Official Oklahoma Handicapped Form Fill Out This Document Online

Official Oklahoma Handicapped Form

The Oklahoma Handicapped Parking Placard Application is a vital document processed by the Department of Public Safety, designed to assist individuals with disabilities in gaining better access to parking facilities. It requires careful completion by both the applicant and a certified physician to verify the disability, and there is a nominal processing fee involved. To ensure ease of mobility and access, it's important to accurately and promptly fill out this form. Click the button below to begin the process.

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Outline

Navigating the requirements and completing the Oklahoma Handicapped Parking Placard Application can be a smooth process with the right information at hand. The Department of Public Safety in Oklahoma mandates a processing time of about ten business days once the application is received, setting a straightforward timeline for applicants. It's crucial to understand that the information provided on this form could trigger a review of the applicant's ability to safely operate a vehicle, as based on standards set by the driver license medical advisory committee. This form, which necessitates completion by both the applicant and a licensed health care provider, is the gateway to obtaining a handicapped parking placard, for which there's a nominal $1.00 processing fee. Applicants are reminded to not send cash and to ensure all details, including personal and medical certification, are accurately filled out to avoid delays. A critical note to remember is that misuse or fraudulent application of this privilege is not taken lightly and carries legal consequences. With a clear understanding of the application process, eligibility criteria, and the responsibilities entailing the use of a handicapped parking placard, individuals can apply for this essential resource with confidence and ease.

Form Sample

HANDICAPPED PARKING PLACARD APPLICATION

The Department of Public Safety requires approximately 10 business days after receipt to process the application.

NOTICE: The inform ation subm itted on this form may cause a review of your ability to operate a motor vehicle

as provided in 47 O .S. Section 6-119, pursuant to the standards prescribed by the driver license medical

advisory com m ittee as created in 47 O .S. 6-118.

THIS FORM MUST BE FULLY COMPLETED BY APPLICANT AND PHYSICIAN BEFORE A HANDICAP PLACARD CAN BE ISSUED.

THERE IS A $1.00 PROCESSING FEE FOR EACH PLACARD ISSUED. MAKE CHECK PAYABLE TO: DEPARTMENT OF PUBLIC SAFETY

PLEASE DO NOT SEND CASH.

I hereby make application to the Oklahoma Department of Public Safety for a handicapped parking placard. I understand I must display the official placard on the rearview mirror of my vehicle. I further understand this item may only be displayed in motor vehicles either operated by me, or in which I am a passenger. I further understand that any person who knowingly makes false application for or unauthorized use of a handicapped placard is guilty of a misdemeanor and upon conviction thereof shall be punished by a fine of not more than $500.00.

P LE AS E P R IN T O R TYP E

APPLICANT’S (PATIENT) NAM E:

 

 

 

DATE OF BIRTH:

 

 

 

 

 

 

(FIRST)

(MIDDLE)

(LAST)

 

 

 

 

M AILING ADDRESS:

 

 

 

 

 

 

 

 

(STREET OR P.O. BOX)

(CITY)

 

 

(STATE)

(ZIP)

 

 

DRIVER LICENSE NUM BER:

 

PHONE:

 

 

 

 

 

 

 

 

 

(HOME)

 

 

 

SIGNATURE:

 

 

 

 

 

 

 

TH E FO LLO W ING MUST BE C O MPLETED B Y A PERSO N LICENSED TO A PR ACTICE MEDICINE, SUR G ERY,

O STEO PAT HIC, CH IRO PRA CTIC O R PEDIATR IC MEDICINE, O R O PTO METRY . THE ABOVE NAM ED APPLICANT (PATIENT):

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A.CANNOT WALK TWO HUNDRED (200) FEET WITHOUT STOPPING TO REST, OR

C.IS RESTRICTED TO SUCH AN EXTENT THAT THE PERSON’S FORCED

(RESPIRATORY) EXPIRATORY VOLUME FOR ONE (1) SECOND, WHEN MEASURED BY SPIROMETRY, IS LESS THAN SIXTY (60) MM/HG ON ROOM AIR AT REST, OR

