Transcription of REVERSE SIDE MUST BE COMPLETED BY YOUR PHYSICIAN
{{id}} {{{paragraph}}}
Example: bachelor of science
REVERSE SIDE MUST BE COMPLETED BY YOUR PHYSICIAN
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.
person’s name (not parent, caretaker, guardian or P.O.A.). ALL RESPONSES BELOW MUST BE PROVIDED BY YOUR PHYSICIAN Dear Doctor: This is an application to allow your patient to utilize a disability parking placard. The individual’s ability to maintain a driver’s license will not affect their ability to obtain a placard.
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: