Delaware's Division of Motor Vehicles uses form MV474 for special license plates and parking placards for people with disabilities: a long-term blue placard, an organizational green placard, a plate, or a 180-day red temporary placard. A physician certifies the qualifying condition on page 2 for every first issuance and for each temporary placard renewal under 21 Del. C. sections 2134 and 2135.
The applicant completes Section A first, then Section B for a plate or Section C for a placard. The physician completes Section E (qualifying criteria), Section F for a temporary placard, and the Section G certification with license number, printed name, office address and phone.
Download the current version from the source each time; forms change without notice.
Application for Special License Plate or Special Parking ID Placard for Persons with Disabilities
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Not for a permanent plate or placard, or if the applicant is 80 or older; the applicant self-certifies in Section D that their condition has not changed. A temporary red placard is different: each renewal needs a new application completed and signed by the physician.
In Section E the physician confirms the applicant meets a qualifying criterion, such as being unable to walk 200 feet without rest, needing a device to walk safely, or AHA Class III or IV heart disease. Section G is the signed certification under 21 Del. C. section 2135 with license number.