E.HAS FUNCTIONAL LIMITATIONS WHICH ARE CLASSIFIED IN SEVERITY AS CLASS

III OR CLASS IV ACCORDING TO STANDARDS SET BY THE AMERICAN HEART ASSOCIATION, OR

G.IS CERTIFIED LEGALLY BLIND, OR

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B.CANNOT WALK WITHOUT THE USE OF OR ASSISTANCE FROM A BRACE, CANE,

CRUTCH, ANOTHER PERSON, PROSTHETIC DEVICE, WHEELCHAIR OR OTHER ASSISTANT DEVICE, OR

D.MUST USE PORTABLE OXYGEN, OR

F.IS SEVERELY LIMITED IN HIS OR HER ABILITY TO WALK DUE TO AN ARTHRITIC, NEUROLOGICAL, OR ORTHOPEDIC CONDITION, OR

H.IS MISSING ONE OR MORE LIMBS WHICH IMPAIRS MOBILITY.

IN YOUR PROFESSIONAL OPINION WOULD THIS CONDITION AFFECT THIS PERSON’S ABILITY TO SAFELY OPERATE A MOTOR VEHICLE UNDER NORMAL OR ADVERSE DRIVING CONDITIONS?

οNO

οYES DIAGNOSIS:

TYPE OF PLACARD REQUESTED:

TEMPORARY ISSUED

FOR UP TO 6 MONTHS

5 YR. PLACARD

TEMPORARY PLACARD

EXPIRATION DATE:

I certify that the applicant’s physical disability described above is accurate and the care and treatment is within the authorized scope of my practice.

DATE:

PHYSICIAN’S NAME:

 

 

 

 

 

PHYSICIAN’S LICENSE NO.

 

 

 

 

 

 

 

 

 

PLEASE PRINT OR TYPE

 

 

 

 

 

 

 

 

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(STREET OR P.O. BOX)

 

 

(CITY)

 

 

 

(STATE)

PHONE:

 

 

 

 

 

PHYSICIAN’S SIGNATURE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FO R D PS O FFICE O N LY

 

 

 

 

 

 

 

 

Expiration D ate:

 

 

 

 

D ate issued:

 

Placard N umber:

 

 

 

 

 

 

 

 

 

M ail t h is co m p le t ed ap p licat io n w it h o n e d o llar ch e ck t o :

 

 

 

 

 

If you have any questions, please call (405)/425-2290

O klahom a D epartm ent of P ublic S afety

 

 

 

 

 

 

 

 

 

 

 

D river License Services D ivision

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P .O . B ox 11415

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O klahom a C ity, O K 73136 -0415

 

 

 

 

 

 

 

 

 

DPS: DLS0791-94 4 REV. 3 04

Form Breakdown

Fact Detail
Processing Time The Department of Public Safety requires approximately 10 business days to process the application.
Review of Applicant's Ability to Operate a Vehicle Information submitted may prompt a review of the applicant's ability to drive, under 47 O.S. Section 6-119.
Medical Advisory Committee The driver license medical advisory committee standards, as per 47 O.S. 6-118, are applied in evaluations.
Application Completion Requirement The form must be fully completed by both the applicant and a physician for a placard to be issued.
Processing Fee There is a $1.00 processing fee for each placard, payable to the Department of Public Safety. Cash is not accepted.
Placard Display The official placard must be displayed on the rearview mirror of the vehicle driven by or carrying the applicant.
Penalty for Misuse Unauthorized application for or use of a handicapped placard is a misdemeanor, with fines up to $500.
Eligibility Criteria Various physical disabilities or medical conditions qualify an applicant for the handicapped parking placard.
Type of Placards Applicants can request either a temporary placard, valid for up to 6 months, or a 5-year placard.

