Form Mv2548 PDF Details

For individuals living with permanent disabilities, navigating daily life requires overcoming numerous challenges, one of which is mobility. Recognizing this, the Wisconsin Department of Transportation has streamlined the process for obtaining a Disabled Parking Identification Card through the MV2548 form. This form serves as an essential tool for those who qualify, offering a concrete step towards increased independence and ease in transportation. Initially, applicants must confirm their eligibility by carefully reviewing the conditions listed, which range from an inability to walk 200 feet without resting to needing portable oxygen, among others. The application process involves a collaboration between the applicant and a licensed health care specialist, who verifies the permanent disability. A unique aspect of this process is the allowance for a second card under specific circumstances, enhancing convenience for the cardholder. Importantly, there is no fee for the issuance, renewal, or replacement of the card, although a minor counter service fee applies for in-person services at a DMV Service Center. The privileges afforded by this card, such as parking in spaces reserved for individuals with disabilities and exemptions from certain parking fees and time restrictions, underscore the card's value. The MV2548 form, therefore, not only facilitates a critical service for individuals with permanent disabilities but also embodies a broader commitment to inclusivity and support within the community.

QuestionAnswer
Form NameForm Mv2548
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdisabilityid permanent disability id card need form number mv2548

Form Preview Example

HOW TO APPLY for Permanent Disability ID Card

1.Read the Eligibility Section and complete the Applicant Section if you qualify.

2.Have your health care specialist complete the Eligibility Section.

3.Check number of cards requested. A second card is allowed if you do NOT have disabled license plates or disabled veteran license plates.

4.NO FEE is required for issuance, renewal, or replacement. However, applications made at a local DMV Service Center which provides ID card service are subject to a $3.00 counter service fee.

5.Mail application to: Wisconsin Department of Transportation

Special Plates Unit - ID

PO Box 7306

Madison, WI 53707-7306

This Area for Office Use

APPLICANT SECTION - Check appropriate boxes.

Original

Renewal of permanent card number(s): ______________

Replacement of card number(s): ______________

Lost/Destroyed

Number of Cards Needed:

Stolen 1

Mutilated / Illegible

2

Please print clearly.

Legal Name of Person with Disability - First, Middle Initial, Last

Address

City, State, ZIP Code

Social Security Number (For Identification Purposes)

Month, Day, Year You Were Born

Female

 

 

Male

Driver License/Nondriver ID Number - If none, write NONE

Telephone Number Where You May be Reached 7 a.m.-4 p.m.

 

 

 

 

I have read the information on this form and understand the qualifications under which my Disabled Parking ID Card may be issued.

 

 

(Signature of Disabled Person) or

(Date)

 

 

(Person Signing on Behalf of Disabled Person)

 

If signing on behalf of the person with a disability, give the following:

 

 

 

 

 

 

(Name of Person Signing for Applicant - Please Print)

(Relationship to Applicant)

 

ELIGIBILITY SECTION

This must be completed and signed by any of the following health care specialists licensed to practice in any state: a physician, an advanced practice nurse, a chiropractor, a physician assistant who is licensed or certified; or a Christian Science Practitioner residing in Wisconsin; or by an authorized VA representative. This statement is for issuance of a disabled parking ID card and is not to be

considered as a claim for VA benefits.

Does the applicant's medical condition or disability prevent them from exercising reasonable and ordinary control over a motor vehicle? If the answer is YES, the applicant will be required to complete knowledge, highway signs and road tests. Either answer will not prevent the issuance of the DIS ID card.

Yes

No

Name of Person Certifying Eligibility

Medical License Number

 

 

Address

Area Code - Office Telephone Number

 

 

City, State, ZIP Code

 

 

 

Eligibility Certification Statement

I certify that the applicant is permanently disabled

 

according to the conditions specified on this form.

MV2548 2/2004(Authorized Signature of Health Care Specialist)(Date)

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Parking Identification Card Application for Individuals with a

PERMANENT DISABILITY

Wisconsin Department of Transportation

MV2548

Are you eligible?

Any person certified by an authorized health care specialist as having a PERMANENT disability is eligible for the Disabled Parking Identification Card. By legal definition, this includes any person who:

Cannot walk 200 feet or more without stopping to rest;

Cannot walk without the use of, or assistance from, another person or brace, cane, crutch, prosthetic device, wheelchair or other assistance device;

Is restricted by lung disease to the extent that forced expiratory volume for 1 second when measured by spirometry is less than one liter or the arterial oxygen tension is less than 60 mm/hg on room air at rest;

Uses portable oxygen;

Has a cardiac condition to the extent that functional limitations are classified in severity as class III or IV, according to standards accepted by the American Heart Association;

Is severely limited in the ability to walk due to an arthritic, neurological or orthopedic condition;

Has an equal degree of disability to those described above.

ID CARD USE

A motor vehicle (except motorcycles and mopeds) displaying the Disabled Parking Identification (ID) Card issued by Wisconsin or any other state, is subject to all Wisconsin motor vehicle laws and is granted the following privileges when the person with the disability is entering/exiting the vehicle:

Parking in places reserved for people with a disability;

Exemption from time limitations in parking places with a half hour or more limit;

Exemption from payment in metered parking places with half hour or more limit. This does not include payment collected by parking attendants.

Upon request, a driver who is disabled may obtain fuel from a full-service pump at the same price as fuel from a self-service pump. This applies at locations where fuel is sold at retail from both full and self-service pumps. The retailer is not required to provide any other service that is not provided to customers who use a self-service pump.

INFORMATION

Individuals with a permanent disability are issued a blue disabled parking ID card that must be renewed every 4 years. NO FEE is required for issuance, renewal, or replacement, however, applications made at a local DMV Service Center which provides ID card service are subject to a $3 counter service fee.

If you are a licensed driver, the Department will review your disability relating to your ability to exercise ordinary and reasonable control over a motor vehicle. If the certifying health care specialist recommends a re-examination, you will be required to complete a knowledge, highway signs and road test to determine appropriate license restrictions.

The Department may cancel a disabled parking ID card which was issued as a result of fraud or error. Parking ID cards are valid in all 50 states and Puerto Rico.

UNAUTHORIZED ID CARD USE

Any person who lends the Disabled Parking ID Card to someone who is not authorized by law to use it, may be fined up to $200.00. In addition, the Department may cancel the Disabled Parking ID Card of any person who improperly uses it.

RELEASE OF NONEXEMPT INFORMATION

The Wisconsin Department of Transportation uses the information on this form to issue disabled parking identification cards. Under open records laws, the Department must make nonexempt information available upon request. If you want your name withheld from mailing lists of 10 or more individuals, check yes; otherwise, check no.

Yes. (Will remove your name from marketing lists.)

No.

AMERICANS WITH DISABILITIES ACT

The Wisconsin Department of Transportation complies with the Americans with Disabilities Act.

QUESTIONS

For questions about disabled parking ID cards:

Call: 608-266-3041

TTY: 608-264-8703

E-mail: special-plates.dmv@dot.state.wi.us

Write to the address given on page one.

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