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Application instructions: APPLICANT SECTION

MVR-37A Front (Rev. 1/19) Fee $ Each (Limit 2) MEDICAL CERTIFICATION FOR Application & RENEWAL OF DISABILITY PARKING PLACARD North Carolina Division of Motor Vehicles 3148 Mail Service Center, Raleigh, NC 27697-3148 Application instructions: must select the number of placards desired. (Limit of two per APPLICANT .) must complete and sign only the APPLICANT Parent may sign for If signing with a Power of Attorney, a certified copy must be attached or shown at the time of provider must complete and sign the medical provider's SECTION if applicable or present documentation from the Department of Veterans and fee ($ per placard) can be taken to your local License Plate Agency or mailed to the address Medical recertification not required for persons 80 years of age or older at the time of SECTION I would like: ONE placard $ TWO placards $ APPLICANT 'S NC DRIVER LICENSE / ID NUMBER APPLICANT 'S/ORGANIZATION'

Parking Privileges for Handicapped Drivers and Passengers G. S. 20-37.6 (a) General Parking – Any vehicle that is driven by or is transporting a person who is handicapped and that displays a distinguishing license plate, a removable windshield placard, or a temporary removable

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