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Download Mv 145A Form in PDF

The Mv 145A form is an application for a parking placard designated for individuals with disabilities in Pennsylvania. This form allows eligible applicants to request a permanent or temporary parking placard, which grants them access to designated parking spaces. To begin the application process, click the button below to fill out the Mv 145A form.

Contents

The MV-145A form serves as an application for a Person with Disability Parking Placard in Pennsylvania. This form allows individuals with disabilities to apply for a permanent or temporary placard, which grants them access to designated parking spaces. Applicants can also request renewals or replacements for lost or stolen placards. The form requires detailed information about the person with the disability, including their name, address, and date of birth. Additionally, it must be certified by a licensed health care provider or, in some cases, a police officer. Eligibility criteria are outlined on the form, specifying conditions such as blindness or limited mobility that qualify an individual for the placard. Importantly, the application process does not involve any fees, making it accessible for those in need. The completed form should be sent to the Bureau of Motor Vehicles in Harrisburg, ensuring that individuals can benefit from the privileges associated with disability parking. Understanding the requirements and instructions laid out in the MV-145A form is essential for anyone seeking to secure a parking placard that accommodates their mobility needs.

Preview - Mv 145A Form

ORIGINAL REQUEST - q Permanent Placard q Severely Disabled Veteran q Temporary Placard

RENEWAL REQUEST - (For Permanent Placards Only)

REPLACEMENT REQUEST -

q PLACARD q ID CARD q Defaced q Lost q Stolen q Never Received PREVIOUS PLACARD # ______________________

CHANGE OF ADDRESS - Complete Sections A and E.

CHANGE OF NAME - Complete Sections A and E. Check here to indicate reason for change of name:

q Marriage q Divorce q Other: ______________________

CHECK ( 4) APPROPRIATE BLOCKS BELOW

PERSON WITH DISABILITY INFORMATION - LIST NAME AND ADDRESS OF PERSON WITH DISABILITY - NOTE: If listing an out-of-state address,

you must also complete and attach Form MV-8.

CERTIFICATION FROM A HEALTH CARE PROVIDER LICENSED OR CERTIFIED IN PA OR A CONTIGUOUS STATE (NEW YORK, NEW JERSEY, DELAWARE, MARYLAND, WEST VIRGINIA OR

OHIO). THIS SECTION MUST BE COMPLETED IN FULL. HEALTH CARE PROVIDERS MAY ONLY CERTIFY DISABILITIES WITHIN THEIR SCOPE OF PRACTICE. WARNING: Altering or forging a

document issued by the Department, such as a disabled person parking placard, or possessing, using or displaying such a document knowing it to have been altered, forged or counterfeited,

is a misdemeanor of the first degree pursuant to the Vehicle Code, 75 Pa.C.S. Section 7122, punishable by a fine of not more than $10,000 or imprisonment of not more than five years, or both.

CERTIFICATION BY POLICE OFFICER - Police officer may only certify that the applicant does not have full use of a leg or both legs, or is blind.

NOTE: If Section B above is completed, please skip this Section and go on to Section E.

UNSWORN DECLARATION AND APPLICANT SIGNATURE - Person with disability, natural parent or other authorized person listed in Section A must sign below.

Last Name (or Full Business Name)

Street Address

City State Zip Code

First Name Middle Name PA DL/Photo ID#

or Bus. ID#

Date of Birth

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. In addition, a parent, including an adoptive or foster parent who has custody care or control of the child or adult child or a spouse may sign on

behalf of the child, adult child or spouse (applicant) provided the applicant meets eligibility requirements (1) through (8).

Name of Parent, Person in Loco Parentis or Spouse

Email Address

Street Address City

State Zip Code

Relationship to Applicant

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”: _______________ (NOTE: Only those conditions listed on the reverse side of this application qualify

an applicant for a person with disability placard.)

NOTE: If reason code #1 is listed above, please indicate the individual's visual acuity by completing the chart to the right:

If reason code #4 is listed above, please indicate the type of device used: ________________________________________________

Temporary placards are only issued for a period of time not to exceed six months. If the applicant requires additional time after the expiration of

the placard issued, the applicant must be recertified by a health care provider.

List Reason Code # Here

Health Care Provider’s Printed Name

Health Care Provider’s Signature

Medical License No.

