The Georgia MV-9D form, as outlined by the Georgia Department of Revenue - Motor Vehicle Division, serves a critical function. It is utilized by individuals with disabilities to apply for a parking placard or a Disabled Person’s License Plate. Importantly, this form is not for changes in ownership, address, or license plate classification, but rather to facilitate the accessibility needs of people with disabilities in parking scenarios.
Seeking the convenience of designated parking due to a disability can greatly enhance the day-to-day life of individuals facing mobility challenges. In Georgia, the MV-9D form, revised in January 2019 by the Georgia Department of Revenue - Motor Vehicle Division, serves this very purpose by facilitating the request for a Person with Disability Parking Placard or a Disabled Person’s License Plate. This critical document is not intended for recording changes in ownership, address, or license plate classification, but rather, it is specifically designed to acknowledge and provide for individuals with disabilities. To submit the MV-9D form, applicants must first ensure completeness and adherence to the instructions provided, thereafter presenting it to their local County tag office. The form caters to various needs, offering options for new issuances, temporary and permanent placards, replacements, and special permanent placards, each with their own criteria and submission requirements clearly outlined. Importantly, the application process involves certification from a licensed or certified health care provider to verify the disability, emphasizing the form’s role in ensuring that such accommodations are provided to truly eligible individuals. Additional sections address institutional or business applications, highlighting the diverse use and comprehensive nature of the MV-9D form in supporting Georgia residents navigating mobility impairments.
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MV-9D (Revised 1-2019)
Web and MV Manual
Georgia Department of Revenue - Motor Vehicle Division
Person with Disability Parking Placard/License Plate Application
Purpose of this form: This form is to be used to request a Person with Disability Parking Placard or a Disabled Person’s License Plate. This form should not be used to record a change of ownership, change of address, or change of license plate classification.
How to submit this form: After reviewing the MV-9D form instructions, this fully completed form must be submitted to your local County tag office. Please refer to our website at https://dor.georgia.gov to locate the address(es) for your specific county.
A
REQUEST TYPE
Check applicable box(es) below:
Placard No.: Record placard number if
[
]
Disabled Person’s Parking Permit (Placard):
renewing or replacing placard.
] New Issuance: [
] Temporary Placard [ ] Permanent Placard [ ]
Special Permanent Placard
] Renewal (Permanent Placards Only) Record placard number
] Replacement: [ ]
Lost [ ] Stolen Record previous placard number
Disabled Person’s License Plate Fee: $20.00 Plate Fee plus any taxes that maybe due. Please Note: Section D must be completed and notarized.
B
APPLICANT INFORMATION
Disabled Person’s
First Name
Middle Initial
Last Name
Suffix
Telephone No.:
Full Legal Name:
Physical Address:
Street No.
Street Name
Apt./Suite No.
City
State
ZIP Code
Driver’s License No.:
State of Issuance:
County:
C
PARENT/GUARDIAN INFORMATION
Note: If you are the parent or adult charged by law with the natural parent’s rights, duties and responsibilities acting on behalf of a minor child (under 18) in place of the child’s natural parents (person in loco-parentis), you must complete the information below.
Parent/Guardian’s
Middle Initial Last Name
Relationship
to Applicant:
D CERTIFICATION FROM A LICENSED OR CERTIFIED HEALTH CARE PROVIDER
I hereby certify that the person with the disability listed above is under my care and has the following condition listed on the reverse side of this application under
“Eligibility Requirements.” Enter Reason Code No.:
(Note: Only those conditions listed on the reverse side of this application qualify
an applicant for a Person with Disability Parking
Placard.) **PLEASE SEE INSTRUCTIONS BEFORECOMPLETING**
Health Care Provider’s Name:
Sworn to and subscribed before me
Medical License No.:
this ____ day of _______________, ______
Day
Month
Year
Notary Seal or Stamp
Street No., Street Name, Suite No.
City, State, ZIP Code
____________________________________
Notary Signature
Signature:
____________________________
Commission Expiration Date
E
INSTITUTION/BUSINESS INFORMATION (This vehicle is used primarily for transportation of disabled persons.)
Institution/Business
FEIN:
Vehicle Identification No.:
Make:
Model:
Tag No.:
Year:
Authorized Representative’s
Position/ Job Title:
Printed Name:
Date:
/
F APPLICANT SIGNATURE
I state that I have read and signed this application after its completion, and I swear or affirm that the statements made herein are true and correct, and I acknowledge that any person knowingly or willfully making a false statement on or pursuant to this application is guilty of a misdemeanor under Georgia Code §40-2-74(a.1).
