Health care provider certifies a qualifying disability for a permanent or temporary person-with-disability parking placard (also severely disabled veteran, renewal, replacement).
- Completed by
- Health care provider: physician, chiropractor, optometrist, podiatrist, physician assistant or certified registered nurse practitioner licensed/certified in PA or a contiguous state
- Issued by
- Pennsylvania Department of Transportation (PennDOT), Bureau of Motor Vehicles
- Format
- Fillable PDF
- Language
- English