Form Hsmv 83039 - Application For Disabled Person Parking Permit - Florida Department Of Highway Safety And Motor Vehicles - 2015 Page 2
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1
2PROVISIONS OF LAW:
Section 316.1958, Florida Statutes, provides that motor vehicles displaying a license plate or parking permit issued to a disabled person
by any other state or district subject to laws of the United States, shall be recognized as a valid plate or permit, allowing such vehicle
the special parking privileges in Florida, provided such other state or district grants reciprocal recognition for disabled residents of this
state. All of the United States has agreed to reciprocate.
Section 320.0848, Florida Statutes, provides for the issuance of the disabled person parking permit. This section was amended to no
longer allow the applicant to qualify because they are unable to walk 200 feet. This disability must be due to a condition listed in (2‐8)
on the reverse side of this form in the "Physician/Certifying Practitioner's Statement of Certification" section.
Section 320.0848(1)(d), Florida Statutes, provides that the department shall renew the disabled parking permit of any person certified
as permanently disabled on the application if the person provides a certificate of disability issued within the last 12 months pursuant
to this subsection.
RENEWAL INSTRUCTIONS:
Submit a copy of the registration for your expiring parking permit and a certificate of disability (form HSMV 83039). The form must be
completed and signed by the certifying authority within the last 12 months. Send form by mail or in person to the tax collector office
or license plate agency in the county where you live. For a temporary permit, submit the appropriate fees.
Please visit our online renewal site at
APPLICATION REQUIREMENTS:
1.
The form HSMV 83039 must be accurately completed, including the "Physician/Certifying Practitioner's Statement of
Certification" section, verifying the disability. See list below for acceptable "certifying authorities”.
2.
A Florida driver license number or Florida identification number is required unless the authorized physician certifies that the
applicant’s disability is too severe to visit or be transported to an office to obtain a driver’s license or identification card.
3.
Fees: There is no charge for a Permanent Parking Placard. A Temporary Parking Placard is $15.
Note: If a second Temporary Parking Placard is required within one year of the initial Temporary Parking Placard, there will be
no charge. If a second Temporary Parking Placard is required outside the one year issuance, a fee of $15 would be
required.
CERTIFYING AUTHORITIES:
The "Physician/Certifying Practitioner's Statement of Certification" section on the reverse side of this form MUST be completed by
one of the following and must include the certifying authority's license number and the name of the state where their license was
issued:
Physician licensed to practice under Chapters 458, 459 or 460, Florida Statutes, or similarly licensed by another state.
NOTE: Documentation of the physician's licensure in the other state must be submitted.
Osteopathic Physician.
Podiatric Physician.
Chiropractor.
Optometrist (for sight only).
Physician who practices medicine in a military medical facility, state hospital, or federal prison. Indicate the facility and the
address.
Advanced registered nurse practitioner licensed under Chapter 464, under the protocol of a licensed physician.
Physician assistant licensed to practice under Chapter 458 or Chapter 459.
MISCELLANEOUS INFORMATION:
1.
Proof of identity is required when submitting this application.
2.
An additional permit may be issued to a disabled person who qualifies as a frequent traveler or as a quadriplegic.
3.
An organization may be issued as many disabled person parking permits as it has vehicles (that are used to transport disabled
persons).
4.
Temporary parking permits are issued for the time period specified by the certifying authority, not to exceed six (6) months.
5.
Permits issued to disabled persons will expire in four years on the owner's birthday. Permits issued to an organization will
expire in four years on June 30.
6.
The permit must be hung on the rear view mirror of any vehicle used to transport the disabled person(s) while parked in a
designated disabled person parking space. The permit number must be visible from the front of the vehicle.
7.
It is unlawful for any person to obstruct the path of travel to an accessible parking space, curb cut, or access aisle by standing
or parking a vehicle within any such designated area.
Check your local phone book government pages or visit the following website for current mailing addresses:
HSMV 83039 - REV. 10/15
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