Form Tr-159 - Certification Of Disability For Disabled Parking Placard And/or Plate Page 2
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1
2INSTRUCTIONS
� Disabled individual shall be a Kansas resident.
� Application shall be signed by the disabled individual, representative or vehicle owner.
� The personal disabled identification card shall be carried by the person to whom it is assigned when using disabled
parking privileges.
� Disabled license plate will require a 50¢ reflective plate fee. Application for a disabled license plate must be made
at your local county treasurer's motor vehicle office.
� A disabled individual may select one of the following disabled parking choices:
� One (1) disabled license plate and/or one (1) placard, or
� Two (2) placards, but NO disabled license plate.
� The permanent or temporary disabled placard shall be suspended from rear view mirror when using disabled
parking privileges and may be transferred from one vehicle to another. The placard is to be removed from the
rear view mirror when the vehicle is being operated. (KSA 8-1,125)
� Upon death of the disabled individual, both the disabled license plate and/or placard(s) and the personal disabled
identification card shall be returned to the local county treasurer's office in exchanged for a regular county tag if
applicable.
� The healing arts licensed professional's name must be printed/typed in the space provided.
The licensed
professional must sign the application. It can NOT be rubber stamped or initialed. A healing arts licensed
professional is a: Dr. of Medicine (MD), Dr. of Osteopathy (DO), Dr. of Chiropractic (DC), or Dr. of Podiatric
(DPM). A healing arts licensed professional from any state can sign this form. A licensed optometrist (OD),
licensed physician assistant, advanced registered nurse practitioner registered under KSA 65-1131 or Christian
Science practitioner listed in The Christian Science Journal can also certify the form. A RN or LPN, cannot
certify/sign this form.
� The disabled identification card shall be available upon demand if the disabled individual is using any disabled
parking privilege. If the disabled individual is not in the vehicle or the disabled individual does not have his or her
ID card available upon demand, the vehicle is NOT entitled to use the disabled parking privilege.
� The owner's receipt of the application for T
placard shall be carried by the person it is issued to when
EMPORARY
using assessible parking. (K.S.A. 8-1,125)
In addition to being eligible to park at marked accessible parking places, disabled persons having a valid
disabled plate or placard displayed on or in the vehicle may also park at parking meters for a period of
time not to exceed 24 hours and will be exempt from any parking fees of the state or any city, county or
other political subdivision. (KSA 8-1,126)
PENALTY
Any person who willfully and falsely represents him/herself as having the qualifications to obtain a special
license plate, a permanent placard and an individual identification card or temporary placard pursuant to
this act shall be guilty of a class C misdemeanor. Any person who falsely utilizes any parking privilege,
shall be guilty of an unclassified misdemeanor punishable by fines of not less than $100 nor more than
$300. (K.S.A. 8-1,130(a)(b) Violators may also be subject to additional penalties where imposed by local
ordinance.
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