Form PS2005 at a glance
What it is: The Application for Disability Parking Certificate from the Minnesota Department of Public Safety Driver and Vehicle Services is to be completed by or for the person with a disability.
Who signs: Sign to certify the information is complete and accurate to the best of your knowledge, and to give permission to the Health Professional to supply the information requested. A licensed Physician, Physician Assistant, Advanced Practice Registered Nurse, Chiropractor, or Physical Therapist also certifies by signature in the Certification and signature section.
Any Minnesota resident who meets one or more of the definitions of a physically disabled person listed on the front of this application is eligible for the disability parking certificate.
A filled-in Form PS2005 example: a permanent certificate with portable oxygen
How to fill out Form PS2005, box by box
Full name, date of birth and street address
Enter the full name: last, first and middle (print or type), and the date of birth.
Enter the street address, city, state and ZIP.
Minnesota license or ID number
Mark Yes or No to: Is applicant a Minnesota licensed driver? Does applicant have a Minnesota identification card (ID)? Then enter the Minnesota license or ID number.
If no MN license or ID, explain.
Has applicant ever had a Minnesota disability parking certificate?
Mark Yes or No to: Minn. disability license plates? Has applicant ever had a Minnesota disability parking certificate? List certificate and plate numbers.
Check here if this application is for two parking certificates
Check here if this application is for two parking certificates. Two certificates are not an option if applicant has disability license plates. Check here if this application is for a second parking certificate. Limit 2 per applicant without disability license plates.
Certificate type and certificate expiration date
Under Certificate expiration date, Temporary is 1 to 6 months, Must specify, Fee: $5 ea. (checked November 12, 2026)
Under Certificate expiration date, Short term is 7 to 12 months, Must specify.
Under Certificate expiration date, Long term is 13 to 71 months, Must specify, with No fee.
Permanent physical disability: No fee, issued for 6 years.
Enter the certificate expiration date as Month / Year. If no date is indicated the certificate will be issued for the minimum duration of certificate type.
Check which definition(s) the applicant meets
The applicant must meet one or more of the definition(s) of a "physically disabled person" described in this section. Check which definition(s) the applicant meets.
Listing "symptoms" such as back pain, leg pain, etc. will require further explanation, causing delays in issuance. Incomplete or missing information will cause significant delays in issuance.
1. The applicant has a cardiac condition to the extent that the applicant's functional limitations are classified in severity as Class III or Class IV according to the standards set by the American Heart Association.
2. The applicant uses portable oxygen.
3. The applicant has an arterial oxygen tension (PAO2) of less than 60 mm/Hg on room air at rest.
4. The applicant is restricted by a respiratory disease to such an extent that the applicant's forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter.
5. The applicant has lost an arm or leg and does not have or cannot use an artificial limb.
6. The applicant is legally blind.
7. The applicant, due to disability, uses a wheelchair or cannot walk without the aid of another person, walker, cane, crutches, braces, prosthetic device or other assistive device; the specific diagnosis of the condition causing disability must be stated.
8. The applicant has a disability that would be aggravated by walking 200 feet under normal environmental conditions to an extent that would be life-threatening; the specific diagnosis of the condition causing disability must be stated.
9. The applicant, due to disability, cannot walk 200 feet without stopping to rest; the specific diagnosis of the condition causing disability must be stated.
10. The applicant cannot walk without a significant risk of falling; the specific diagnosis of the condition causing disability must be stated.
Qualified to exercise reasonable and ordinary control over a motor vehicle
Is the applicant qualified, in all medical respects, to exercise reasonable and ordinary control over a motor vehicle?
Mark one: Yes, no adaptive equipment needed; Yes, with adaptive equipment, and enter the equipment required; or No, please specify.
If 'no', the applicant's driving privileges will be canceled. Prior to reinstatement, the applicant must provide a physician's statement confirming their ability to exercise reasonable and ordinary control over a motor vehicle.
Date and Signature
Sign on the Signature line and enter the Date to certify the information is complete and accurate to the best of your knowledge, and to give permission to the Health Professional to supply the information requested.
Certification and signature
A licensed Physician, Physician Assistant, Advanced Practice Registered Nurse, Chiropractor, or Physical Therapist certifies by signature that in their professional opinion the applicant in (applicant's name) meets the definition of physically disabled person and is entitled to a disability parking certificate. The health professional also enters Signature and title, Date, Print name, Phone and Street address, city, state and ZIP code.
The licensed Physician, Physician Assistant, Advanced Practice Registered Nurse, Chiropractor, or Physical Therapist who certifies would be guilty of a misdemeanor and subject to a fine of $500 for fraudulently certifying the applicant (checked November 12, 2026).
More rules for Form PS2005
If applying for replacement, check reason: Stolen, Damaged, Lost or Other; Explain.
To obtain a replacement certificate you need to only complete Section A of this application (fee may be due).
The parking certificate is valid as specified by the health professional's statement: 1 to 6 months is a Temporary certificate, 7 to 12 months a Short-term certificate, 13 to 71 months a Long-term certificate. Persons with a permanent disability are issued a 6 Year Certificate.
The disability must be re-certified before a new or subsequent parking certificate will be issued. Renewal does not require a health professional's signature, but may be selected randomly to re-certify eligibility.
If a certificate is requested due to specific medical condition related to pregnancy that could be aggravated by walking to the extent that the life or health of the person or fetus may be endangered a Temporary certificate may be issued, not to exceed expected length of pregnancy.
Only one parking certificate is issued per disabled individual if you also display license plates. You may qualify for two (2) certificates if you do not have disability license plates. Parking certificates are valid until the last day of the month indicated on the certificate.
The parking certificate is to be displayed on the rear view mirror only when parked. If your disability makes it impractical to hang the parking certificate from the rear view mirror, it may be placed on the dashboard when parked.
When you report a lost parking certificate, you may be required to identify measures you have taken in order to prevent future losses. When you report a stolen parking certificate, you may be asked to provide a copy of the police report regarding the theft.
A person who is convicted of misusing the certificate is guilty of a misdemeanor and subject to a fine. Knowingly allowing the misuse of the certificate or disability license plates shall result in the cancelation of disability parking privileges.
Residents of other states that are visiting or temporarily residing in Minnesota may use the parking certificate provided by their home state or apply for a Temporary Certificate (6 months maximum).
Common questions about Form PS2005
Where do I file it?
This application may be submitted at any deputy registrar motor vehicle office in Minnesota or by mail to: Minnesota Department of Public Safety Driver and Vehicle Services Division Disability Services Unit 445 Minnesota Street, Suite 164 St. Paul, MN 55101.
Sources
[1] Form PS2005 (8/2026), Application for Disability Parking Certificate, Minnesota Department of Public Safety Driver and Vehicle Services (the Official source link on this page).