Fill Out a Valid Oklahoma Handicapped Template Access Form Here

Fill Out a Valid Oklahoma Handicapped Template

The Oklahoma Handicapped Parking Placard Application is a document used by individuals seeking permission to use designated handicapped parking spaces. The form requires completion by both the applicant and a licensed physician to verify the applicant's mobility impairment. Processing by the Department of Public Safety takes approximately 10 business days, and a $1.00 fee is charged for each placard issued.

For those in need of such an accommodation, clicking the button below is the first step toward simplifying your parking experience.

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In Oklahoma, individuals with disabilities may apply for a handicapped parking placard, a process overseen by the Department of Public Safety. The application involves a clearly defined procedure requiring input from both the applicant and a licensed medical professional. It ensures those who genuinely need closer parking access due to mobility issues can have it, with a nominal fee of $1.00 for processing each placard. The criteria for eligibility include various physical limitations such as the inability to walk 200 feet without stopping for rest, the need to use portable oxygen, severe arthritis, neurological or orthopedic conditions, legal blindness, or missing limbs that impair mobility. It also mentions that the issuance of this placard may prompt a review of the applicant's capability to safely operate a motor vehicle, considering the health constraints detailed by the applying individual and certified by a physician. The form delineates clear penal repercussions for the misuse or fraudulent application for a handicapped parking placard, emphasizing the gravity and sincerity with which applications should be undertaken. This system, while straightforward, underscores a commitment to accessibility while safeguarding the process against abuse, ensuring that those in need receive the benefits while maintaining the integrity of the program.

Sample - Oklahoma Handicapped Form

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

Document Information

Fact Detail
Form Title Handicapped Parking Placard Application
Processing Time The Department of Public Safety requires approximately 10 business days after receipt to process the application.
Review basis The information submitted may cause a review of the applicant's ability to operate a motor vehicle, as provided in 47 O.S. Section 6-119.
Medical Advisory Committee Pursuant to the standards prescribed by the driver license medical advisory committee as created in 47 O.S. 6-118.
Application Requirement The form must be fully completed by the applicant and physician before a handicap placard can be issued.
Processing Fee There is a $1.00 processing fee for each placard issued. Make checks payable to: Department of Public Safety. Do not send cash.
Placard Misuse Penalty 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.
Contact Information If you have any questions, please call (405) 425-2290; Oklahoma Department of Public Safety, Driver License Services Division, P.O. Box 11415, Oklahoma City, OK 73136-0415.

Guide to Filling Out Oklahoma Handicapped

Filling out the Oklahoma Handicapped Parking Placard Application is a crucial step in obtaining a legal parking permit for individuals with disabilities. It's important to handle this process with attention to detail to ensure all parts of the application are accurately completed. This allows for a smoother processing and avoids any unnecessary delays. Remember, the Department of Public Safety takes approximately 10 business days to process the application once it's received. Let's walk through the steps to fill out the form correctly.

  1. Start by reading the notice on the form carefully to understand the implications of the information you're about to submit, especially regarding the review of your ability to operate a vehicle.
  2. Write the applicant's (patient's) name in the provided spaces, making sure to include the first, middle, and last name.
  3. Enter the applicant's date of birth next to their name.
  4. Provide the mailing address, including the street or P.O. Box, city, state, and ZIP code in the designated spaces.
  5. Fill in the applicant's driver license number and home phone number in the respective fields.
  6. Sign the form where indicated to make the application official.
  7. The section that follows must be completed by a licensed professional in medicine, surgery, osteopathic, chiropractic, pediatric medicine, or optometry. Ensure this section is filled out entirely by the healthcare provider, including checking the appropriate condition(s) that apply to the applicant.
  8. The healthcare provider must also answer if the applicant's condition affects their ability to safely operate a motor vehicle and provide a diagnosis.
  9. Select the type of placard requested: Temporary (up to 6 months) or a 5-year placard, and fill in the temporary placard's expiration date if applicable.
  10. The healthcare provider must certify the information by signing and dating the form, as well as providing their name, license number, address, and phone number.
  11. Review all the information for accuracy and completeness.
  12. Prepare a check for the $1.00 processing fee, made payable to the Department of Public Safety. Remember, cash is not accepted.
  13. Mail the completed application along with the processing fee to: Oklahoma Department of Public Safety, Driver License Services Division, P.O. Box 11415, Oklahoma City, OK 73136-0415.
  14. If there are any questions during this process, don't hesitate to call the specified number for assistance.

