires a health care provider's signature and specific information about your disability. A simple doctor's note without the form's required details won't suffice.
  • It costs money to apply: The MV-145A application process is free. This misconception may deter some from applying, but there's no fee required.

Understanding these points can make applying for a Person with Disability Parking Placard less daunting and help those who qualify get the assistance they need.

Key takeaways

Filling out the MV-145A form is essential for individuals with disabilities, their families, and caregivers to access designated parking privileges. Here are key takeaways to ensure a smooth and compliant application process:

  • The MV-145A form is used for applying for a Person with Disability Parking Placard in Pennsylvania, which is available at no cost.
  • Applicants can choose from several types of requests: original, renewal, replacement, or a change of address or name. It's crucial to mark the appropriate box for your request.
  • No notarization is required for the submission of this form, simplifying the process for applicants.
  • The form must be completed by a health care provider licensed in Pennsylvania or a contiguous state, certifying the applicant's disability. This underscores the importance of having a professional validate the disability's impact on mobility.
  • Temporary placards are issued for up to six months. Applicants needing more time must be recertified, indicating that the state acknowledges fluctuating conditions and recovery periods.
  • For a severely disabled veteran placard, certification from the U.S. Department of Veterans Affairs or a legible photocopy of relevant documents proving a 100% service-connected disability is necessary, ensuring that veterans with significant disabilities have access to appropriate parking accommodations.
  • Applicants are required to sign the form in the presence of a notary, affirming the truthfulness of the information provided and acknowledging the legal consequences of false statements.
  • Completed applications should be sent to the PennDOT Bureau of Motor Vehicles, with contact information readily available for applicants requiring additional assistance.

Understanding these aspects of the MV-145A form makes the application process for parking placards more navigable for individuals with disabilities, ensuring they can secure the parking privileges needed to enhance their mobility and access to various locations.

Please rate Free Mv 145A PDF Template Form
5
Excellent
2 Votes