Form BFS-108 at a glance
What it is: Disability Parking Placard Application, BFS-108 (Rev. 02/26), authority granted under Public Act 300 of 1949, as amended.
Who signs: Applicants, complete and sign Part 1. If presented by representative, the representative is to sign on the Representative's signature line and write the Representative's driver's license number. Your physician, chiropractor, optometrist, physician assistant or physical therapist must complete Part 2 on the second page unless you have already had a disability plate. If you are applying for free parking, Part 2 cannot be completed by an optometrist. The medical professional is to sign on the Medical professional's signature line and write the Date.
Where and when to file: Submit completed applications at a Secretary of State office or mailed to Michigan Department of State, Internal Services Section, PO Box 30764, Lansing, MI 48918.
What to bring and attach to Form BFS-108
Common mistake: If your qualified medical professional is licensed in another state, a copy of their medical license must be submitted.
A filled-in Form BFS-108 example: a Michigan resident without a disability plate
How to fill out Form BFS-108, box by box
Tap a group of boxes to open it, and a picture to see it full size.
Applicant's information
Under Applicant's information, write your Name.
Write your Driver's license or state ID number and Date of birth.
Write your Michigan street address.
A Michigan address is required.
Write your City and ZIP code.
Mark Yes or No for "Are you a Michigan resident?"
Common mistake: If you are not a Michigan resident, you are only eligible for a temporary disability parking placard, and a Michigan address is still required.
Write your Phone number and Email.
Michigan disability plate
If you mark Yes for "Have you had a Michigan disability plate?", write the plate number.
Part 2 is not required when a disability plate is on file.
If you mark No for "Have you had a Michigan disability plate?", Part 2 must be completed by a qualified medical professional.
Your certification and signature(s)
Applicant's release of information and signature, Part 1: I am applying for a disability parking placard as provided in Public Act 300 of 1949. I authorize the release of the medical information on this application to the Michigan Department of State. I certify the information is true and realize by making a false statement on this application, I am subject to the penalties described (the Penalties section is listed below).
Under Signature(s), sign on the Applicant's signature line and write the Date.
Check the box "Applicant is incapable of signing or is too young to sign" when that applies.
If presented by representative, the representative is to sign on the Representative's signature line and write the Representative's driver's license number.
Part 2, qualified medical professional's determination: the patient and the patient's condition
Write the Patient's name.
For "The patient's condition is:" mark Permanent or Temporary; if temporary, write the estimated duration in months (max of 6).
Part 2: qualifying ambulatory disability
Qualifying ambulatory disability: The Michigan Vehicle Code [MCL 257.19a] defines a person with disabilities as someone who is determined by a licensed physician, a chiropractor, a physician assistant, a physical therapist, or an optometrist and found to have one or more of the following conditions that affect their ability to walk. Circle all letters that apply.
a) Blindness as determined by an optometrist, a physician, or a physician assistant. Corrected acuity level in right eye: 20/_____, left eye: 20/_____, both eyes: 20/_____, visual field: _______ degrees.
b) Inability to walk more than 200 feet without having to stop and rest. Please provide the diagnosis for this ambulatory disability.
c) Inability to do both of the following: i. Use one or both legs or feet. ii. Walk without the use of a wheelchair, walker, crutch, brace, prosthetic, or other device, or without the assistance of another person.
d) A lung disease from which the person's forced expiratory volume for 1 second, when measured by spirometry, is less than 1 liter, or from which the person's arterial oxygen tension is less than 60 mm/hg of room air at rest.
e) A cardiovascular condition that causes the person to measure between 3 and 4 on the New York heart classification scale, or that renders the person incapable of meeting a minimum standard for cardiovascular health that is established by the American Heart Association and approved by the department of public health.
f) An arthritic, neurological, or orthopedic condition that severely limits the person's ability to walk.
g) The persistent reliance upon an oxygen source other than ordinary air.
Part 2: free parking (if applicable)
Common mistake: Free parking (if applicable): Optometrists cannot certify for free parking.
The free parking portion is completed only when the applicant qualifies for free parking. To qualify, your patient must be a Michigan licensed driver, have a qualifying ambulatory disability, and also have one of the following conditions. Circle all letters that apply.
a) The patient cannot manage, manipulate, or insert coins, or obtain tickets or tokens in parking meters or ticket machines in parking lots or parking structures, due to the lack of fine motor control of both hands.
b) The patient cannot reach above his or her head to a height of forty-two (42) inches from the ground, due to a lack of finger, hand, or upper extremity strength or mobility.
c) The patient cannot approach a parking meter due to his or her use of a wheelchair or other device.
d) The patient cannot walk more than twenty (20) feet due to an orthopedic, neurological, cardiovascular or lung condition in which the degree of debilitation is so severe that it almost completely impedes the ability to walk (a condition requiring applicant to rest after walking 20 feet when not using a wheelchair or other ambulatory device).
Qualified medical professional's information
If your medical license was issued in a state other than Michigan, a copy of the medical license must be submitted.
Write the Medical professional's name (printed), Medical specialty, Medical license number, Street address, Office telephone, City, state, ZIP code and Office fax.
The medical professional's certification and signature
I certify that the applicant is eligible for a disability parking placard and for free parking, if applicable, as provided in state law [MCL 257.675]. I also understand that making a false statement to obtain a disability parking placard or free parking is a misdemeanor and may result in fines, imprisonment, or both.
The medical professional is to sign on the Medical professional's signature line and write the Date.
More rules for Form BFS-108
Keep a copy of your application for your records.
Penalties
What the Michigan Vehicle Code prohibits
Michigan Vehicle Code Section 257.675 prohibits: using a disability parking placard to park in a space designated for persons with disabilities unless the person with the disability is driving or being transported; altering, modifying, or selling a disability parking placard or free parking sticker; copying or forging or using a copied or forged disability parking placard or free parking sticker; making a false statement to obtain a disability parking placard or free parking sticker or committing a deception or fraud on a medical statement attesting to a disability; knowingly using or displaying a disability parking placard that has been cancelled by the Secretary of State.
A violation is a misdemeanor and punishable by a fine up to $500, or imprisonment for up to 30 days, or both.
Law enforcement may confiscate a disability parking placard for improper use.
Common questions about Form BFS-108
Where do I file it?
Submit completed applications at a Secretary of State office or mailed to Michigan Department of State, Internal Services Section, PO Box 30764, Lansing, MI 48918.
Where to get help with Form BFS-108
If you have any questions call (888) SOS-MICH or (888) 767-6424.
Sources
[1] Form BFS-108 (Rev. 02/26), Disability Parking Placard Application, Michigan Department of State (the Official source link on this page).