APPLICATION FOR DISABILITY PARKING CERTIFICATE

A P P L I C A T I O N F O R D I S A B I L I T Y P A R K I N G C E R T I F I C A T EMINNESOTA DEPARTMENT OF PUBLIC SAFETY DRIVER AND VEHICLE SERVICESFOR CENTRAL OFFICE USE ONLY445 minnesota Street, St. Paul, MN 55101-5164 Phone: (651) 297-3377 Web: applicant have a minnesota Identification Card?Is applicant a minnesota Licensed driver?YesYesNoNoLicense/ID Number----Date of BirthFull Name (Please Print) Last, First and MiddleHas applicant ever had a minnesota DISABILITY PARKING CertificateYesNoMinn. DISABILITY license plates?

This application may be submitted at any Deputy Registrar motor vehicle office in Minnesota or by mail to: Minnesota Department of Public Safety Driver and Vehicle Services Division 445 Minnesota Street St. Paul, MN 55101-5164 The information provided by the applicant and health professional are required by state and federal guidelines.

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  Guidelines, Applications, Certificate, Parking, Disability, Minnesota, Disability parking certificate

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