Have a question? Visit our website at https://dor.georgia.gov/motor-vehicles or scan the QR code above for more information.
INSTRUCTIONS
How to complete the MV-9D Form
COMPLETING THIS FORM
Temporary Placard: Complete Sections A, B, C, D and F. Note: Only licensed health care providers may certify disabilities for temporary placards. Temporary placards may not be extended for an additional period of time. When additional time is needed, a new application must be completed and certified by a health care provider. In addition, please list your previous placard number. Temporary placards are only issued for a period of time not to exceed six months.
Permanent Placard: Complete Sections A, B, C, D and F. Note: Individuals should list their Georgia Driver’s License number or Photo ID number in the space provided. Businesses should list their Business ID number (Bus. ID) where indicated (i.e., E.I.N.) and provide a copy of business license.
Special Permanent Placard: Follow the instructions for a Permanent Placard. A Special Permanent Placard (gold placard) is issued only to an individual with a disability who (1) drives a motor vehicle equipped with hand controls for the operation of brakes and accelerator or (2) is disabled due to loss, or loss of use, of both upper extremities.
Renewal Request: Complete Sections A, B and F. Note: Notarization is not required.
Replacement Request: Indicate if applying for a replacement placard. Please check reason for replacement (Lost or Stolen). List your previous placard number and complete Sections A, B and F.
Institution/Business Information: Complete Sections A, B, E and F. Follow these additional special instructions:
•Institutions, as defined by Georgia Code §31-7-1, must attach a copy of the institutional license. Note: To qualify for a permit, the institution must operate the vehicle primarily to transport individuals with disabilities.
•Businesses, to qualify for a special plate, must meet the requirements of Georgia Code §40-2-74, including limits on the type of business organization. Note: The business vehicle must be used only or primarily by the disabled employee for whom the plate was issued.
Please Note:
•A placard is to be used only when the vehicle in which it is displayed is parked and is being used for the transportation of the person with disability or the severely disabled veteran.
•Any vehicle lawfully displaying a placard will qualify for parking in areas designated for use by persons with disability only.
•The placard will not allow vehicles to park where parking is prohibited.
•The placard is required to be displayed when the vehicle is parked in areas designated for use by persons with disability only and must not be displayed when the vehicle is being operated on the highway.
•Each eligible individual will be issued only one placard.
ELIGIBILITY REQUIREMENTS – REASON CODES
1.
Applicant is so ambulatory disabled that he/she cannot walk 200 feet
5.
Applicant has a cardiac condition to the extent that his/her functional
without stopping to rest.
limitations are classified in severity as Class III or Class IV according to
2.
Applicant cannot walk without the use of assistance from a brace, a cane, a
standards set by the American Heart Association.
crutch, another person, a prosthetic device, a wheelchair, or other assistive
6.
Applicant is severely limited in his/her ability to walk due to an arthritic,
device.
neurological, orthopedic condition or complications due to pregnancy.
3.
Applicant is restricted by lung disease to such an extent that his/her forced
7.
Applicant is hearing impaired person pursuant to Georgia Code §24-6-651.
respiratory volume for one second, when measured by spironmetry is less
than one liter, or when at rest his/her arterial oxygen tension is less than 60
8.
Applicant is a blind individual whose central visual acuity does not exceed
millimeters of mercury on room air.
20/200 in the better eye with correcting lenses or whose visual acuity, if
4.
Applicant uses portable oxygen.
better than 20/200, is accompanied by a limit to the field of vision in the
better eye to such a degree that its widest diameter subtends an angle of
no greater than 20 degrees.
QUALIFYING VEHICLES
A passenger vehicle or truck with a registered gross weight of not more than 10,000 lbs. This restriction does not apply to institution or business applications.
CERTIFICATION FROM A LICENSED OR CERTIFIED HEALTH CARE PROVIDER
“For purposes of this Code section (40-2-74.1) the department shall accept, in lieu of an affidavit, a signed and dated statement from the doctor which includes the same information as required in an affidavit written upon security paper as defined in paragraph (38.5) of Code Section 26-4-5."
Please Note: Certification in lieu of an affidavit (completion and notarization of Section D) can only be submitted for placards and cannot be provided on license plate applications.
