How to Fill Out Form PS-18

Form PS-18 at a glance

What it is: Form PS-18 is the Application for Disability Plates/Placard, for a Disability Placard, Disability Plate(s) or Permanent Re-Issue.

Who signs: Sign at Applicant's Signature and enter the Date. The Medical Provider (Physician, Physician's Assistant, Nurse Practitioner or Registered Nurse) enters the Date, Medical Lic #, Phone, Fax # and Address, and signs at Signature.

A filled-in Form PS-18 example: a first application for permanent plates

Form PS-18 example filled out, example: a first application for permanent plates
Jane Sample applies for permanent disability plates on Form PS-18. A physician certifies she cannot walk two hundred feet without stopping to rest. The picture shows the whole form and all its values are invented. The Disability Placard or Disability Plate(s) or Permanent Re-Issue group has only plates ticked, so Disability Placard and Permanent Re-Issue stay empty. Condition is Permanent, so Temporary stays empty. Is recovering from childbirth is left blank because she is not recovering from childbirth. BMV Use Only is filled by the Bureau, so nothing goes in it.

How to fill out Form PS-18, box by box

Disability Placard or Disability Plate(s) or Permanent Re-Issue

Form PS-18 example filled out, disability Placard or Disability Plate(s) or Permanent Re-Issue

For Plates, please attach a copy of your current registration.

Applicant

Form PS-18 example filled out, applicant

Enter the Applicant Name, Mailing Address, DOB, Driver's License or ID # and Expiration Date, State of Issue, Phone and Contact Name.

Applicant's Signature

Form PS-18 example filled out, applicant's Signature

Sign at Applicant's Signature and enter the Date.

You 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. Permanent disability applications are valid until your current driver's license or state ID card expires; if you want to continue your permanent disability parking credentials beyond that expiration, complete the top portion of an application, mark it as Permanent Re-Issue and visit a BMV branch office or mail/fax it to the BMV main office.

Condition is Permanent or Temporary

Form PS-18 example filled out, condition is Permanent or Temporary

In the Medical Provider's Statement, mark Permanent, or mark Temporary and enter the number of months (6 months maximum).

Please check one of the following conditions

Form PS-18 example filled out, 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

Form PS-18 example filled out, is recovering from childbirth

Is recovering from childbirth: TEMPORARY PLACARD ONLY. Cesarean delivery is valid for 1 week following receipt of application; for the birth of a preterm infant it is valid for the length of time specified, not to exceed 6 months.

Medical Provider

Form PS-18 example filled out, medical Provider

Medical Provider: Physician, Physician's Assistant, Nurse Practitioner or Registered Nurse; enter the Printed Name.

Common questions about Form PS-18

Where do I file it?

Completed forms may be processed at any BMV branch office or mailed/faxed to: Bureau of Motor Vehicles Disability Clerk, 29 State House Station, Augusta, ME 04333-0029.

Where to get help with Form PS-18

TTY Users call Maine Relay 711. FAX: (207) 624-9204. Phone: (207) 624-9000 Ext. 52149.

Sources

[1] Form PS-18 (Rev 08-14), Application for Disability Plates/Placard, Maine Bureau of Motor Vehicles (the Official source link on this page).

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.

QuestionAnswer
Form NameForm Ps 18
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDX form maine application for disability placard reissue 2011 form