Washington's Department of Licensing uses form 420-073 for individual disabled parking placards, plates and tabs. A clinician meets it when the healthcare provider section needs a qualifying condition confirmed and the privilege marked permanent (five years) or temporary (up to 12 months). The provider must also write a separate signed authorization on prescription paper or letterhead.
The applicant completes page 1 and chooses placard, plate or tab options. The healthcare provider completes page 2 and signs under penalty of perjury; the signature line accepts only an MD, DO, DC, DPM, ND, ARNP or PA.
Download the current version from the source each time; forms change without notice.
Disabled Parking Application for Individuals
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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A signed note from the provider, on prescription paper or office letterhead, stating the applicant's name and that they have a condition qualifying them for disabled parking privileges. DOL requires it in addition to the form. If the provider prints 420-073 on prescription paper, the form meets both requirements.
The provider decides. Temporary privileges last up to 12 months, with one placard issued and a new application needed to renew. Permanent privileges are valid for five years, and DOL sends a renewal notice before they expire. Permanent plates or tabs require the applicant to own the vehicle.
The signature line is limited to an MD, DO, DC (chiropractor), DPM (podiatrist), ND (naturopath), ARNP or PA. The signer declares under penalty of perjury that the applicant has a medical necessity that severely affects mobility or involves acute sensitivity to light, as RCW 46.19.010 requires.