Please rate Form Dsmv 16
Upon approval of this application you will be issued one of the following: One (1) placard, Two (2) placards, or Walking Disability plates (for first time) and one (1) placard.
Two placards: if you already have or are applying for Walking Disability plates you are not eligible for 2 placards.
Medical provider: Section II must be completed by your medical provider.
Temporary: a placard for a TEMPORARY disability cannot exceed 6 months.
Permanent: placards for a permanent disability are valid for up to 5 years and have the same expiration date as your driver license or non-driver identification card.
In person: you may bring your completed application to the nearest DMV locations.
| Question | Answer |
|---|---|
| Form Name | RDMV130 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 15 |
| Avg. time to fill out | 3 min |
| Edition | Rev 3/22 |
| Issuing agency | State of New Hampshire Department of Safety, Division of Motor Vehicles |
| Where to send | NH Division of Motor Vehicles Walking Disability Section, 23 Hazen Dr., Concord, NH 03305 |
| Other names | RDMV130, NH walking disability application, Application for Walking Disability Privileges |
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