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Disabled Person Parking
Tag

The Tax Collector's Office initially issues and replaces the Wheel Chair Symbol tag (license plate). Fees: $28 Original Plate Issue fee, the regular registration taxes due and $1.50 Plate Mail fee. These license plates may only be issued for use on the following types of vehicles: Automobiles for private use; trucks weighing 5,000 pounds or less; automobiles which seat under nine passengers and are for hire; and, motor homes or truck campers not for hire or commercial use.
In addition to regular registration requirements, proof of eligibility that the applicant is permanently confined to a wheelchair or qualifies for a long term Disabled Person Parking Placard must be submitted in one of the following forms: The physician's statement certifying permanent confinement to a wheelchair; or, a statement on letterhead stationary from any physician licensed to practice in the United States stating that the applicant is permanently confined to a wheelchair; or, a completed HSMV 83039 form.
Click her to access HSMV 83039 form
(Note: This form is
in pdf format, which must be viewed using Adobe Acrobat Reader. This
software is available free through the
Adobe web site. Also this document file is over 800 KB, so it may take a few minutes to load the images at lower modem speeds.)
To obtain the application, please contact the Tax
Collector's Office by email (Mail@polktaxes.com), written correspondence, telephone or visit one of our Branch and/or Tag Offices.
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