Form MVD-10383 at a glance
What it is: Form MVD-10383 is the Application for Certificate of Eligibility for Parking Placard of the New Mexico Taxation & Revenue Department, Motor Vehicle Division, for Mobility Impaired Individuals.
Who signs: Original: Health Care Practitioner Signature and Date: the Health Care Practitioner certifies that the information provided is true and correct to the best of his or her knowledge. Renewal or Replacement: Signature of Applicant and Date.
Section 66-3-16 NMSA 1978 provides for issuance of no more than two parking placards to a resident of New Mexico who has a significant mobility limitation, which means that the person: (1) cannot walk one hundred feet without stopping to rest; (2) cannot walk without the use of a brace, a cane, a crutch, assistance from another person, a prosthetic device, a wheelchair or another assistive device; (3) is restricted by lung disease to such an extent that the person's forced respiratory volume, when exhaling for one second, when measured by spirometry, is less than one liter or the arterial oxygen tension is less than sixty millimeters on room air at rest; (4) uses portable oxygen; (5) has a severe cardiac condition; or (6) is so severely limited in his ability to walk due to an arthritic, neurologic or orthopedic condition that the person cannot ascend or descend more than ten stair steps.
A filled-in Form MVD-10383 example: an original application with a permanent condition
How to fill out Form MVD-10383, box by box
A. Applicant Information
Under A. Applicant Information, enter the Name, Address, City, State, ZIP Code, Date of Birth, Social Security Number and Phone Number.
B. Type of Application
Original: Complete items A, C, and D in full.
Renewal: Complete items A and E in full.
Replacement: Complete items A and E in full.
All original applications must include certification (Parts C and D) by a licensed Health Care Practitioner.
A renewal or replacement application may be self-certified (Part E), provided that the applicant can provide his or her current placard number and expiration date.
The applicant for renewal or replacement of an existing placard must provide the old placard (or the placard number and expiration date). Otherwise a new, fully completed form MVD-10383 Application for Certificate of Eligibility must be submitted (Parts A, C and D in full).
C. Health Care Practitioner Information
Under C. Health Care Practitioner Information, enter the Licensed Health Care Practitioner Name, License Number, Business Address, City, State, Zip Code, Email Address and Phone Number.
D. Health Care Practitioner Medical Statement and Certification
In D. Health Care Practitioner Medical Statement and Certification, the applicant is eligible per Section 66-3-16 NMSA 1978 because he or she (check all that apply).
Check the box if he or she cannot walk 100 feet without stopping to rest.
Check this box when he or she cannot walk without the use of a brace, cane or crutch, or without assistance from another person, a prosthetic device, a wheelchair, or other assistive device.
Check the box if he or she is restricted by lung disease to such an extent that the person's forced respiratory volume, when exhaling for one second, when measured by spirometry, is less than one liter or the arterial oxygen tension is less than sixty millimeters on room air at rest.
If he or she uses portable oxygen, check the box.
When he or she has a severe cardiac condition, check the box.
Check the box if he or she is so severely limited in the ability to walk due to an arthritic, neurologic or orthopedic condition that the person cannot ascend or descend more than 10 stair steps.
This condition is permanent or temporary
Check the box if this condition is permanent, or the box if this condition is temporary.
A temporary placard should be issued for the number of months entered (12 months maximum).
E. Applicant Certification for Renewal or Replacement of Parking Placard
Under E. Applicant Certification for Renewal or Replacement of Parking Placard, the applicant certifies that he or she is the person named as Applicant in Part A of this Certificate of Eligibility.
Parking placard number and expiring on: it was issued to him or her. There has been no change in the mobility limitation condition(s) originally certified by his or her Health Care Practitioner.
If requesting a replacement placard, explain why a replacement is needed.
More rules for Form MVD-10383
Failure to complete any item as required will result in rejection of the Application for Certificate of Eligibility, and no placard will be issued.
No person shall falsely claim to have a significant mobility limitation so as to be issued a parking placard when the person does not in fact have a significant mobility limitation. Upon notice and opportunity to be heard, the division may revoke and demand return of any placard when: (1) it was issued in error or with false information; (2) the person receiving the placard is no longer eligible; or (3) the placard is being used by ineligible persons.
Placards will expire after the time period specified by the issuing Health Care Practitioner. Permanent placards are valid for four (4) years and may be renewed in person or online at www.mvdonline.com. However, if the significant mobility limitation is temporary, a temporary placard may be issued for no more than one year.
The individual to whom a parking placard is issued is the ONLY person entitled to use it.
The placard is to be displayed ONLY when the vehicle is parked, NOT when it is in operation.
When the vehicle is parked, the placard must be hung from the rearview mirror with the identification number and expiration date visible from the front of the vehicle.
No reminder notice will be mailed to the placard holder prior to the expiration date of a placard.
If you require an accommodation under the Americans with Disabilities Act (ADA) in order to complete this form and the application process, please contact the ADA Coordinator at P.O. Box 630, Santa Fe, NM 87504-0630.
Temporary placards, licenses and returning a placard
You have a temporary placard
Temporary placards issued, based on the Health Care Practitioner statement, for a temporary condition, may not be renewed.
You do not have a New Mexico driver license or identification card
A placard issued for a permanent medical condition will expire on the same date as the individual's New Mexico driver license or identification card. If the applicant for a new or replacement placard does not have a current New Mexico driver license or identification card, an identification card or driver license should be applied for and issued at the same time as the parking placard.
Your medical condition changes or the holder is deceased
If the placard holder's medical condition changes and there is no longer a significant mobility limitation as defined in Section 66-3-16 NMSA 1978, the placard must be returned for cancellation to the Motor Vehicle Division, Placard Program, P.O. Box 1028, Santa Fe, NM 87504-1028.
The placard of a deceased holder should be returned to the MVD at the same address.
Common questions about Form MVD-10383
Where do I file it?
The completed and signed original form MVD-10383 Application for Certificate of Eligibility may be taken to any New Mexico Motor Vehicle Division (MVD) field office for processing. Photocopies will not be accepted.
Sources
[1] Form MVD-10383 (REV. 03/2026), Application for Certificate of Eligibility for Parking Placard, New Mexico Taxation & Revenue Department, Motor Vehicle Division (the Official source link on this page).