By following these steps carefully and ensuring all information is accurately provided, applicants will have successfully submitted their application for a handicapped parking placard in Oklahoma. This is an important step in maintaining mobility and independence for those with qualifying disabilities.

Get Clarifications on Oklahoma Handicapped

Frequently asked questions about Oklahoma's Handicapped Parking Placard Application:

  1. How do I apply for a handicapped parking placard in Oklahoma?

    To apply for a handicapped parking placard in Oklahoma, you need to complete the application form provided by the Department of Public Safety (DPS). It's essential that both you (the applicant) and a licensed medical professional fill out the form accurately. Once completed, attach a $1.00 processing fee for each placard requested, payable to the Department of Public Safety. Remember, cash payments are not accepted, so make sure your payment is by check. Mail the completed form and fee to the DPS address provided on the form.

  2. What types of handicapped parking placards are available, and how long are they valid?

    Oklahoma offers two types of handicapped parking placards: Temporary and Five-Year Placards. Temporary parking placards are issued for up to 6 months, based on the applicant's needs and the medical professional's certification. The Five-Year Placards, as the name suggests, are valid for five years from the date of issuance.

  3. What qualifications are needed to receive a handicapped parking placard?

    To qualify for a handicapped parking placard in Oklahoma, the applicant must be diagnosed with a condition that significantly impairs mobility. This includes, but is not limited to, being unable to walk two hundred feet without stopping to rest, requiring assistive devices for walking (e.g., brace, cane, wheelchair, etc.), needing portable oxygen, having severe mobility limitations due to an arthritic, neurological, or orthopedic condition, being legally blind, or missing one or more limbs which impairs mobility.

  4. Who is authorized to certify my condition for the handicapped parking placard?

    Certification for a handicapped parking placard in Oklahoma must be completed by a licensed healthcare provider. This includes professionals licensed to practice medicine, surgery, osteopathic medicine, chiropractic, pediatric medicine, or optometry. The healthcare provider must evaluate the applicant's mobility issues within the scope of their practice and determine if they meet the state's criteria for a handicapped parking placard.

  5. Is there a fee for handicapped parking placards?

    Yes, there is a $1.00 processing fee for each handicapped parking placard issued in Oklahoma. This fee is required with your application submission. Ensure your fee is paid by check, as cash payments are not accepted. Make the check payable to the Department of Public Safety.

  6. What should I do if I'm ineligible for a handicapped parking placard but still have mobility issues?

    If your condition does not meet the criteria for a handicapped parking placard in Oklahoma, or if you have mobility issues that don't qualify under the state's definition of disability for a parking placard, it's recommended to consult with your healthcare provider about other possible solutions and assistance. Additionally, you might explore local resources and support groups for individuals with disabilities for alternative mobility aids and accommodations.

Common mistakes

Filling out the Oklahoma Handicapped Parking Placard Application is a task that requires attention to detail. In order to help applicants avoid common errors, below is a list of mistakes frequently made during this process:

  1. Not ensuring that both the applicant and the physician fully complete their respective sections of the application. It's paramount that all required fields are filled to secure the issuance of a handicapped placard.

  2. Forgetting to include the processing fee. A $1.00 processing fee is requisite for each placard issued, and applicants must remember to make their check payable to the Department of Public Safety. Sending cash is discouraged and could result in processing delays or other complications.

  3. Omitting crucial details such as the applicant’s driver license number or accurate contact information. These details are essential for the Department of Public Safety to process the application efficiently and to maintain vital communication with the applicant.

  4. Choosing the incorrect type of placard. Applicants should carefully review their needs to determine whether a temporary (up to 6 months) or a 5-year placard is appropriate based on their medical condition and the physician’s certification. Misidentification of the placard type can lead to unnecessary complications or the need for reapplication.

  5. Overlooking the physician’s signature and license number. The application requires a medical professional to verify the applicant’s condition and to attest to the accuracy of the information provided. Failure to ensure that the physician adequately completes their section, including signature and license number, can result in the rejection of the application.

Attention to these details can significantly streamline the application process for a handicapped parking placard in Oklahoma, aiding in a smoother and more efficient issuance. Applicants are encouraged to review their application carefully before submission to avoid these common pitfalls.