Who may provide certification: Health care providers that are permitted to provide a certification are limited to medical practitioners licensed to practice under Article 2 of Chapter 34 of Title 43 (physicians); Chapter 35 of Title 43 (podiatrists); and Chapter 9 of Title 43 (chiropractors) of the Georgia Code.
Jane Doe
40
123 Main St.
Secured paper document (as defined by GA Code 26-4-5) from healthcare provider must include:
• Specific disability as indicated on MV-9D instructions form.
• Indication of permanent or temporary disability
• Stamp or signature of healthcare provider
• Date
SAMPLE
SUBMITTING THIS FORM
After reviewing the MV-9D form instructions, this fully completed form must be submitted to your local County tag office. Please refer to our website at https://dor.georgia.gov to locate the address(es) for your specific county.
Filling out the Georgia MV-9D form is a necessary process for individuals seeking to obtain a Person with Disability Parking Placard or a Disabled Person’s License Plate. This form allows individuals with disabilities to access designated parking spaces, providing them with closer proximity to building entrances and facilities. The process involves a few clear steps, starting with gathering necessary information and documentation. Once the form is accurately completed, it should be submitted to the local County tag office. Details on where to locate your specific county’s tag office can be found on the Georgia Department of Revenue website.
Following these steps carefully will help ensure your application is processed smoothly and efficiently, bringing you one step closer to obtaining your parking placard or license plate. For any questions or clarifications, the Georgia Department of Revenue website offers a wealth of information, including the ability to scan a QR code for more details.
What is the purpose of the Georgia MV-9D form?
The Georgia MV-9D form is designed for individuals seeking to obtain a parking placard or license plate designated for persons with disabilities. It is important to note that this form is exclusively used for this purpose and should not be utilized for recording changes in ownership, address alterations, or modifications in license plate classifications.
How can someone submit the MV-9D form?
To submit the MV-9D form, it must first be thoroughly reviewed and completed in full. Once filled out, the form needs to be submitted to the local County tag office. Individuals can find the specific address for their county's tag office by visiting the Georgia Department of Revenue's website. Ensuring the form is fully accurate and complete before submission is crucial for a successful application process.
What are the different types of parking placards available and what is required for each?
Three main types of parking placards are available:
Renewal and replacement processes have their own requirements, emphasizing a streamlined approach for applicants.
Who is eligible to certify the health condition of an applicant for a disability parking placard or license plate?
Certification of the applicant's health condition can only be provided by a licensed health care provider. The providers permitted to certify include physicians, podiatrists, and chiropractors who are legally allowed to practice within the state. This certification is a critical component of the application process, ensuring that only those who meet the medical eligibility requirements receive the placard or license plate.
What are the eligibility requirements for receiving a disability parking placard?
Eligibility for a disability parking placard is determined by specific medical conditions, which include but are not limited to:
The certification from a licensed or certified health care provider must detail the specific disability and indicate whether it is permanent or temporary. This documentation ensures those who genuinely need the placard or plate for mobility reasons are the ones who receive it.
When filling out the Georgia MV-9D form, which is necessary for obtaining a Person with Disability Parking Placard or a Disabled Person's License Plate, it's crucial to pay attention to detail and provide accurate and complete information. Unfortunately, some common mistakes can lead to delays or rejection of your application. Here are six mistakes people often make:
Not checking the appropriate box under "REQUEST TYPE" in Section A. It's essential to specify whether you're applying for a new issuance, a temporary or permanent placard, a special permanent placard, a renewal, or a replacement due to loss or theft.
Omitting the placard number when applying for renewal or replacement. If you're renewing your permanent placard or replacing a lost or stolen placard, recording the previous or current placard number is necessary for verification purposes.
Failing to provide complete applicant information in Section B. This includes the applicant's full legal name, physical address, telephone number, and driver's license number. Incomplete information may result in your application being set aside.
Incorrectly completing the certification from a licensed or certified healthcare provider in Section D. This section must be filled out by your healthcare provider and notarized. Remember, the certification should correspond to the eligible conditions listed on the form.
Forgetting to sign the application. The applicant's signature in Section F is a declaration that all the information provided is accurate and truthful. Not signing the form is a common oversight that will render the application invalid.
Missing the institution/business information for applicants applying on behalf of an institution or business in Section E. This includes the FEIN, vehicle information, and the authorized representative’s signature and position.
Always double-check your application against these common mistakes before submission. Ensuring that all sections are correctly filled out and that the form is fully completed and signed can significantly smooth the process of obtaining your Person with Disability Parking Placard or Disabled Person’s License Plate.
