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Fill in a Valid Oklahoma Handicapped Template

The Oklahoma Handicapped Parking Placard Application is a crucial document designed for individuals with disabilities, allowing them to obtain a parking placard for easier access to public spaces. Completing this form accurately is essential, as it requires both the applicant and a licensed physician to provide necessary information. To take the first step towards securing your placard, fill out the application by clicking the button below.

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Fill in a Valid Oklahoma Handicapped Template

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The Oklahoma Handicapped form serves as a crucial tool for individuals seeking a handicapped parking placard, providing necessary accommodations for those with mobility challenges. To initiate the process, applicants must complete the form in full, ensuring that both personal information and medical verification from a licensed physician are included. This form outlines specific eligibility criteria, such as the inability to walk without assistance or severe limitations due to medical conditions. A processing fee of $1.00 is required for each placard issued, and applicants are advised to avoid sending cash. Once the application is submitted, the Department of Public Safety typically requires about 10 business days to process it. The form also emphasizes the importance of displaying the placard correctly in the vehicle, as misuse can lead to legal consequences. Understanding the requirements and implications of the Oklahoma Handicapped form is essential for applicants to navigate the process smoothly and ensure compliance with state regulations.

Document Properties

Fact Name	Details
Processing Time	The Department of Public Safety requires approximately 10 business days to process the application after receipt.
Governing Law	The application is governed by 47 O.S. Section 6-119 and 47 O.S. Section 6-118.
Application Requirement	The form must be fully completed by both the applicant and a licensed physician before a placard can be issued.
Processing Fee	A processing fee of $1.00 is required for each placard issued. Checks should be made payable to the Department of Public Safety.
Display Requirement	The official placard must be displayed on the rearview mirror of the vehicle.
Authorized Use	The placard may only be used in vehicles operated by the applicant or in which the applicant is a passenger.
False Application Penalty	Knowingly making a false application or unauthorized use of a placard is a misdemeanor, punishable by a fine of up to $500.00.
Medical Certification	A physician must certify the applicant's physical disability and its impact on their ability to operate a motor vehicle.
Types of Conditions	The form lists specific conditions qualifying for a placard, such as inability to walk 200 feet without resting or being legally blind.
Contact Information	For questions, applicants can call (405) 425-2290 for assistance from the Oklahoma Department of Public Safety.

Common mistakes

Incomplete Information: Many applicants fail to fill out all required fields. Ensure that every section, including the applicant's name, date of birth, and mailing address, is fully completed. Missing information can delay the processing of your application.
Physician's Section Not Completed: It is essential that the physician's section is filled out accurately. This includes the physician’s signature and license number. If this section is left blank or improperly filled, the application will be rejected.
Incorrect Payment Method: Applicants often send cash instead of a check. Remember, the processing fee must be paid by check made out to the Department of Public Safety. Sending cash can lead to complications and delays.
Failure to Understand Legal Implications: Some individuals overlook the legal responsibilities associated with the handicapped placard. It is crucial to understand that misuse or false applications can result in fines up to $500. Awareness of these consequences is vital to ensure compliance.

Misconceptions

Many people have misunderstandings about the Oklahoma Handicapped form. Here are six common misconceptions:

Anyone can apply for a placard. Only individuals with specific medical conditions can qualify for a handicapped parking placard. The form must be completed by a licensed medical professional who confirms the applicant's disability.
There is no fee for the placard. A processing fee of $1.00 is required for each placard issued. This fee helps cover the administrative costs of processing the application.
The placard can be used in any vehicle. The handicapped placard must be displayed in a vehicle that is either operated by the individual or in which they are a passenger. It is not transferable to other vehicles.
The application process is quick. After submitting the application, it typically takes about 10 business days for the Department of Public Safety to process it. Patience is necessary during this time.
Using the placard is unrestricted. Misusing the placard can lead to serious consequences. Those who use it without proper authorization may face fines and legal penalties.
Temporary placards are permanent. Temporary placards are issued for up to six months. After that period, they expire and must be renewed or converted to a permanent placard if the disability persists.

Preview - Oklahoma Handicapped Form

HANDICAPPED PARKING PLACARD APPLICATION

The Department of Public Safety requires approximately 10 business days after receipt to process the application.

NOTICE: The inform ation subm itted on this form may cause a review of your ability to operate a motor vehicle

as provided in 47 O .S. Section 6-119, pursuant to the standards prescribed by the driver license medical

advisory com m ittee as created in 47 O .S. 6-118.

