Dmv Sp27 Form PDF Details

Obtaining the right support and recognition for disabilities that affect mobility is crucial for many people. The DMV SP27 form plays a significant role in this process for residents of Nevada. This document is essential for first-time applicants desiring disabled persons license plates or motorcycle license plates, illustrating the necessity for such individuals to present themselves in person to apply. Moreover, it is not just about applying; the applicant's name must be on the vehicle's certificate of registration coupled with a current Nevada evidence of insurance to be considered. Interesting to note is the option given to applicants, allowing them to either maintain their current vehicle registration expiration date or renew for a full twelve-month period, with unused portions of current registration being transferable. This flexibility reflects an understanding of the varied needs of disabled individuals. However, the form stipulates a clear condition: a permanent disability is required for the issuance of disabled persons license plates. The sections designated for physician certification emphasize the form's thoroughness in ensuring that only those genuinely in need receive these accommodations. They are required to certify the nature and severity of the applicant's disability, which could range from the inability to walk two hundred feet without stopping to rest, to severe cardiac conditions, lung diseases, or visual disabilities. Whether applicants are opting for license plates, placards, or disabled motorcycle stickers, the form caters to a wide range of mobility impairments, aiming to make transportation more accessible and equitable for everyone involved.

QuestionAnswer
Form NameDmv Sp27 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdmv forms for handicap placard, handicap placard application nevada, dmv handicap placard nevada, nv dmv handicap form

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555 Wright Way

Carson City, NV 89711

Reno/Sparks/Carson City (775) 684-4DMV (4368)

Las Vegas area (702) 486-4DMV (4368)

Rural Nevada or Out of State (877) 368-7828

Fax (775) 684-4797

www.dmvnv.com

DISABLED PERSONS LICENSE PLATES AND/OR PLACARDS APPLICATION

NRS 482.384

First time applications for Disabled Persons license plates or motorcycle license plates must be made in person. In order to apply for disabled persons license plates or disabled motorcycle stickers your name must appear on the vehicle certificate of registration and provide your current Nevada evidence of insurance. If your vehicle is currently registered, you have the option of maintaining your current vehicle registration expiration date, or renewing for a full twelve (12) month period. Credit for any unused portion of your current registration is transferable to your disabled license plate registration. In applicable counties, if you are renewing for a full 12-month period, and your previous emissions test was obtained more than 90 days ago, the vehicle must be re-tested prior to registration. You must have a permanent disability to qualify for disabled persons license plates (see description below). If the Physician’s portion is not completed in full, this application cannot be processed.

You may select either license plates and one (1) placard, or two (2) placards. If applying for license plates you must go to your local DMV and provide your current Nevada evidence of insurance.

Disabled License Plates (permanent disability only)

Disabled Placard(s) (no fee for placards)

One

Two

 

 

Disabled Motorcycle Plates (permanent disability only)

Disabled Motorcycle Sticker (moderate or temporary)

One

____

 

Please Print or Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Legal Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Disabled Person)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First

Middle

 

Last

 

 

 

 

 

 

Nevada Driver’s License or Identification Card Number

 

 

Date of Birth

/

/

 

Physical Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

 

 

 

 

State

Zip Code

 

Mailing Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address

City

 

 

 

 

State

Zip Code

 

County of Residence

 

 

Telephone No

 

E-Mail Address

 

 

 

 

 

 

Signature of Applicant

 

 

 

 

 

 

 

 

 

Date

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A LICENSED PHYSICIAN MUST COMPLETE THIS PORTION*

As a Physician for the above-named patient, I hereby certify that the applicant:

1. ________

Cannot walk two hundred feet without stopping to rest.

2. ________

Cannot walk without the use of a brace, cane, crutch, wheelchair or prosthetic, or other assistive device, or another

 

person.

3. ________

Has a cardiac condition to the extent that functional limitations are classified as Class III or Class IV according to

 

standards adopted by the American Heart Association.

4. ________

Is restricted by a lung disease to such an extent that the person’s forced expiratory volume for 1 second, when

 

measured by a spirometer, is less than 1 liter, or the arterial oxygen tension is less than 60 millimeters of mercury on

 

room air while the person is at rest.

5. ________

Is severely limited in his/her ability to walk because of an arthritic, neurological, or orthopedic condition.

6. ________

Has a visual disability.

7. ________

Uses portable oxygen.

I further certify that my patient’s condition is a:

Temporary Disability (6 months or less) must indicate length of time not to exceed 6 months beginning _____________ and

ending _________________

Moderate Disability (reversible but disabled longer than 6 months)

Must indicate length of time not to exceed 2 years beginning _________________ and ending _________________

Permanent Disability (irreversible, permanently disabled in his/her ability to walk, certification is valid indefinitely).

Please print or type and complete in full:

Physician’s Name __________________________________________________________ Physician’s License No. ______________

FirstMiddleLast

Mailing Address ____________________________________________________________ Telephone No. _____________________

AddressCity State Zip Code

Physician’s Signature ________________________________________________________ Date _____________________________

SP27 (Rev 7/2011)

* Physicians Assistant Certified (PA-C) or Advanced Practice Nurse (APN) are not authorized to complete this document.

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1. The dmv handicap form nevada involves particular details to be inserted. Ensure that the following blanks are finalized:

Part no. 1 of completing nevada handicap placard form

2. The subsequent step is to fill out the following blanks: Please Print or Type Full Legal, Disabled Applicant, First, Middle, Last, A LICENSED PHYSICIAN ADVANCED, COMPLETE THIS PORTION, Please print or type and complete, Please check one, Licensed Physician, Advanced Practice Registered Nurse, Physician Assistant, Physicians APRNs or Physician, First Middle Last, and Physician APRN or Physician.

How you can fill in nevada handicap placard form step 2

3. Through this step, have a look at Mailing Address Telephone No, Address City State Zip Code, As a Physician APRN Physician, Cannot walk two hundred feet, adopted by the American Heart, Has a visual disability Uses, I further certify that my patients, and Temporary Disability months or. Each of these should be completed with utmost precision.

Guidelines on how to fill out nevada handicap placard form part 3

4. The following section requires your input in the following places: Temporary Disability months or, Physician APRN or Physician, Date, PlatePlacard Numbers, FOR OFFICE USE ONLY, DMV Tech Initials, Date Issued, and SP Rev. Make sure you give all requested details to move forward.

Stage no. 4 of submitting nevada handicap placard form

It is easy to get it wrong when completing your Physician APRN or Physician, for that reason make sure that you reread it prior to when you send it in.

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