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Georgia MV-9D: Disability Parking Placard Application

Georgia residents use this Department of Revenue application to request a temporary, permanent or special permanent (gold) disability parking placard, or a disabled person's license plate. A clinician meets it when a patient brings it in for Section D, where the provider certifies one of eight reason codes and signs before a notary. The applicant then files it at the county tag office.

Who completes it

The health care provider completes Section D: name, medical license number, physical address, telephone, the reason code and a signature sworn before a notary. The applicant (or a parent or guardian) completes Sections A, B, C and F, and an institution or business completes Section E.

How to fill it in

A: Request Type

The applicant checks a new temporary, permanent or special permanent placard, a renewal of a permanent placard, a replacement for a lost or stolen placard, or a disabled person's license plate, and records the existing placard number when renewing or replacing. The box checked tells the provider what is being certified: a temporary placard needs a licensed provider, and a plate request needs the notarized Section D rather than a security-paper statement.

B: Applicant Information

The person with the disability enters their full legal name, physical address, telephone number, driver's license or photo ID number, state of issuance and county. The county determines which tag office receives the application. Businesses list their business ID number where indicated and attach a copy of their business license.

C: Parent/Guardian Information

Completed only when a parent or a person acting in loco parentis applies for a minor under 18. It records that adult's full legal name, relationship to the applicant, physical address and driver's license details. A spouse, parent or legal guardian who owns the vehicle may also obtain the specialized plates for the person with the disability.

D: Certification from a Licensed or Certified Health Care Provider

The provider certifies that the person is under their care and has a condition listed under Eligibility Requirements on the reverse, then enters that reason code number. Below it go the provider's name, medical license number, physical address, telephone and signature. The signature is sworn before a notary, who completes the day, month and year, seal or stamp, signature and commission expiration date. Only the listed conditions qualify, so the reviewer checks that a valid code is entered.

Eligibility Requirements: Reason Codes

The reverse lists eight codes: 1, cannot walk 200 feet without stopping to rest; 2, needs a brace, cane, crutch, another person, prosthesis, wheelchair or other assistive device; 3, lung disease with FEV1 under one liter by spirometry or resting arterial oxygen tension under 60 mm Hg on room air; 4, portable oxygen; 5, AHA Class III or IV cardiac condition; 6, severe walking limits from an arthritic, neurological or orthopedic condition or pregnancy complications; 7, hearing impairment under Georgia law; 8, blindness by acuity or field criteria.

Certification from a Licensed or Certified Health Care Provider (statement in lieu of affidavit)

Under Georgia Code 40-2-74.1, the department accepts a signed and dated doctor's statement on security paper in place of the notarized affidavit. The form's sample shows what it must include: the specific disability as listed in the MV-9D instructions, whether it is permanent or temporary, the provider's stamp or signature, and the date. This option works only for placards, never for license plate applications.

E: Institution/Business Information

Used when an institution or business applies for a vehicle that primarily transports people with disabilities. It records the legal name, FEIN, the vehicle's VIN, year, make, model and tag number, and the authorized representative's name, title and signature. Institutions attach their institutional license; a business vehicle must be used only or primarily by the disabled employee.

F: Applicant Signature

The applicant signs and dates, swearing the statements are true. Knowingly or willfully making a false statement on the application is a misdemeanor under Georgia Code 40-2-74(a.1). Every request type, including renewals and replacements, requires this signature. The applicant states they signed after the application was completed, so Section D is finished first.

Common mistakes

  • Entering a condition that is not one of the eight reason codes on the reverse; only the listed conditions qualify an applicant for a person with disability parking placard.
  • Signing Section D outside a notary's presence, or leaving the notary's seal, signature or commission expiration date blank on the sworn certification.
  • Sending a security-paper prescription statement with a license plate application; the statement in lieu of an affidavit is accepted for placards only.
  • A security-paper statement that omits the specific disability, whether it is permanent or temporary, the provider's stamp or signature, or the date.
  • Asking to extend a temporary placard; temporary placards cannot be extended, so a new provider-certified application listing the previous placard number is required.

Submitting and payment

How to submit it
The provider returns the signed, notarized form to the patient, who submits it at the county tag office for their county of residence. Renewals of permanent placards use Sections A, B and F only and need no notarization.
Who pays
Georgia issues all three placard types at no charge; the disabled person's license plate carries an annual plate fee plus any taxes due, paid by the applicant.

Good to know

  • For placards only, a signed, dated provider statement on security paper can replace the notarized Section D. It must name the specific disability, say permanent or temporary, and carry the provider's stamp or signature.
  • Temporary placards are issued for no more than six months and cannot be extended. If the patient needs more time, a provider must certify a new MV-9D, and the previous placard number goes on it.
  • The special permanent (gold) placard is limited to people who drive with hand controls for brakes and accelerator, or who have lost, or lost use of, both upper extremities.
  • Permanent (blue) and gold placards must be replaced every four years, and each eligible person receives only one placard. A provider who knowingly makes a false statement on the affidavit commits a criminal offense.

Get the official form

Download the current version from the source each time; forms change without notice.

Person with Disability Parking Placard/License Plate Application

Official pagePDF

How this list is checked

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.

Sources for this guide

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Who can sign Georgia's MV-9D?

The Department of Revenue says the affidavit must be signed by a licensed doctor of medicine or osteopathic medicine, a podiatrist, an optometrist or a licensed chiropractor. The form adds that only licensed health care providers may certify disabilities for temporary placards, and the signer certifies that the person is under their care.

Does the provider's signature on the MV-9D have to be notarized?

Yes, Section D is sworn and subscribed before a notary, who adds the date, seal, signature and commission expiration date. For placards only, a signed and dated statement on security paper with the same information can replace the notarized affidavit. License plate applications always need the notarized Section D, and permanent placard renewals need no notarization.

How long is a Georgia disability parking placard valid?

A temporary (red) placard lasts no longer than six months and cannot be extended; a new certified application is needed for more time. Permanent (blue) and special permanent (gold) placards must be replaced every four years, and that renewal uses Sections A, B and F without a new provider certification.

Which conditions qualify for an MV-9D placard?

Eight reason codes qualify: cannot walk 200 feet without resting; cannot walk without a brace, cane, crutch, another person, prosthesis, wheelchair or other device; lung disease with FEV1 under one liter or resting arterial oxygen tension under 60 mm Hg on room air; portable oxygen; AHA Class III or IV cardiac condition; severe walking limits from arthritic, neurological or orthopedic conditions or pregnancy complications; hearing impairment; or blindness.