THIS FORM MUST BE FULLY COMPLETED BY APPLICANT AND PHYSICIAN BEFORE A HANDICAP PLACARD CAN BE ISSUED.

THERE IS A $1.00 PROCESSING FEE FOR EACH PLACARD ISSUED. MAKE CHECK PAYABLE TO: DEPARTMENT OF PUBLIC SAFETY

PLEASE DO NOT SEND CASH.

I hereby make application to the Oklahoma Department of Public Safety for a handicapped parking placard. I understand I must display the official placard on the rearview mirror of my vehicle. I further understand this item may only be displayed in motor vehicles either operated by me, or in which I am a passenger. I further understand that any person who knowingly makes false application for or unauthorized use of a handicapped placard is guilty of a misdemeanor and upon conviction thereof shall be punished by a fine of not more than $500.00.

P LE AS E P R IN T O R TYP E

APPLICANT’S (PATIENT) NAM E:					DATE OF BIRTH:
		(FIRST)	(MIDDLE)	(LAST)
M AILING ADDRESS:
	(STREET OR P.O. BOX)		(CITY)			(STATE)	(ZIP)
DRIVER LICENSE NUM BER:				PHONE:
					(HOME)
SIGNATURE:

TH E FO LLO W ING MUST BE C O MPLETED B Y A PERSO N LICENSED TO A PR ACTICE MEDICINE, SUR G ERY,

O STEO PAT HIC, CH IRO PRA CTIC O R PEDIATR IC MEDICINE, O R O PTO METRY . THE ABOVE NAM ED APPLICANT (PATIENT):

A.CANNOT WALK TWO HUNDRED (200) FEET WITHOUT STOPPING TO REST, OR

C.IS RESTRICTED TO SUCH AN EXTENT THAT THE PERSON’S FORCED

(RESPIRATORY) EXPIRATORY VOLUME FOR ONE (1) SECOND, WHEN MEASURED BY SPIROMETRY, IS LESS THAN SIXTY (60) MM/HG ON ROOM AIR AT REST, OR

E.HAS FUNCTIONAL LIMITATIONS WHICH ARE CLASSIFIED IN SEVERITY AS CLASS

III OR CLASS IV ACCORDING TO STANDARDS SET BY THE AMERICAN HEART ASSOCIATION, OR

G.IS CERTIFIED LEGALLY BLIND, OR

B.CANNOT WALK WITHOUT THE USE OF OR ASSISTANCE FROM A BRACE, CANE,

CRUTCH, ANOTHER PERSON, PROSTHETIC DEVICE, WHEELCHAIR OR OTHER ASSISTANT DEVICE, OR

D.MUST USE PORTABLE OXYGEN, OR

F.IS SEVERELY LIMITED IN HIS OR HER ABILITY TO WALK DUE TO AN ARTHRITIC, NEUROLOGICAL, OR ORTHOPEDIC CONDITION, OR

H.IS MISSING ONE OR MORE LIMBS WHICH IMPAIRS MOBILITY.

IN YOUR PROFESSIONAL OPINION WOULD THIS CONDITION AFFECT THIS PERSON’S ABILITY TO SAFELY OPERATE A MOTOR VEHICLE UNDER NORMAL OR ADVERSE DRIVING CONDITIONS?

οNO

οYES DIAGNOSIS:

TYPE OF PLACARD REQUESTED:

TEMPORARY ISSUED

FOR UP TO 6 MONTHS

5 YR. PLACARD

TEMPORARY PLACARD

EXPIRATION DATE:

I certify that the applicant’s physical disability described above is accurate and the care and treatment is within the authorized scope of my practice.

DATE:

PHYSICIAN’S NAME:

PHYSICIAN’S LICENSE NO.

PLEASE PRINT OR TYPE

ADDRESS:

(STREET OR P.O. BOX)

(CITY)

(STATE)

PHONE:

PHYSICIAN’S SIGNATURE:

FO R D PS O FFICE O N LY

Expiration D ate:

D ate issued:

Placard N umber:

M ail t h is co m p le t ed ap p licat io n w it h o n e d o llar ch e ck t o :

If you have any questions, please call (405)/425-2290

O klahom a D epartm ent of P ublic S afety

D river License Services D ivision

P .O . B ox 11415

O klahom a C ity, O K 73136 -0415

DPS: DLS0791-94 4 REV. 3 04

FAQ

What is the Oklahoma Handicapped Parking Placard Application?