Detailed Instructions for Using Oklahoma Handicapped

After completing the Oklahoma Handicapped Parking Placard Application, it gets processed by the Department of Public Safety, which typically takes about 10 business days. This form must be fully filled out by both the applicant and a licensed physician. It is essential to accurately provide all requested information and understand the responsibilities and legal implications that come with the use of a handicapped parking placard. A $1.00 processing fee is required for each placard, and it's important not to send cash. Following the steps below will guide you in accurately completing the application.

  1. Enter the applicant's name in the provided space, including the first, middle, and last names.
  2. Fill in the date of birth next to the applicant's name.
  3. Provide the mailing address, including the street or P.O. Box, city, state, and zip code.
  4. Write down the driver license number.
  5. Include a contact phone number.
  6. Sign the application to affirm that the information provided is accurate and complete.
  7. Choose the type of assistance or medical condition that applies from the list given (e.g., cannot walk 200 feet without stopping to rest, uses portable oxygen, is legally blind, etc.) by marking the appropriate checkbox.
  8. State whether, in the physician's professional opinion, the applicant's condition affects their ability to safely operate a motor vehicle under normal or adverse conditions. Check either "Yes" or "No".
  9. Provide a diagnosis for the condition.
  10. Indicate the type of placard requested: Temporary (issued for up to 6 months) or a 5-year placard.
  11. For temporary placards, specify the expiration date.
  12. The physician must confirm that the physical disability described is accurate and within their authorized scope of practice, providing their name, license number, address, phone number, and signature.
  13. Attach a check for $1.00 made payable to the Department of Public Safety.
  14. Mail the completed application and the processing fee to the Oklahoma Department of Public Safety, Driver License Services Division, P.O. Box 11415, Oklahoma City, OK 73136-0415.
  15. If there are questions regarding the application, contact the Department of Public Safety at (405)/425-2290.

Following these steps ensures that the application for the handicapped parking placard is correctly filled out and submitted. Remember, the processing of the application will take about 10 business days after receipt by the Department of Public Safety. Always ensure the information provided is accurate to avoid delays or legal issues.

FAQ

  1. What is the processing time for a handicapped parking placard application in Oklahoma?

    The Department of Public Safety processes handicapped parking placard applications within approximately 10 business days after receiving the completed form.

  2. Is there a fee associated with obtaining a handicapped parking placard?

    Yes, there is a $1.00 processing fee for each placard issued. Applicants are advised to make their checks payable to the Department of Public Safety and not to send cash.

  3. Who needs to complete the handicapped parking placard application form?

    The application form must be fully completed by both the applicant and a licensed physician, who verifies the applicant's condition and the necessity for a handicapped parking placard.

  4. What conditions qualify for a handicapped parking placard in Oklahoma?

    Qualifying conditions include:

    • Inability to walk 200 feet without stopping to rest
    • Dependency on a brace, cane, crutch, another person, prosthetic device, wheelchair, or other assistant device to walk
    • Requirement of portable oxygen
    • Legal blindness
    • Severe limitations in walking due to an arthritic, neurological, or orthopedic condition
    • Missing one or more limbs which impairs mobility
    • Having a respiratory condition severely limiting the person's ability to walk
    • Functional limitations classified as Class III or IV by the American Heart Association

  5. Can having a handicapped parking placard affect an individual’s ability to operate a vehicle?

    The information submitted on the application may prompt a review of the applicant's ability to operate a motor vehicle safely, in accordance with standards set by the driver license medical advisory committee.

  6. What types of placards are available, and how long are they valid?

    Two types of placards are available: Temporary placards, issued for up to 6 months, and 5-year placards. The type needed depends on the applicant's specific condition and needs as verified by a physician.

  7. How can an applicant submit their handicapped parking placard application?

    Completed applications, along with the $1.00 processing fee, should be mailed to the Oklahoma Department of Public Safety's Driver License Services Division at the provided address. Cash should not be sent through the mail.