Documents used along the form

When applying for an Oklahoma Handicapped Parking Placard, it's essential to understand that this form is just one piece of the puzzle in ensuring you meet all the requirements and have all the necessary documentation for your application. Beyond the form, there are several other documents and forms that individuals frequently find themselves needing or that can help in complementing their application for a handicapped parking placard.

  • Voter Registration Form: For individuals looking to update their voter registration due to a change in address or name, this form is often used alongside the handicapped parking application to ensure all legal documents reflect current information.
  • Vehicle Registration Form: Required for registering a new or used vehicle in Oklahoma. This form is especially relevant for those applying for a handicapped placard, as the vehicle must be registered under the applicant's name.
  • Physician’s Certification Form: Similar to the medical certification needed for the handicapped placard application, this form provides detailed information about the individual's condition and is necessary for various disability benefits applications.
  • Driver's License Application/Renewal Form: For some individuals, updating or renewing their driver's license might coincide with applying for a handicapped placard, especially if any restrictions or updates need to be noted due to their medical condition.
  • Change of Address Form: If an applicant has recently moved, it's crucial to update their address with the Department of Public Safety to ensure they receive their placard and any other necessary correspondence.
  • Social Security Disability Benefits Application: For those who are applying for or currently receiving disability benefits, this application is often part of their paperwork, as it provides financial assistance based on their medical condition.
  • Temporary Disability Placard Application: For individuals whose condition is not permanent but who still require assistance for a limited time, this application is necessary to obtain a placard valid for up to six months.

Each of these documents plays a critical role in ensuring that individuals receive the support and accommodations they need. Whether it's updating personal information, registering a vehicle, or applying for additional benefits, these forms together help streamline the process, making it more efficient and less stressful for applicants. Keep in mind the importance of consulting with the appropriate professionals and ensuring all forms are fully completed and submitted according to Oklahoma's guidelines.

Similar forms

The Driver's License Application Form shares several features with the Oklahoma Handicapped form. Like the handicapped parking placard application, the driver's license form gathers personal and contact information from the applicant and may require a health disclosure to assess the individual's ability to operate a vehicle safely. Both forms are processed by the Department of Public Safety and necessitate an official authorization before granting the requested document, underpinning the importance of accurate and truthful information.

The Disabled Veteran License Plate Application is another document that bears resemblance to the Oklahoma Handicapped form. This application also serves individuals with disabilities, but specifically targets veterans with service-connected disabilities. It requires similar certification of a disability from a licensed medical professional, emphasizing the severity and nature of the impairment. Just like the handicapped placard, the issuance of a disabled veteran license plate provides access to certain parking privileges.

Similarly, the Medical Evaluation Form used by many state departments for a variety of purposes, from employment to driving assessments, parallels the handicapped parking placard application in its necessity for detailed medical information. This form requires a healthcare provider to document an individual’s medical conditions that might affect tasks such as operating a motor vehicle. Both forms play crucial roles in ensuring the safety and well-being of the applicant and the public.

The Temporary Handicap Placard Application found in other states often mirrors the procedure and requirements of the Oklahoma version. Although specifics may vary, the core objective remains the same: to provide temporary parking accommodations to individuals with disabilities. Applicants must submit medical verification from a healthcare provider, detailing the nature of their disability and the estimated duration of the impairment, reflecting a national standard for temporary disability accommodations.

Application for a Parking Permit or License Plates, for People with Severe Disabilities represents a broader approach to the same objective sought by the Oklahoma Handicapped form. Often seen in various states, this comprehensive application addresses both placards and license plates for persons with disabilities, encompassing a range of mobility impairments. Submission of detailed personal and medical information, verified by a healthcare professional, is a common requirement, underlining the unified goal of assisting individuals facing significant mobility challenges.

The Special Access Parking Permit Application often required for access to specific facilities, such as university campuses or governmental buildings, shares similarities with the Oklahoma Handicapped form in its purpose and content. This application facilitates parking accommodations tailored to the needs of individuals with disabilities, requiring personal information, the nature of the disability, and expected duration of need. Both forms recognize and address the diverse mobility needs within public and private spaces.

Lastly, the Motor Vehicle Registration Form for individuals with disabilities, in some aspects, parallels the Oklahoma handicapped parking placard application. While primarily focused on the vehicle registration process, this form frequently includes sections dedicated to the issuance of disability-related parking privileges. The need for medical certification of the disability underscores a shared commitment to ensuring those with mobility impairments receive appropriate accommodations, facilitating their participation in daily life activities.

