Alaska's Division of Motor Vehicles uses Form 861 to issue special disability parking permits and disability license plates. The applicant completes Part 1, and a licensed Alaskan professional certifies in Part 2 that the patient meets at least one of six walking, lung or cardiac criteria. Temporary disabilities qualify for a permit only; permanent disabilities can get permits, plates or both.
The applicant, who must be the patient named in Part 2, completes Part 1. A licensed Alaskan physician, physician assistant, nurse practitioner, podiatrist, speech-language pathologist, chiropractor, physical therapist or occupational therapist completes Part 2, circles their title, and signs with printed name and occupational license number.
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Application for Special Disability Parking Permit
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A licensed Alaskan physician, physician assistant, nurse practitioner, podiatrist, speech-language pathologist, chiropractor, physical therapist or occupational therapist. The certifier checks the qualifying criteria, marks permanent or temporary, answers the CDL questions, circles their title and adds their occupational license number. Out-of-state licenses are not listed.
Permanent permits are issued for up to five years and renew by reapplication at a DMV office. Temporary permits are issued for up to six months, with start and end dates set by the certifying professional, and renewal needs a new application and medical recertification.
Part 2 asks whether the patient has a commercial driver license and, if yes, whether they meet the physical requirements under 49 CFR 391.41 to keep it. The certifying professional answers both questions alongside the parking eligibility criteria before signing.