Officer’s Printed Name

Office Street Address

City

State Zip Code

Officer’s Signature

Badge Number

Telephone Number

( )

This is to certify that the person with disability listed above has the condition listed and is entitled to the use and privileges of the person with disability

parking placard.

is blind,

OR does not have full use of a leg or both legs as evidenced by the use of a:

crutches

wheelchair walker

cane/quad cane other prescribed device

THIS APPLICATION MAY BE DUPLICATED

MV-145A (6-25)

(The space above is for Department use only)

Bureau of Motor Vehicles • P. O . Box 68268 • Harrisburg, PA

17106-8268

CERTIFICATION FROM U.S. DEPARTMENT OF VETERANS AFFAIRS REGIONAL OFFICE ADMINISTRATOR (PHILADELPHIA OR PITTSBURGH)

OR SERVICE UNIT IN WHICH THE VETERAN SERVED OR A LEGIBLE PHOTOCOPY OF THE APPLICANT'S LETTER OF PROMULGATION,

AWARDS LETTER, SINGLE NOTIFICATION, OR SUMMARY OF BENEFITS LETTER.

This is to certify that the veteran listed above with VA number ___________________________, has a 100% service-connected disability or has the

following service connected disability reason code number _______, listed on the reverse side of this application under “Eligibility Requirements.”

NOTE: If reason code #4 is listed, please indicate the type of device used: __________________________.

Authorized Printed Name and Title: ____________________________________________ Authorized Signature: ____________________________________________

In lieu of the U.S. Department of Veterans Affairs Regional Office Administrator certification, I have attached a legible photocopy of my Letter of

Promulgation, Awards Letter, Single Notification Letter, or Summary of Benefits Letter that indicates I have a 100% service-connected disability.

UNCORRECTED

R 20/

L 20/

B 20/

CORRECTED

R 20/

L 20/

B 20/

PERSON WITH DISABILITY PARKING PLACARD APPLICATION

NO FEE REQUIRED

SEE REVERSE SIDE FOR INSTRUCTIONS AND ELIGIBILITY REQUIREMENTS

Office Street Address

City

State Zip Code Telephone Number

( )

I/We declare under penalty of perjury under the law of the Commonwealth of Pennsylvania, that the foregoing is true and correct, and that application was made for the above product or

that the items as indicated were never received in the mail. Furthermore, I/we state that I/we have read and signed this application after its completion, and I/we swear or affirm that the

statements made herein are true and correct, and that any statement made on or pursuant to this application is subject to the penalties of 18 Pa.C.S. Section 4904 (relating to unsworn

falsification), which include criminal prosecution and a term of imprisonment, the maximum of which may be one year [18 Pa.C.S. 4904(b)], or up to two years[18 Pa.C.S. 4904(a)]. In

addition to any other penalty, a person convicted under this section shall be sentenced to pay a fine of at least $1,000 [18 Pa.C.S. 4904(d)].

Signed on the _____ day of _______________, ___________________ at ________________________________________, _________________________.

Person with Disability/Loco Parentis Signature

Telephone Number

Printed Name of Person with Disability

(county or other location, and state) (country)

INSTRUCTIONS

1. Permanent Placard - Complete Sections A, B or C (NOT BOTH) and E. NOTE: Individuals should list their PA Driver’s License (PA DL) or Photo ID# in

the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N.).

2. Severely Disabled Veteran Placard - Complete Sections A, D and E.

3. Temporary Placard - Complete Sections A, B and E. NOTE: Only licensed health care providers* may certify disabilities for temporary placards. Temporary

placards may be issued for a period up to six months and 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.

4. Renewal Request - Complete Sections A and E.

5. Replacement Request - Indicate if applying for a replacement placard or ID card. Please check reason for replacement; Lost, Stolen, Defaced or Never

Received. List your previous placard number and complete Sections A and E. NOTE: If product was not received within 90 days, please check the

"Never Received" box or if product was not received for over 90 days please check the "Lost" box.

6. Change of Address - Complete Sections A and E.

7. Change of Name - Complete Sections A and E. Check the block on the front of this application to indicate reason for change of name.

* Health Care Provider is defined as a physician, chiropractor, optometrist, podiatrist, physician assistant, or a certified registered nurse practitioner

licensed or certified in Pennsylvania or a contiguous state. Health care providers may only certify disabilities within their scope of practice.

