Form Rg 007A – Fill Out and Use This PDF

DISABLED PLACARD - $1.00 Limit 1 per applicant. Applicant must have a SCDL, BP or ID photo on file with SCDMV.

DECAL (For display on Purple Heart plates only)

Mail completed application along with a check or money order payable to the South Carolina Department of Motor Vehicles (NO CASH ACCEPTED) to

SC Department of Motor Vehicles, PO Box 1498, Blythewood, SC 29016-0019

Warning: A person who duplicates, forges, or sells a disabled placard or a person who falsifies information on an application form for a disabled placard or plate is guilty of a misdemeanor and, upon conviction, must be imprisoned for 30 days and fined not less than $500 and not more than $1,000.

** indicates optional information

Email Address:**

I certify that this information is true and correct.

INSURANCE CERTIFICATION

Under penalties of perjury, I declare this vehicle is insured with ____________________________________ and I will maintain liability insurance throughout the registration period.

Section 4 – Physician’s Statement

This portion of the application must be completed by a licensed physician and must indicate the disability and length of disability.

Effective January 1, 2010 applicants must be certified disabled by a licensed physician and must attach a legible prescription order with an original signature from the same physician.

an inability to ordinarily walk one hundred feet nonstop without aggravating an existing medical condition, including the increase of pain;

an inability to ordinarily walk without the use of, or assistance from a brace, cane, crutch, another person, prosthetic device, wheelchair, or other assistive device;

a restriction by lung disease to the 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 mm/hg on room air at rest;

requires use of portable oxygen;

a cardiac condition to the extent that the person's functional limitations are classified in severity as Class III or Class IV according to standards established by the American Heart Association. If the person's status improves to a higher level, for example as a result of bypass surgery or transplantation, he no longer meets this criteria;

a substantial limitation in the ability to walk due to an arthritic, neurological, or orthopedic condition, for example, coordination problems and muscle spasticity due to conditions that include Parkinson's disease, cerebral palsy, or multiple sclerosis; or

blindness.

Instructions for Completing Disabled Placard and License Plate

Applications (RG-007A and RG- 007B)

DISABLED LICENSE PLATES

Individual

Plates are available to persons, or immediate family member of persons, who have been certified as permanently disabled by a licensed physician for vehicles registered to the disabled person or an immediate family member with the same address. A registration certificate, which lists the name of the disabled person, will be issued with each plate and must be maintained in the applicable vehicle. Disabled plate fee is $20.00.

Business/Organization

Businesses or organizations that, as a part of their business, routinely transport disabled persons may be issued disabled plates for vehicles of special design, equipped to transport certified disabled persons, and registered in the name of the business organization. To obtain plates for an institution, a representative for the institution should complete form RG-007B Organization Disabled Placard and License Plate Application. A physician’s certification is NOT required.

DISABLED PLACARDS

Individual

Placards are available to persons who have been certified as disabled by a licensed physician. To apply, you must have a current driver’s license, beginner permit or identification card photo on file with SCDMV. If a photo is not on file, you must apply for one before a placard can be issued. A registration certificate will be issued with each placard and must remain with the disabled person when the placard is used. The placard fee is $1.00 and only one placard may be issued per applicant.

Business/Organization

Permanent placards may be issued to organizations that transport disabled persons. Only one placard may be issued for each vehicle registered in the name of the organization. The organization must submit a completed RG-007B Organization Disabled Placard and License Plate Application. The fee is $1.00 per placard and is limited to the number of registered vehicles.

RG-007A Disabled Placard and License Plate Application (Individual)

Complete a separate application form for each disabled person.

Section 1 - Check type of transaction

All applicants must complete this section.

Section 2 – Disabled Person’s Information (Required for a Disabled Plate or Placard)

Provide the disabled person’s full legal name, street and mailing address, including city, state and zip code and phone number. List the SC driver’s license, beginner permit or identification card number of the disabled person. Signature of disabled person or legal guardian required.

Section 3 – Vehicle Information (Required for Plate Only)

Complete this section only if you are applying for a disabled license plate. Disabled license plates may be issued to vehicles used to transport a certified disabled person if the vehicle is owned and titled in the name of the disabled person or his/her immediate family member, who resides in the same household. The fee is $20.00 every two years.

Indicate if you wish to donate to Donate Life SC. If you would like to make a donation, indicate the amount in the space provided. For more information on Donate Life SC, visit www.donatelifesc.org.

The vehicle owner must sign to certify that the vehicle is insured and will maintain insurance throughout the registration period. The name of the liability insurance company should be listed, not the agent.

Section 4 – Physician’s Statement

A licensed physician must complete this portion of the application. The physician must certify the applicant as disabled by checking the qualifying conditions. The physician must also indicate if the disability is permanent or temporary (impairment must be for at least 4 months not to exceed 1 year) and state the length of the disability in the space provided. A legible prescription order with an original signature from the same physician must be attached to the application.

RG-007B Business/Organization Disabled Placard and License Plate Application

Section 1 - Check type of transaction

Business/Organization must complete this section.

Disabled Placard – Applying for a permanent placard

Section 2 – Business/Organization’s Information (Required for a Disabled Plate or Placard)

Provide the business/organization’s name, street and mailing address, including city, state and zip code and phone number. The vehicle owner must sign to certify that the vehicle is insured and will maintain insurance throughout the registration period. The name of the liability insurance company should be listed, not the agent.

Section 3 – Vehicle Information (Required for Plate Only)

List all registered vehicles to which plates will be obtained. Disabled license plates will be issued to vehicles used to transport a certified disabled person if the vehicle is owned and titled in the name of the business/organization. The fee is $20.00 every two (2) years. Indicate if you wish to donate to Donate Life SC. If you would like to make a donation, indicate the amount in the space provided. For more information on Donate Life SC, visit www.donatelifesc.org.

Mail the completed application to the following address along with a check or money order (no cash accepted) payable to the SCDMV:

SC Department of Motor Vehicles

P. O. Box 1498

Blythewood, SC 29016-0019