Maine residents apply for a disability placard, disability plates or a permanent re-issue with this one-page BMV form, revised 08-14. The medical provider's statement certifies whether the condition is permanent or temporary, six months at most, and checks one qualifying condition. A temporary placard can also cover recovery from childbirth, including cesarean delivery or the birth of a preterm infant.
The applicant completes the top section and signs the statement of understanding. A physician, physician assistant, nurse practitioner or registered nurse completes and signs the Medical Provider's Statement with a medical license number.
Download the current version from the source each time; forms change without notice.
Application for Disability Plates/Placard
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Yes. The Medical Provider's Statement lists physician, physician assistant, nurse practitioner and registered nurse as providers who can certify the condition. The provider prints a name, signs, dates and gives a medical license number.
The provider sets the period, up to a maximum of 6 months. For recovery from childbirth, a cesarean delivery placard is valid for 1 week after BMV receives the application, and a placard for the birth of a preterm infant lasts the time the provider specifies, up to 6 months.
No. Permanent credentials run until the applicant's driver's license or state ID expires. To continue, the applicant completes only the top portion, marks it Permanent Re-Issue and brings it to a BMV branch or sends it to the main office, without returning to the provider.