Form Ps 18 – Fill Out and Use This PDF

The PS 18 form serves as a critical application for individuals seeking disability plates or placards for their vehicles, enabling them to park in designated disability parking spaces. This form requires detailed information including personal identification, medical provider’s statement, and, for veterans, a linkage to additional benefits. Whether seeking a permanent solution or a temporary concession due to a condition or recovery from childbirth, completing the PS 18 form is the first step towards gaining necessary parking privileges.

To simplify the process of obtaining your disability plates or placard, click the button below to start filling out your PS 18 form today.

Get Form Now Download PDF

Form Ps 18 PDF Details

The PS 18 form serves as a crucial instrument for individuals seeking to obtain disability plates or placards, facilitating their access to designated parking spaces. This application must be filed with the Bureau of Motor Vehicles (BMV) and can be processed at any BMV branch or submitted via mail or fax, offering convenience to applicants. It distinguishes between requests for disability placards and plates, with an option for permanent re-issue, highlighting the form’s utility for both temporary and enduring needs. Essential details such as the applicant's name, contact information, and vehicle registration must be provided, alongside a medical provider’s statement verifying the disability. This statement categorizes the disability as either permanent or temporary, with specific criteria for qualification, including mobility restrictions and certain health conditions. Veterans are directed to explore additional benefits through the Bureau of Veterans’ Services, indicating a holistic approach to support. The form underscores the importance of a clear understanding by the applicant that the parking privileges are contingent upon the presence of the disability plate or placard and the individual it is issued to. Finally, it emphasizes the need for recertification upon the expiry of the applicant’s driver's license or state ID card for continued access to the benefits, ensuring that the assistance provided adapts to the applicant's current situation.

Question	Answer
Form Name	Form Ps 18
Form Length	1 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	15 sec
Other names	DX form maine application for disability placard reissue 2011 form

Form Preview Example

APPLICATION FOR DISABILITY PLATES/PLACARD

BMV ENTERED

 Disability Placard or  Disability Plate(s)	 Permanent Re-Issue	BMV Use Only
For Plates, please attach a copy of your current registration		BMV Use Only

		Placard#_________________
Applicant		Placard#_________________
Applicant
Name:		_______________________
Mailing		_______________________
Address:		Plate #___________________
		Plate #___________________
		Issue Date: ________________
DOB:	Driver’s License or ID # and Expiration Date:	Exp. Date: ________________
		Exp. Date: ________________
		Returned#: ________________
Phone:		Returned#: ________________
	State of Issue:	Replaced#: ________________
Contact Name:		Issued by: ________________

Applicant’s Signature:	Date:
Applicant’s Signature:	Date:	Completed forms may be
		Completed forms may be
		processed at any BMV branch
		office or mailed/faxed to:
Veterans, please visit the Bureau of Veterans’ Services website at		office or mailed/faxed to:

http://www.maine.gov/dvem/bvs for information on state and federal benefits your military		Bureau of Motor Vehicles
service may have earned you.		Bureau of Motor Vehicles
service may have earned you.		Disability Clerk
		Disability Clerk
APPLICANT’S STATEMENT OF UNDERSTANDING		29 State House Station
APPLICANT’S STATEMENT OF UNDERSTANDING		Augusta, ME 04333-0029
		Augusta, ME 04333-0029
I may park in a disability parking space when the vehicle is occupied by the disabled
person and the vehicle is properly displaying disability plates or a placard. I understand		TTY Users call Maine Relay 711
permanent disability applications are valid until my current driver’s license or state ID card		FAX:	(207) 624-9204
expires; if I want to continue my permanent disability parking credentials beyond that		Phone:	(207) 624-9000
expiration, I must complete the top portion of an application, mark it as Permanent Re-			Ext. 52149
Issue and visit a BMV branch office or mail/fax it to the BMV main office.
	MEDICAL PROVIDER’S STATEMENT

Condition is:
 Permanent	 Temporary for a period of _______ months (6 months maximum)

Please check one of the following conditions:

 Cannot walk two hundred feet without stopping to rest.

 Cannot walk without the use of, or assistance from another person or the use of a brace, cane, crutch, prosthetic device, wheelchair, or other assistive device.

 Is restricted by lung disease to such an extent that the person’s forced expiratory volume for one second, when measured by spirometry, is less than one liter, or the arterial oxygen tension is less than sixty m/hg on room air at rest.

 Uses portable oxygen.

 Has a cardiac condition to the extent that the person’s functional limitations are classified in severity as Class III or Class IV according to the standards set by the American Heart Association.

 Is severely limited in their ability to walk due to an arthritic, neurological, or orthopedic condition. Is recovering from childbirth: TEMPORARY PLACARD ONLY - check appropriate box below

 Cesarean delivery – valid for 1 week following receipt of application;

 For the birth of a preterm infant, valid for ____________ (specify length of time, not to exceed 6 months)

Medical Provider:  Physician  Physician’s Assistant	 Nurse Practitioner	 Registered Nurse

Printed Name:	Date:	Medical Lic #:

Signature:	Phone:	Fax #:

Address:	21-Day Temp # Issued:

PS-18 (Rev 08-14)

How to Edit Form Ps 18 Online for Free

You'll be able to fill in Form Ps 18 effortlessly with our online PDF tool. We are devoted to giving you the ideal experience with our tool by regularly presenting new features and upgrades. Our editor is now much more intuitive thanks to the most recent updates! At this point, working with documents is simpler and faster than ever. Starting is simple! What you need to do is follow the next easy steps below:

Step 1: Press the "Get Form" button above. It is going to open up our tool so you could start filling in your form.

Step 2: This tool enables you to modify your PDF form in various ways. Improve it by including customized text, adjust what's already in the file, and place in a signature - all within the reach of a couple of clicks!

It's simple to finish the form using out detailed guide! Here's what you should do:

1. The Form Ps 18 requires particular information to be typed in. Be sure that the subsequent blank fields are completed:

2. The subsequent step is usually to fill in the following fields: MEDICAL PROVIDERS STATEMENT, Condition is Permanent Temporary, Date, Medical Provider Physician, Day Temp Issued, Medical Lic, Phone, and Fax.

Be very mindful while filling out Phone and MEDICAL PROVIDERS STATEMENT, because this is the part in which a lot of people make a few mistakes.

Step 3: Go through what you have inserted in the form fields and press the "Done" button. Get hold of the Form Ps 18 as soon as you subscribe to a free trial. Quickly gain access to the pdf document inside your personal account, with any edits and adjustments being conveniently preserved! We do not sell or share the details that you enter when completing documents at our site.

Form Ps 18 – Fill Out and Use This PDF

Form Ps 18 PDF Details

Form Preview Example

How to Edit Form Ps 18 Online for Free

Form Ps 18 isn’t the one you’re looking for?

Related Documents