  8. What is the penalty for the false application for or unauthorized use of a handicapped parking placard?

    Any person who knowingly makes a false application for or uses a handicapped placard unauthorizedly is committing a misdemeanor. Upon conviction, they can be fined not more than $500.00.

  9. How should the handicapped parking placard be displayed in a vehicle?

    The official placard must be displayed on the rearview mirror of the vehicle anytime it is being used by the handicapped individual or when the individual is a passenger in the vehicle.

  10. Who can I contact for more information or if I have questions about the handicapped parking placard application process?

    For further inquiries, applicants can contact the Oklahoma Department of Public Safety at (405) 425-2290.

Common mistakes

Filling out the Oklahoma Handicapped Parking Placard Application requires careful attention to detail to ensure accuracy and compliance. Here are six common mistakes to avoid:

  1. Not having both the applicant and physician complete their respective sections: The form requires information from both the applicant seeking the placard and a licensed medical professional. Incomplete sections can lead to processing delays or rejection of the application.
  2. Failure to specify the type of placard needed: The form offers options for both temporary and 5-year placards. Not clearly indicating the desired type can result in the wrong placard being issued, or the application being returned for clarification.
  3. Incorrect or incomplete payment information: A $1.00 processing fee is required for each placard issued. Applicants often forget to include the check or make it payable to the correct entity, “Department of Public Safety”. Remember, cash is not accepted.
  4. Omitting required personal details: Sections asking for the applicant's name, date of birth, mailing address, and driver license number must be fully completed. Missing information can lead to an inability to process the application.
  5. Physician’s details not properly filled out: The physician must provide their name, license number, address, and phone number. Additionally, the physician’s signature and the date are crucial for verifying the application’s authenticity and precision.
  6. Overlooking the expiration date for temporary placards: For temporary placards, it's important to note the expiration date clearly. This helps ensure the placard is only used within the time frame for which it was medically justified and issued.

When applying for a handicapped parking placard in Oklahoma, paying attention to these common mistakes can greatly improve the chance of a smooth and successful application process.

Documents used along the form

In the process of applying for a handicapped parking placard in Oklahoma, applicants often encounter various forms and documents that are required or beneficial to complete the application successfully. The following list describes ten essential forms and documents commonly associated with the Oklahoma Handicapped Parking Placard Application, providing clarity on their purposes.

  • Physician's Certification Form: This is a detailed document that the physician must fill out, certifying the applicant's disability and need for a handicapped parking placard. It provides specific medical details regarding the applicant's condition.
  • Proof of Identity: A copy of an official document (e.g., driver's license, state ID) verifying the applicant's identity is required to ensure the placard is issued to the correct person.
  • Vehicle Registration Documents: These show that the applicant owns or regularly uses a vehicle, which may need to be adapted for handicap access or use.
  • Application for Disability Access Parking Plates: For those needing a more permanent solution, this form applies for license plates designated for disabled parking.
  • Authorization of Agent Form: In cases where the disabled person cannot personally apply, this form authorizes another individual to submit an application on their behalf.
  • Medical Examination Report: Additional to the physician’s certification, this comprehensive report details the results of a full medical examination, underlining the severity and permanence of the disability.
  • Payment Authorization Form: Since there is a processing fee involved, this form is used for securely authorizing the payment to the Department of Public Safety, especially relevant for non-cash payments.
  • Appeal Form: If an application is denied, this form allows the applicant to appeal the decision, providing space for additional evidence or clarification regarding the disability.
  • Change of Information Form: Necessary if there is a change in the applicant's address, name, or other crucial details after the submission of the application.
  • Renewal Application: Before the expiration of a handicapped parking placard, this application must be submitted to request a renewal, ensuring continuous access to handicapped parking facilities.