The Oklahoma Handicapped Parking Placard Application is a form that individuals with disabilities can fill out to request a parking placard. This placard allows them to park in designated handicapped spaces, making it easier for them to access various locations.

How long does it take to process the application?

The Department of Public Safety typically takes about 10 business days to process the application after it is received. It's important to plan ahead if you need the placard by a specific date.

What information is required on the application?

The application must be fully completed by both the applicant and a licensed physician. Required information includes the applicant's name, date of birth, mailing address, driver license number, and a signature. The physician must also provide their name, license number, and signature, along with confirming the applicant's disability.

Is there a fee to apply for the placard?

Yes, there is a processing fee of $1.00 for each placard issued. When submitting your application, make sure to include a check made payable to the Department of Public Safety. Cash should not be sent with the application.

Who can complete the physician section of the application?

The section of the application that must be completed by a physician can be filled out by any licensed medical professional. This includes those who practice medicine, surgery, osteopathy, chiropractic, pediatrics, or optometry.

What conditions qualify for a handicapped placard?

Several conditions may qualify an individual for a handicapped placard. These include being unable to walk 200 feet without stopping to rest, needing assistance from devices like canes or wheelchairs, being legally blind, or having severe limitations due to conditions like arthritis or neurological disorders.

How should the placard be displayed in the vehicle?

The official placard must be displayed on the rearview mirror of the vehicle. It should only be used in vehicles that are either operated by the applicant or in which the applicant is a passenger.

What are the consequences of misusing the placard?

Using a handicapped placard improperly can lead to serious consequences. If someone knowingly makes a false application or uses a placard without authorization, they can be charged with a misdemeanor. A conviction could result in a fine of up to $500.00.

Where can I get more information or assistance with my application?

If you have any questions about the application process or need assistance, you can call the Oklahoma Department of Public Safety at (405) 425-2290. They are available to help with any inquiries you may have.

⇓ Oklahoma Handicapped PDF Form

Documents used along the form

When applying for a handicapped parking placard in Oklahoma, you may need additional documents to support your application or to ensure compliance with regulations. Here are five common forms and documents that are often used in conjunction with the Oklahoma Handicapped form:

Physician's Statement: This document is completed by a licensed medical professional. It verifies the applicant's disability and outlines how it affects their ability to walk or operate a vehicle safely.
Proof of Identity: A valid driver’s license or state-issued ID is required. This serves to confirm the identity of the applicant and ensures that the placard is issued to the correct person.
Missouri Operating Agreement: For those establishing an LLC, the vital Missouri Operating Agreement guidelines provide clarity on governance and member responsibilities.
Disability Documentation: This may include medical records or letters from healthcare providers that detail the applicant's condition. It provides additional evidence of the disability claimed on the application.
Application for Temporary Disability Plates: If the applicant requires a temporary disability plate instead of a placard, this form is needed. It specifies the duration of the temporary status and the vehicle to which it will be assigned.
Renewal Application: For those who already have a placard but need to renew it, this form is essential. It updates the Department of Public Safety on the applicant's current status and reaffirms their eligibility for continued use of the placard.

Having these documents prepared can streamline the application process and help ensure that you receive your handicapped parking placard without unnecessary delays. Always check for the latest requirements or any changes in the process before submitting your application.

Guide to Using Oklahoma Handicapped

Filling out the Oklahoma Handicapped form is a straightforward process, but it's important to follow each step carefully to ensure your application is processed without delays. Once you have completed the form, you will submit it along with a processing fee to the Oklahoma Department of Public Safety.

Begin by clearly printing or typing the applicant's (patient's) name, including first, middle, and last names.
Enter the applicant's date of birth.
Provide the mailing address, including street or P.O. Box, city, state, and ZIP code.
Input the applicant's driver license number.
List the applicant's phone number, preferably a home number.
Have the applicant sign the form to confirm their application.
Next, a licensed medical professional must complete the following section. They should indicate if the applicant has any of the specified conditions by checking the appropriate boxes.
The physician must provide their diagnosis and indicate whether the applicant's condition affects their ability to safely operate a motor vehicle.
Specify the type of placard requested: temporary (issued for up to 6 months) or a 5-year placard.
If requesting a temporary placard, fill in the expiration date.
The physician must certify the accuracy of the applicant’s physical disability by signing and dating the form. Include the physician's name, license number, and address.
Finally, mail the completed application along with a one-dollar check made payable to the Department of Public Safety. Do not send cash.

After submitting the application, the Department of Public Safety will take about 10 business days to process it. If you have any questions, you can reach out to the department at (405) 425-2290.