Securing a Georgia MV-9D form for a Person with Disability Parking Placard or a Disabled Person’s License Plate is just the beginning of ensuring that all necessary legal and auxiliary requirements are met for individuals seeking accommodations for mobility challenges. Often, this process involves more than just this single form. Here's a look at other commonly used forms and documents that accompany the Georgia MV-9D form, each serving a unique purpose in streamlining the accessibility and legal framework for individuals with disabilities.
Compiling the necessary documents can seem daunting, but each plays a critical role in ensuring individuals with disabilities receive the accommodations they require. Whether it's applying for the first time, renewing, or replacing a placard or license plate, understanding the purpose of these documents simplifies the process. The goal is to streamline access to necessary services and support, reinforcing the importance of accessible transportation options for everyone, regardless of mobility challenges.
The Georgia MV-9D form, essential for individuals with disabilities seeking parking placards or license plates, bears similarities to other documents that facilitate vehicle and driver-related requests, albeit serving specific groups or purposes. These forms, while unique in their function, share a similar procedural framework aimed at verifying eligibility and ensuring appropriate benefits are rendered.
1. The Application for Disabled Person License Plate (MV-9P): Much like the MV-9D, the MV-9P form is intended for individuals with disabilities. However, its primary focus is on obtaining a disabled person's license plate rather than a parking placard. Both forms require personal information, certification from a healthcare provider, and, if applicable, information about the vehicle being used by the person with the disability. The key similarity lies in their requirement for medical certification to verify the disability, ensuring that only those who meet specific criteria are granted the specialized license plates or parking privileges.
2. The Application for a Special Parking Permit (SP-10): Another analogous document is the SP-10 form used in some jurisdictions for applying for a special parking permit. Similar to the MV-9D, the SP-10 typically requires applicant information, a detailed certification from a healthcare provider about the nature of the disability, and the duration for which the permit is sought (temporary or permanent). Both forms facilitate the provision of parking accommodations to individuals with disabilities but may differ slightly in terms of the scope of use or the specific types of permits and licenses provided.
3. Disabled Veteran License Plate Application: This form targets disabled veterans, offering them a license plate that signifies their service and disability. Like the MV-9D, it necessitates personal details, a vehicle identification number for the plate, and certification of the disability, often from the Department of Veterans Affairs rather than a private healthcare provider. The commonality lies in acknowledging a disability, though the veteran's application emphasizes military service as an additional criterion.
When filling out the Georgia MV-9D form for Disability Parking Placard or License Plate applications, it's crucial to follow the specific guidelines to ensure your application is processed quickly and correctly. Below are lists of things you should and shouldn't do to help guide you through the process.
Things You Should Do
Things You Shouldn't Do
Filling out the Georgia MV-9D form correctly is essential in securing a Disability Parking Placard or License Plate that makes parking and transportation easier for those with disabilities. By following these dos and don'ts, applicants can ensure they've provided all the necessary information required for a smooth and timely application process.
There are several misconceptions surrounding the Georgia MV-9D form, which is used to request a Person with Disability Parking Placard or a Disabled Person’s License Plate. Understanding these misconceptions is crucial for individuals seeking these accommodations. Here are nine common ones:
Clearing up these misconceptions ensures that applicants for the MV-9D can navigate the process with a better understanding and compliance with Georgia laws and regulations.
When it comes to applying for a Person with Disability Parking Placard or Disabled Person’s License Plate in Georgia, understanding the nuances of the MV-9D form is crucial. Here are five key takeaways to ensure your application process is smooth and compliant:
Appropriately filling out and submitting the MV-9D form is a step towards ensuring that Georgia residents with disabilities are afforded the parking privileges necessary for their mobility and daily life. The form and the guidelines provided by the Georgia Department of Revenue are designed to facilitate access while ensuring that the provisions are reserved for those who genuinely need them.
State of Georgia Workers Compensation - It ensures regulatory compliance with Georgia's workers' compensation mediation procedures, setting the stage for a structured discussion aimed at reaching an agreed-upon resolution.
State of Georgia Workers Comp - Employers communicate through the WC-240 form to outline a job offer tailored to the employee's capabilities post-injury, including job details and pay rate.
Ga Total Loss Threshold - The form acts as a protective measure, ensuring that all salvaged vehicles in Georgia are restored to a safe and operable condition before re-entering traffic.