Each document serves to streamline the application process, ensuring that all necessary information is accurately conveyed, and legal requirements are fulfilled. These forms collectively work toward a common goal: to afford individuals with disabilities the convenience and accessibility they need for their daily transportation and parking needs.

Similar forms

The Disability Parking Certification form used in various states bears a resemblance to the Oklahoma Handicapped Parking Placard Application in its objective to verify an individual's health conditions and grant special parking privileges. Both documents necessitate a healthcare professional's certification to validate the applicant's health-related mobility restrictions. They focus on determining whether the individual's condition severely limits their ability to walk or necessitates the use of mobility aids, underlining the importance of a medical assessment in the issuance process.

Vehicle Registration forms for individuals with disabilities in many jurisdictions share similarities with the Oklahoma Handicapped form by requiring proof of a qualifying disability for special vehicle accommodations. These forms typically necessitate medical certification similar to the Oklahoma form, alongside additional vehicle information, to tie the special registration directly to the vehicle used by or for the transport of the individual with the disability, ensuring the benefits directly assist the intended user.

The Application for Disabled Person License Plate, found in several states, parallels the Oklahoma Handicapped Parking Placard Application in its pursuit to provide easier access to parking for individuals with significant mobility impairments. Though focusing on license plates rather than placards, this application also requires a physician’s evaluation and diagnosis, illustrating the uniform requirement across jurisdictions for medical verification of disability status for mobility-related accommodations.

Temporary Handicapped Placard Applications, available in many states, offer a short-term solution similar to the temporary option in the Oklahoma application. These documents cater to individuals with temporary mobility impairments, necessitating a medical professional's certification stating the expected duration of the impairment. The parallels between these forms underscore a shared understanding of the varying durations of disabilities and the corresponding need for temporary accommodations.

The Request for Special or Exempted Parking, while not exclusively for individuals with disabilities, often includes sections that mirror the handicap placard applications for those requiring disability-related parking accommodations. This form usually requires a mix of personal information, vehicle details, and, for disability-related requests, a physician’s certification, reflecting the comprehensive approach to identifying eligibility for special parking privileges seen across different applications.

Physician’s Statement for Disabled Persons forms serve a broader purpose but align with the Oklahoma Handicapped form in their requirement for a medical professional's certification of disability. These statements are often utilized in various processes that accommodate individuals with disabilities, from parking privileges to other benefits, highlighting the critical role of healthcare providers in verifying the nature and extent of disabilities.

Renewal forms for Disabled Parking Placards or Plates share a requirement for periodic validation of the holder’s continued eligibility, similar to the process outlined in the Oklahoma form. These forms may require updated medical certification or a self-certification of continuing disability, depending on the jurisdiction, emphasizing the importance of reassessing mobility needs over time.

The Application for Accessible Parking Infrastructure, while aimed at entities rather than individuals, indirectly relates to the individual applications by addressing the end use of the parking accommodations. It focuses on compliance with standards for accessible parking spaces, underlying the broader goal of these applications to integrate individuals with disabilities into public spaces and transportation systems more effectively.

Disabled Veteran Parking Placard Applications highlight a specific group within the broader category of individuals with disabilities. Despite this specificity, the application process involves medical certification of the veteran's mobility-limiting condition, mirroring the general structure of the Oklahoma Handicapped Parking Placard Application but tailored to recognize the service and sacrifice of veterans.

The Change of Information on Handicap Placard forms, required when an individual needs to update their details or replace a lost placard, share procedural elements with the initial Oklahoma application. While not directly concerned with the medical qualification process, these forms maintain the integrity of the program by ensuring accurate and current information is associated with each issued placard, reflecting the ongoing management of the privilege once granted.

