Form 32584 at a glance
What it is: State Form 32584 (R13 / 7-20) is the Certification of Eligibility for Veteran License Plates of the Indiana Department of Veterans Affairs.
Who signs: Sign on the Signature of veteran line and enter the Date (mm/dd/yyyy).
What to bring and attach to Form 32584
Along with this form IDVA needs the supporting documentation for the license plate(s) you are requesting.
If you are requesting the DHV plate, IDVA needs your disability award letter from the U.S. Department of Veteran Affairs that shows the individual disability percentages for each rating you received.
If you are requesting a Purple Heart plate you must send proof of award of the Purple Heart Medal.
If you are requesting an Ex-POW plate you must send documentation of your status as a Prisoner of War.
A filled-in Form 32584 example: a veteran requests the DHV plate
How to fill out Form 32584, box by box
Veteran, address and telephone
Enter the Full Name of Veteran, the Address (number and street), the City, the State and the ZIP Code. The agency is requesting disclosure of your Social Security Number in accordance with IC 4-1-8-1; disclosure is mandatory and this record cannot be processed without it.
Enter the Social Security Number (SSN), the VA Claim Number if different than SSN, and the Veteran's telephone number.
License plates requested
Mark each license plate you are requesting: Disabled Hoosier Veteran (DHV), Purple Heart or Ex-POW.
Signature and date
Sign on the Signature of veteran line and enter the Date (mm/dd/yyyy).
More rules for Form 32584
Indiana Department of Veterans Affairs, 777 North Meridian Street, Suite 300, Indianapolis, Indiana 46204-1421, Telephone: (317) 232-3910.
You may also request a Purple Heart handicapped plate at your license branch if you are eligible for a handicapped placard in Indiana.
The eligible veteran may park at any legal metered space in Indiana and not be charged a fee when displaying any of the plates listed on this form.
Additionally the eligible veteran may not be charged a fee when parking in a legally metered space for longer than the time permitted.
Parking is not authorized when a metered space is designated as a no parking zone.
This privilege is only for the eligible veteran and other states may not recognize this privilege.
You must display the universal handicap emblem in order to legally park in a handicap parking space.
If your situation is different
You are requesting the DHV plate
To be eligible for the DHV plate the veteran must have been rated with one of the following service connected disabilities.
Lost sight in both eyes or suffered permanent impairment of vision in both eyes to the extent of being eligible for service connected compensation for the loss.
Suffered loss of one or both feet or the permanent loss of use of one or both feet.
Suffered loss of one or both hands or the permanent use of one or both hands.
A U.S. Department of Veterans Affairs disability rating for a physical condition that precludes the person from walking without pain or difficulty (this may require a letter from the veteran's VA doctor if IDVA cannot clearly determine the severity of condition).
Been rated by the United States Department of Veterans Affairs as being at least fifty percent (50%) disabled. At least sixty percent (60%) of that rating must be attributed to one or more mobility disabilities.
Common questions about Form 32584
Where do I file it?
Once you have completed filling out the requested information, you may mail or hand deliver this form and supporting documents to IDVA for eligibility determinations.
Sources
[1] State Form 32584 (R13 / 7-20), Certification of Eligibility for Veteran License Plates, Indiana Department of Veterans Affairs (the Official source link on this page).