• Let's See if You Pre-Qualify in Florida!

    Welcome to the application process. Once you hit submit, your answer choices will be immediately categorized into prequalified and not qualified. If you don't qualify, don't worry; we will manually review the information you provided to ensure it aligns with Florida's standards.
  • Is your disability:*
  • I am applying for:*
  • Have you been treated for your disability?*
  • Do you believe you could get better from this condition?*
  • Can you walk 200 feet without the help of a person or assistive device (wheelchair, walker, scooter, crutches, cane or prothesis)?*
  • Do you have difficulty, pain, discomfort, or need a rest stop after walking 200 feet?*
  • Were you diagnosed with an arthritic, neurological, or orthopedic condition which affects your ability to walk?*
  • Do you have a heart condition which limits your activity (walking a short flight of stairs)?*
  • Are you normally tired and/or have chest pain after minor physical exercise?*
  • Do you need portable oxygen?*
  • Do you have a foot disorder which limits your mobility?*

  • Ineligible for Pre-Qualification!

    Unfortunately, you do not pre-qualify for the handicapped placard at this time. If you have any questions or concerns, please feel free to reach out to us for further assistance.

  • Contact us: Email: support@handicappedparking.com Phone: (800) 380-9070

    Alternatively, you can fill out the form on our contact page.

  • You Pre-Qualify!

    Next are Optional Questions and Payment! After this all you need to do is schedule your doctor's consultation whenever is convenient for you and receive your placard after your eligibility is confirmed.
  • What is your date of birth?*
     - -
  • Format: (000) 000-0000.
  • How would you prefer to receive your application? If you'd like a "wet signature" you'll need to provide your mailing address.

  • Optional Questions

    All the questions from this form are to complete your DMV application, the more you answer the more filled in your application will be. Alternatively, you can complete these after your doctor consultation. If you do not feel comfortable providing these details you can leave them blank and fill them out on your own after receiving your application via email.
  • Would you like to provide the personal optional questions required for the DMV application now or later? (this will require about 5 minutes more)

  • Note: For License Plate Applications

    *We will need your vehicle information to complete the application; however, if you do not have this information, please leave it blank and complete it when you receive your application in the mail.
  • Vehicle Type
  • Today's Date*
     / /

  • Choose Your Application*

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            Temporary Placard Application

            Emailed Application

            $119.00$119.00
              
            Permanent Placard Application

            Emailed Application

            $169.00$169.00
              
            (Veterans) Temporary Placard Application
            $109.00$109.00
              
            (Veterans) Permanent Placard Application
            $149.00$149.00
              
            Total
            $0.00$0.00
            Payment Methods
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