Dos and Don'ts

Applying for an Oklahoma Handicapped Parking Placard requires careful attention to detail to ensure the process goes smoothly. Below are some vital dos and don'ts to help guide you through the application process:

  • Do ensure that all sections of the form are completed accurately. Incomplete applications can lead to delays in processing.
  • Don't attempt to fill out the form without first consulting with a qualified healthcare professional, as their expertise is crucial in accurately describing your health condition and needs.
  • Do verify that the physician completing the form is licensed to practice in the relevant field of medicine, as outlined by the Oklahoma Department of Public Safety requirements.
  • Don't send cash for the processing fee. Make sure the $1.00 fee is paid by check, made payable to the Department of Public Safety, to avoid any complications.
  • Do double-check the physician's section for completeness, ensuring that they have provided a clear diagnosis and indicated the type of placard requested, either temporary (up to 6 months) or a 5-year placard, along with signing and dating the form.
  • Don't forget to print or type your information clearly, as legibility can impact the processing of your application. This includes providing a valid mailing address, phone number, and driver license number where applicable.
  • Do remember to sign your portion of the application. An unsigned application cannot be processed.
  • Don't use the handicapped placard in any vehicle in which you are not either the operator or a passenger, as misuse of the placard is subject to legal penalties, including fines.

Following these guidelines will help ensure your application for an Oklahoma Handicapped Parking Placard is processed efficiently and correctly, enabling you to utilize the benefits of handicapped parking and improving your daily mobility and quality of life.

Misconceptions

Many people hold misconceptions about the Oklahoma Handicapped Parking Placard Application process. Let's clarify some common misunderstandings:

  • Anyone can quickly get a placard if they have a temporary injury. The application requires a licensed medical professional to certify the disability, indicating that not all temporary injuries qualify for a placard.
  • The application is instant. The Department of Public Safety needs approximately 10 business days to process the application after receiving it.
  • There's no cost involved. There is a $1.00 processing fee for each placard issued, contradicting the belief that the process is free.
  • Placards are permanent. The form allows for the application of two types of placards – temporary (up to 6 months) and a 5-year placard, highlighting that not all placards are issued permanently.
  • Any doctor can sign off on the application. The application must be completed by a person licensed to practice medicine, surgery, osteopathic, chiropractic or pediatric medicine, or optometry, which means not all healthcare providers can certify the application.
  • Submitting an application guarantees approval. The physician must certify that the applicant's condition impairs their mobility, and the Department of Public Safety reviews each application, which means not all applications are approved.
  • Handicap placard misuse is not seriously penalized. Misuse or unauthorized use of a handicapped placard is considered a misdemeanor, punishable by a fine of not more than $500, indicating that the law takes misuse seriously.

Understanding these key points can help applicants navigate the process more effectively and ensure they meet all requirements for receiving a handicapped parking placard in Oklahoma.

Key takeaways

Filling out and using the Oklahoma Handicapped Parking Placard Application requires attention to detail and an understanding of the process involved. Here are key takeaways that applicants should keep in mind:

  • Processing Time: The Department of Public Safety (DPS) takes approximately 10 business days after receiving the application to process it. Applicants should plan accordingly and apply well in advance of when the placard is needed.
  • Application Requirements: Both the applicant and a licensed medical professional must fully complete the application before a handicapped parking placard can be issued. This ensures that all necessary information, including the medical certification of the disability, is accurately provided.
  • Placard Display and Use: Once issued, the handicapped parking placard must be displayed on the rearview mirror of the vehicle whenever it is parked in a designated handicapped parking space. The placard is intended for use exclusively in vehicles operated by or transporting the individual to whom it was issued.
  • Penalties for Misuse: It's crucial for applicants to understand that knowingly making a false application for or unauthorized use of a handicapped parking placard is considered a misdemeanor. Convictions can result in fines of up to $500.00, emphasizing the seriousness of adhering to the regulations governing the use of these placards.

By following these guidelines, applicants can ensure a smoother process in obtaining and using a handicapped parking placard in Oklahoma, facilitating easier access to parking and enhancing mobility for those with qualifying disabilities.

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