NOTE: Customers with a permanent placard have the option to renew their placard, request a replacement placard or change the address their placard online at

https://www.placard.penndot.pa.gov/PlacardWeb/public/external/placardLogin.xhtml or scan the QR code on the front of this application.

Placard Type

Person with

Disability

Placard

Severely

Disabled

Veteran

Placard

Eligibility Requirements

“Reason Codes”

Applicant:

(1) is blind.

(2) does not have full use of an arm or both arms.

(3) cannot walk 200 feet without stopping to rest.

(4) cannot walk without the use of, or assistance

from, a brace, cane, crutch, another person,

prosthetic device, wheelchair or other assistive

device.

(5) is restricted by lung disease to such an extent that

the person’s forced (respiratory) expiratory volume

for one second, when measured by spirometry, is

less than one liter or the arterial oxygen tension is

less than 60 MM/HG on room air at rest.

(6) uses portable oxygen.

(7) has a cardiac condition to the extent that the

person’s functional limitations are classified in

severity as Class III or Class IV according to the

standards set by the American Heart Association.

(8) is severely limited in their ability to walk due to an

arthritic, neurological or orthopedic condition.

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), complete the appropriate

information on the front side of this application.

In addition, a parent, including an adoptive or

foster parent who has custody, care, or control of

the child or adult child or a spouse, may sign on

behalf of the child, adult child, or spouse

(applicant) provided the person with disability

meets eligibility requirements (1) through (8).

(1) 100% service-connected disability certified by the

U.S. Department of Veterans Affairs (Pittsburgh or

Philadelphia) or service unit in which the veteran

served or as shown on the applicant’s Letter of

Promulgation, Awards Letter, Single Notification Letter,

or Summary of Benefits Letter.

(2) Same disabilities as listed above for Person with

Disability Placard but must be service-connected.

Qualifying Vehicles

(1) 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.

NOTE: Organizations that operate a

passenger vehicle to transport persons with

disabilities must supply the Department with

the following:

a) A notarized statement of how the

placard will be used and the type of

services that will be provided.

b) The weekly or monthly number of

hours that the services are provided.

c) The make of the vehicle(s), including

the title number, vehicle identification

number and registration plate

number. The vehicle(s) must be

titled in the name of the organization

and must be a passenger vehicle.

d) The number of placards required:

(Organizations may not be issued

more than eight placards in the

organization’s name.)

Same as 1 and 2 above for Person with

Disability Placard.

Benefits

(1) Parking permitted in

spaces designated for

disabled persons and

for 60 minutes in excess

of legal parking period

except where local

ordinances or police

regulations provide for

the accommodation

of heavy traffic during

morning, afternoon or

evening hours.

(2) Upon request of a

person with disability,

local authorities may

erect on the highway as

close as possible to the

person’s residence a

sign(s) indicating that

the place is reserved

for the person with

disability, that no one

else may park there

unless a person with

disability plate or

placard is displayed and

that any unauthorized

person parking there will

be subject to a fine.

Same as above for Person

with Disability Placard.

Use of Person with Disability and Severely Disabled Veteran Placards:

. Parking in a designated persons with disability parking space is only permitted with this parking placard when the vehicle is being used for the

transportation of the person for which the parking placard was issued.

. Any vehicle lawfully displaying a parking placard will qualify for parking in areas designated only for use by persons with a disability. NOTE: This

parking placard can not be used to park where parking is prohibited.

Send completed application to: PennDOT, Bureau of Motor Vehicles, P.O. Box 68268, Harrisburg, PA 17106-8268

Visit us at www.pa.gov/dmv or call us at 717-412-5300. TTY callers — please dial 711 to reach us.

▼ PDF

Document Specifics

Fact Name	Fact Details
Purpose	The MV-145A form is used to apply for a Person with Disability Parking Placard in Pennsylvania.
No Fee Required	There is no fee associated with submitting the MV-145A form for a parking placard.
Eligibility Requirements	Applicants must meet specific criteria, such as being blind or having limited mobility, to qualify for the placard.
Certification Requirement	A health care provider licensed in Pennsylvania or a contiguous state must certify the applicant's disability.
Temporary Placard Duration	Temporary placards are valid for a maximum of six months and require recertification for extension.
Change of Information	Applicants can request changes to their placard information, such as name or address, without notarization.
Severely Disabled Veteran Placard	This placard is specifically for veterans with a 100% service-connected disability and follows similar application guidelines.
Application Submission	Completed forms must be sent to the PennDOT Bureau of Motor Vehicles in Harrisburg, PA.

