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APPLICATION FOR PERSONS WITH DISABILITIES PARKING PERMIT FOR IOWA RESIDENTS


INSTRUCTIONS:

Please enter all required information and attach the necessary files. You will be requested to attach a signed medical statement from a physician, chiropractor, occupational therapist, physical therapist, physician assistant or nurse practitioner indicating the disability status and whether it is permanent or temporary. A medical statement submitted without this application will not be processed.

By law, Iowa DOT may accept a certification of disability from the U.S. Department of Veteran's Affairs in lieu of a healthcare provider's statement for veterans.

If you are applying for a Persons with Disability removable windshield placard (Standard or Temporary), please be aware there will be a waiting period due to processing time. If you need your placard immediately, you can visit one of our Iowa Department of Transportation service centers or a county treasurer’s office to obtain your placard.

Once all information is collected, it will be pre-filled into your application for final review and sign-off. 

To complete the application, you must electronically sign and click 'Finalize & Submit'.

Are you a parent/guardian applying on behalf of child with a disability? “Child” includes, but is not limited to, stepchild, foster child, or legally adopted child who is younger than 18 years of age, or a dependent person 18 years of age or older who is unable to maintain the person’s self.

Is the child with a disability one year of age or older?

Is this a temporary or standard (permanent) as indicated by your doctor?

1. Applicant Information - please complete for all products

Please be sure to enter the child's information as the applicant's. 


Please indicate the type of products being requested (check all that apply):

Your submission on this form will not be processed.

Please proceed to the following application links for License Plates: 

 

Your submission on this form will not be processed.

Please proceed to the following application links for License Plates: 

 

Windshield placard

Would you like a new windshield placard or do you need to replace an existing windshield placard?

Number of placards requested:

Type of placard requested

Number of placards to replace:

Replacement Reason

Windshield placard

Would you like a new windshield placard or do you need to replace an existing windshield placard?

Number of placards requested:

Type of placard requested:

Number of placards to replace:

Replacement Reason


License plate parking sticker (permanent disability only)

The sticker must be displayed on the rear license plate.

Would you like a new license plate parking sticker or do you need to replace an existing license plate parking sticker?


Are you a veteran with a certification of disability from the U.S. Department of Veterans Affairs?

Veteran self-certification

By law, Iowa DOT may accept a certification of disability from the U.S. Department of Veterans Affairs in lieu of a health care provider's statement for veterans.

Acknowledge

Uploaded files must be scanned in black and white and attached as a .pdf file.

Upload File(s): Certification of disability from the U.S. Department of Veterans Affairs

Click Here to Upload

Upload File(s): Signed Medical Statement

Click Here to Upload