REVERSE SIDE MUST BE COMPLETED BY YOUR …

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STATE OF rhode ISLAND AND PROVIDENCE PLANTATIONS. DIVISION OF MOTOR VEHICLES. DISABILITY PARKING PLACARDS OFFICE. 600 New London Avenue Cranston, RI 02920-3024. Phone: 401-462-4368. NEW/RENEWAL DISABILITY PARKING PLACARD APPLICATION. Application must be COMPLETED in the disabled person's name (not parent, caretaker, guardian or ) Applicant must be a rhode I sland re sident. This application must be submitted within thirty (30) days of the physician's certification. Please note that the information provided in this application may affect your driver's license status.

new/renew disability parking placard application rev. 07/16 state of rhode island and providence plantations division of motor vehicles

  Reserve, Islands, Completed, Must, Side, Rhode island, Rhode, Reverse side must be completed