Mv 145A: Usage Instruction

Filling out the MV-145A form is an important step for individuals seeking a disability parking placard. This application allows you to request a placard, renew an existing one, or make changes to your current information. After completing the form, you will submit it to the appropriate department for processing. Ensure that all sections are filled out accurately to avoid delays.

Determine the type of request: Decide if you are applying for an original placard, a renewal, a replacement, or making a change of address or name.
Complete Section A: Fill in your personal details, including your name, address, and PA Driver’s License or Business ID number.
Complete Section B or C: If applying for a permanent placard, complete Section B. If you are a severely disabled veteran, complete Section C. Ensure you check the appropriate boxes for your situation.
Provide information about the person with a disability: Include the name and address of the person with a disability, along with their date of birth.
Certification from a health care provider: Have a licensed health care provider complete the necessary certification section. This provider must be certified in Pennsylvania or a contiguous state.
Police officer certification: If applicable, have a police officer complete the certification section confirming the disability.
Veterans Affairs certification: If applicable, include the certification from the U.S. Department of Veterans Affairs or attach the required documentation.
Sign and date the application: The person with the disability or an authorized individual must sign the application. Ensure that it is dated.
Notarization: Note that notarization is not required for this application.
Submit the application: Send the completed form to the address provided on the form: PennDOT, Bureau of Motor Vehicles, P.O. Box 68268, Harrisburg, PA 17106-8268.

Once you have submitted your application, it will be reviewed by the appropriate authorities. You may receive your placard in the mail, or you may be contacted for further information if needed. Be sure to keep an eye on the processing time and follow up if you do not receive any communication within a reasonable timeframe.

Learn More on Mv 145A

What is the MV-145A form?

The MV-145A form is an application for a Person with Disability Parking Placard in Pennsylvania. It allows individuals with disabilities to request a parking placard that grants them access to designated parking spaces. This form can also be used for renewals, replacements, and changes of address or name related to the placard.

Who is eligible to apply for a parking placard using the MV-145A form?

Eligibility is based on specific medical conditions. Individuals who are:

Blind
Unable to walk 200 feet without resting
Severely limited in their ability to walk due to various medical conditions
Utilizing assistive devices like wheelchairs, canes, or crutches
Having certain respiratory or cardiac conditions

These criteria ensure that the placard is provided to those who truly need it. A healthcare provider must certify the disability.

How do I complete the MV-145A form?

To complete the form, follow these steps:

Select the appropriate request type: original, renewal, or replacement.
Fill out the personal information section for the individual with the disability.
If applicable, provide information about the parent or guardian acting on behalf of a minor.
Ensure that a healthcare provider certifies the disability, if required.
Sign the application and submit it to the designated address.

It is important to read the instructions carefully to ensure all necessary sections are completed.

What are the different types of placards available?

There are three main types of placards available:

Permanent Placard: For individuals with long-term disabilities.
Temporary Placard: Issued for a maximum of six months for those with temporary disabilities.
Severely Disabled Veteran Placard: For veterans with a 100% service-connected disability.

Each type has specific eligibility requirements and application processes.

Can I apply for a temporary placard?

Yes, you can apply for a temporary placard if you have a qualifying disability that is expected to last no longer than six months. A licensed healthcare provider must certify your condition on the form. If you need an extension beyond six months, a new application must be submitted.

What should I do if my placard is lost or stolen?

If your placard is lost or stolen, you should complete the MV-145A form and indicate that you are applying for a replacement. Specify the reason for the replacement in the appropriate section. Make sure to provide your previous placard number if you have it. Submit the completed form to the address provided.

Is there a fee for applying for the MV-145A placard?

No, there is no fee required to apply for a Person with Disability Parking Placard using the MV-145A form. This makes it accessible for those who need it most.

How can I check the status of my application?

To check the status of your application, you can contact the Pennsylvania Department of Transportation (PennDOT) at the number provided on the form. They can assist you with any inquiries regarding your application status.

Common mistakes

Completing the MV-145A form can be straightforward, but many individuals make common mistakes that can delay the application process. One frequent error is failing to check the appropriate box for the type of placard being requested. Applicants must clearly indicate whether they are applying for a permanent, temporary, or renewal placard. Omitting this detail can lead to confusion and may result in the application being returned.