Dos and Don'ts

When filling out the Oklahoma Handicapped Parking Placard Application, there are important steps to follow and mistakes to avoid. Below are lists outlining what you should and shouldn't do during the application process.

Things you should do:

  • Ensure all sections of the form are completed. Both the applicant and the physician must provide all required information for the application to be processed.
  • Print or type the information clearly. This helps avoid any confusion and ensures that all details can be easily read by the Department of Public Safety.
  • Include the correct processing fee. A check for $1.00 for each placard requested must be included with the application. Ensure the check is payable to the Department of Public Safety.
  • Review the application for accuracy. Before submitting, double-check all the information provided, including the diagnosis and type of placard requested to ensure everything is correct and complete.

Things you shouldn't do:

  • Send cash. For the processing fee, cash should not be sent through mail for security reasons.
  • Leave sections incomplete. If sections are left blank, the application may be delayed or denied, as all information is required for processing.
  • Forget to sign the application. Both the applicant and the physician’s signatures are necessary to validate the application.
  • Use the placard improperly. The placard is to be displayed only when the qualified individual is operating the vehicle or is a passenger. Misuse can result in legal consequences.

Misconceptions

There are several misconceptions about the Oklahoma Handicapped Parking Placard Application process. Understanding these can clarify the requirements and the process, ensuring that applicants know their responsibilities and the law's stipulations.

  • Misconception 1: Anyone can fill out the application form. In fact, the application must be completed by both the applicant and a licensed healthcare professional. This dual-completion requirement ensures that the information regarding the applicant's disability is accurate and falls within specific medical criteria.
  • Misconception 2: There is no fee for the handicapped parking placard. While it might seem minor, there is actually a $1.00 processing fee for each placard issued. This fee must be paid by check, payable to the Department of Public Safety, highlighting the formal process and the nominal cost involved in acquiring a placard.
  • Misconception 3: The placard allows for parking privileges for any vehicle, regardless of the passenger. The placard is strictly issued to individuals who, due to their condition, require special parking considerations and must be displayed only when the vehicle is being used by the handicapped individual. Unauthorized use is punishable by law, emphasizing the importance of correctly using the placard.
  • Misconception 4: The application process is lengthy and complicated. While it may seem daunting, the Department of Public Safety requires approximately 10 business days to process the application after receipt. This relatively quick turnaround time helps ensure that individuals with disabilities can gain their parking privileges in a timely manner.

Understanding these key points can help applicants navigate the process more effectively and ensure compliance with state requirements, fostering a more accessible environment for individuals with disabilities.

Key takeaways

Filling out the Oklahoma Handicapped Parking Placard Application is essential for individuals requiring assistance when it comes to parking due to a disability. The process, although straightforward, requires attention to detail. Here are key takeaways you should remember:

  • The Oklahoma Department of Public Safety (DPS) processes the application within approximately 10 business days of receipt.
  • Submitting the application can initiate a review of the applicant's ability to operate a vehicle safely, according to 47 O.S. Section 6-119, based on standards set by the driver license medical advisory committee.
  • Both the applicant and a licensed medical professional must complete the form for a handicapped parking placard to be issued.
  • A processing fee of $1.00 is required for each placard issued. Applicants should make the check payable to the Department of Public Safety and avoid sending cash.
  • The placard must be displayed on the rearview mirror of the vehicle when it is being operated by or transporting the applicant.
  • Unauthorized use or falsification of the application can result in misdemeanor charges, including a fine of up to $500.00.
  • Qualifying conditions include not being able to walk 200 feet without resting, using assistant devices such as braces or wheelchairs, having severe limitations due to certain health conditions, or being legally blind.
  • The application requires the physician's professional judgement on whether the applicant's condition might affect their ability to drive safely under normal or adverse conditions.
  • Two types of placards are available: temporary (valid for up to 6 months) and long-term (valid for 5 years).
  • The physician certifying the application must attest that the care and treatment of the physical disability fall within the scope of their practice.

Understanding these key points ensures that applicants can navigate the process smoothly and comply with Oklahoma's guidelines for handicapped parking placard issuance. Always consult the latest form and guidance from the Oklahoma Department of Public Safety for the most current requirements and procedures.

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