Kentucky residents use TC 96-347 to apply for a disabled parking placard or a disabled parking registration plate. The applicant completes Section 1 and either Section 2 (placard) or Section 3 (plate), never both. A clinician meets the form when a patient needs certification that a severe impairment limits mobility, and the patient presents it to the county clerk.
The applicant completes Section 1, with their signature attested by a notary or attesting official. A county clerk, licensed physician, physician assistant, physical therapist, occupational therapist, chiropractor or APRN signs the Section 2 or Section 3 certification.
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Application for Disabled License Plate or Parking Placard
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The certification line lists the county clerk, licensed physicians, physician assistants, physical therapists, occupational therapists, chiropractors and advanced practice registered nurses. The certifier signs, prints their name and gives a job title or position in Section 2 for a placard or Section 3 for a plate.
The temporary red placard under KRS 189.458 is valid for three months. The permanent blue placard under KRS 189.456 is valid for six years. Separately, the certifier's signature on TC 96-347 is only valid for 60 days from the date signed.
The applicant's signature in Section 1 must be subscribed and attested before a notary or attesting official, who records the date and a commission number. The medical certification in Section 2 or 3 is signed by the certifier and does not carry its own notary block.