Puerto Rico's DTOP uses this Spanish-only application for the rótulo removible, the removable disabled parking placard, whether new, renewed, duplicate, permanent or temporary. A specialist physician meets it on page 2, which certifies that the applicant has one or more conditions listed under Ley 22 of January 7, 2000, as amended. The applicant files it at a CESCO office.
The applicant, or a parent or legal guardian, completes page 1 and authorizes DTOP to request medical records or a DTOP-375b certification. A specialist physician licensed in Puerto Rico completes page 2, initials each qualifying condition, writes the diagnosis (ICD-10 codes accepted) and marks it permanent or temporary.
Download the current version from the source each time; forms change without notice.
Solicitud Permiso de Estacionamiento en Forma de Rótulo Removible para Personas con Impedimentos Físicos
Application for Removable Placard Parking Permit for Persons with Physical Disabilities
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No. DTOP publishes the rótulo removible application only in Spanish, including the physician's certification on page 2 (Certificación de Elegibilidad por Médico Especialista). Clinicians complete the Spanish form as printed, checking and initialing the listed conditions and writing the diagnosis legibly or as an ICD-10 code.
Page 2 is titled for a specialist physician licensed under Puerto Rico law, who certifies that the applicant qualifies under Ley 22-2000. For fibromyalgia, chronic fatigue syndrome, lupus or rheumatoid arthritis, the clinical exam must be done by a physiatrist or rheumatologist, and chronic epilepsy needs a specialist's statement on mobility.
The form lists 25, among them paralysis or amputation of the lower limbs, severe lung disease with FVC or FEV under 60%, chronic dialysis, cardiovascular grade III-C or higher, legal blindness, autism, severe Down syndrome, dwarfism, multiple sclerosis, moderate or severe hemophilia, lupus and skin cancers that hinder mobility.