Another mistake involves incomplete personal information. It is essential to provide the full name, address, and date of birth of the person with a disability. Inaccuracies or missing information in these sections can cause delays in processing. Additionally, applicants should ensure that they include their Pennsylvania Driver’s License or Photo ID number, as this is a required field.

Some applicants neglect to provide the necessary certification from a health care provider. This section must be filled out completely, including the health care provider's signature and medical license number. If this section is left blank or incomplete, the application cannot be processed. It is crucial to remember that only licensed professionals may certify disabilities.

Another common oversight is failing to sign the application. The applicant, or an authorized representative, must sign and date the form. Without a signature, the application is considered invalid. This requirement emphasizes the importance of confirming that all necessary fields are completed before submission.

Applicants sometimes forget to list their previous placard number when applying for a replacement. This information is vital, especially if the placard was lost or stolen. Not providing this detail can lead to delays in receiving the new placard.

In some cases, individuals do not follow the instructions for submitting the application. For example, if an applicant is changing their address or name, they must complete the appropriate sections. Ignoring these steps can result in processing delays or rejections.

Lastly, applicants often overlook the eligibility requirements listed on the reverse side of the form. It is important to review these requirements to ensure that the disability qualifies for a parking placard. Failing to do so may lead to an application being denied, causing frustration and additional delays.

Documents used along the form

When applying for a Person with Disability Parking Placard using the MV-145A form, you may need to submit additional documents. Each of these documents serves a specific purpose in supporting your application. Below is a list of commonly used forms and documents that accompany the MV-145A.

Form MV-8: This form is required if the applicant has an out-of-state address. It provides additional information about the applicant's disability and eligibility for the parking placard.
Health Care Provider Certification: This certification must be completed by a licensed health care provider. It verifies the applicant's disability and ensures that it falls within the eligible conditions for a disability placard.
Police Officer Certification: In certain cases, a police officer may need to certify that the applicant has a specific disability. This certification is particularly relevant for applicants who are blind or lack full use of a leg.
Veterans Affairs Documentation: For veterans applying for the Severely Disabled Veteran Placard, documentation from the U.S. Department of Veterans Affairs is necessary. This may include a letter confirming a service-connected disability.
Notarized Signature: Depending on the circumstances, a notarized signature may be required to validate the application. This ensures that the information provided is accurate and truthful.
Change of Name or Address Documentation: If the applicant is changing their name or address, supporting documents may be needed to verify these changes. This helps maintain accurate records.

Each of these documents plays an important role in the application process. Having them ready can help ensure a smoother experience when applying for your disability parking placard.

Similar forms

The MV-145A form, used for applying for a Person with Disability Parking Placard in Pennsylvania, shares similarities with the MV-1 form, which is the application for a Certificate of Title. Both documents require personal information about the applicant, including name and address, and must be completed with specific details relevant to the request. Just like the MV-145A, the MV-1 form also necessitates a signature, affirming the accuracy of the information provided, and is submitted to the Pennsylvania Department of Transportation for processing.

Another document akin to the MV-145A is the Form MV-8, which is used for applying for a Pennsylvania driver's license or ID card for individuals who reside out of state. Both forms require proof of identity and residency, while also including sections for health care provider certifications when applicable. The MV-8 must be filled out carefully, as errors can lead to delays in receiving the requested identification, similar to the potential delays with the MV-145A if not completed correctly.

The Form MV-44, which is the application for a duplicate driver's license, also resembles the MV-145A. Both forms require applicants to specify the reason for their request—whether it’s for a new placard or a duplicate license. Each form mandates that the applicant provide personal identification information and may require documentation to support the request, ensuring that the process is secure and legitimate.

Similar to the MV-145A, the Form MV-70 is used for applying for a special registration plate in Pennsylvania. Both forms ask for detailed personal information, including the applicant's name, address, and specific eligibility criteria. The MV-70 also includes sections that must be certified by a health care provider, paralleling the health care certification needed for the disability placard application.

The Form MV-126, which is the application for a temporary registration, shares commonalities with the MV-145A as well. Each form requires the applicant to provide personal details and may necessitate additional documentation to support the request. Both documents also include specific instructions regarding the eligibility criteria that must be met to successfully complete the application process.

