Albertans who cannot walk more than 50 metres, or whose vision loss substantially limits safe, independent mobility in parking areas, apply for a disability parking placard with this form. A healthcare professional certifies eligibility for a temporary placard of 3 to 12 months, a long-term placard of 5 years, or a permanent placard. The applicant then takes it to a registry agent.
A physician, surgeon, nurse practitioner, occupational therapist, physiotherapist or physical therapist, podiatrist or chiropractor completes the healthcare professional certification. The applicant completes their own details, and someone applying on another person's behalf needs a consent form from a registry agent.
Download the current version from the source each time; forms change without notice.
Parking Placards for People with Disabilities Application
Upload the fillable PDF once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
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An authorized healthcare provider: a physician, surgeon, nurse practitioner, occupational therapist, physiotherapist or physical therapist, podiatrist or chiropractor. They certify that the applicant cannot walk more than 50 metres, or has vision loss that substantially limits safe and independent mobility in parking areas.
Temporary placards are issued for 3 to 12 months, long-term placards for 5 years, and permanent placards are renewed every 5 years by the client without a new application. Disabled licence plates are a separate option that carries a yearly registration fee.
Not to the government directly. The applicant takes the signed form and acceptable identification to an authorized registry agent office within 6 months of the healthcare professional's signature, and anyone applying for someone else also brings a registry agent consent form.