The Form MV-217 is another document that bears resemblance to the MV-145A. This form is used for requesting a change of address on a driver's license or ID card. Just like the MV-145A, it requires the applicant to provide their previous and new addresses, ensuring that the Department of Transportation has up-to-date information. Both forms also highlight the importance of accuracy, as incorrect information can lead to complications in processing.

The Form MV-41, which is used for applying for a senior citizen identification card, also parallels the MV-145A. Both forms require applicants to demonstrate eligibility based on specific criteria. The MV-41, like the MV-145A, includes sections that must be filled out by a certifying individual, ensuring that the applicant meets the necessary requirements for the requested identification.

Another related document is the Form MV-135, which is used for applying for a special parking permit for veterans. This form, like the MV-145A, requires personal information and a certification from a health care provider or relevant authority. Both forms aim to assist individuals with disabilities or special circumstances in obtaining the necessary permissions to access designated parking spaces.

The Form MV-150, which is a request for a handicapped parking space installation, shares similarities with the MV-145A. Both documents require the applicant to provide detailed personal information and may need a certification from a medical professional. They are designed to ensure that individuals with disabilities receive the appropriate accommodations to facilitate their mobility.

Lastly, the Form MV-200 is utilized for reporting the sale or transfer of a vehicle. While it serves a different purpose than the MV-145A, both forms require accurate completion and submission to the Department of Transportation. Each form emphasizes the importance of clear communication and documentation in order to facilitate the processing of requests and maintain accurate records within the department.

Dos and Don'ts

Things to Do:

Complete all required sections accurately.
Use your PA Driver’s License or Business ID number where indicated.
Have a licensed health care provider certify the disability, if applicable.
Sign the application in the presence of a notary, if required.

Things Not to Do:

Do not alter or forge any information on the form.
Do not leave any required fields blank.
Do not submit the application without the necessary certifications.
Do not forget to include your previous placard number if applicable.

Misconceptions

Here are some common misconceptions about the MV-145A form, which is used to apply for a person with a disability parking placard in Pennsylvania:

No fee is required: Many people believe there is a fee associated with the MV-145A form. However, there is no fee for applying for a disability parking placard.
Notarization is mandatory: Some think that notarization is required for the application. In fact, notarization is not necessary for this form.
Temporary placards can be extended: A common belief is that temporary placards can be extended. They are issued for a maximum of six months and cannot be renewed; a new application must be submitted for additional time.
Anyone can certify disabilities: Some individuals think that any healthcare provider can certify disabilities for the placard. Only licensed healthcare providers within their scope of practice may certify disabilities.
All disabilities qualify: There is a misconception that any disability qualifies for a placard. The form lists specific eligibility requirements that must be met.
Changes of address require notarization: Many believe that changing the address on the placard requires notarization. This is incorrect; notarization is not needed for address changes.
Only individuals can apply: Some think that only individuals can apply for a placard. In reality, a parent or guardian can apply on behalf of a minor or an adult with disabilities.
Placards can be used by anyone: A common misconception is that the placard can be used by anyone driving the vehicle. The placard must be used only when transporting the person for whom it was issued.

Key takeaways

When applying for the MV-145A form, it's essential to understand the requirements and processes involved. Here are some key takeaways to keep in mind:

No Fee Required: There is no fee for submitting the MV-145A application for a disability parking placard.
Eligibility Criteria: Ensure you meet the eligibility requirements listed on the reverse side of the form. These include various disabilities that may qualify you for a placard.
Health Care Provider Certification: A licensed health care provider must complete the certification section. They can only certify disabilities within their scope of practice.
Temporary Placards: If applying for a temporary placard, it is valid for up to six months and cannot be extended. A new application must be submitted for further certification.
Renewals and Replacements: For renewals, complete Sections A and E. For replacements, indicate the reason (lost, stolen, etc.) and provide the previous placard number.
Change of Address or Name: If your address or name has changed, complete Sections A and E. Notarization is not required for these changes.
Signature Requirements: The application must be signed by the person with a disability, a parent, or an authorized individual. Ensure that all signatures are current and valid.
Submission Process: After completing the form, send it to the specified address: PennDOT, Bureau of Motor Vehicles, P.O. Box 68268, Harrisburg, PA 17106-8268.

Completing the MV-145A form accurately and understanding its requirements will facilitate a smoother application process. Take the time to review each section before submission to avoid delays.