HSMV 83007: Florida Wheelchair Symbol License Plate Application

Enter the Owner or Lessee's Name and Date of Birth.

Enter the Street Address, City, State and Zip.

Enter the Owner or Lessee's DL / ID Number and Owner or Lessee Email Address.

In SECTION 2: VEHICLE INFORMATION, enter the Vehicle Identification Number, Year, Make, Color and Body.

Enter the Current License Plate Number and Florida Title Number.

A wheelchair symbol license plate may be used on the following vehicle types: automobiles for private use or lease; trucks weighing 5,000 pounds or less or heavy trucks with a GVW less than 8,000 pounds; automobiles, which seat under nine passengers and are for hire; motor homes or truck campers.

You certify that you qualify for the wheelchair symbol license plate as defined in sections 320.0842, 320.0843 or 320.0848, Florida Statutes, and you have obtained the appropriate physician/certifying practitioner's certification.

Choose one: Disabled wheelchair license plate, Disabled Veteran (DV) wheelchair license plate, Disabled motorcycle license plate or Specialty License Plate (customer is responsible for all specialty license plate fees).

Sign on the Signature line and enter the Date, as the Disabled Person or Veteran.

The Physician/Certifying Practitioner's Statement of Certification is for a Disabled Person to Obtain a Regular or Motorcycle Wheelchair Symbol License Plate.

This is to certify that , is legally blind or is unable to walk 200 feet without stopping to rest due to the following specific disability(ies):

Legally blind (This is the only disability an Optometrist can certify).

Inability to walk without the use of or assistance from a brace, cane, crutch, prosthetic device, or other assistive device, or without assistance of another person. If the assistive device significantly restores the person's ability to walk to the extent that the person can walk without severe limitation, the person is not eligible for the exemption parking permit or the wheelchair symbol license plate.

The need to permanently use a wheelchair.

Restriction by lung disease to the extent that the person's forced (respiratory) expiratory volume for One (1) second, when measured by spirometry, is less than one liter or the persons arterial oxygen is less than 60 mm/hg on room air at rest.

Use of portable oxygen.

Restriction of cardiac condition to the extent that the person's functional limitations are classified in severity as Class III or Class IV according to standards set by the American Heart Association.

Severe limitation in a person's ability to walk due to an arthritic, neurological, or orthopedic condition.

The Physician/Certifying Practitioner's Statement of Certification section of this form MUST be completed by one of the following and must include the certifying authority's license number and the name of the state where their license was issued.

Physician licensed to practice under Chapters 458, 459 or 460, Florida Statutes, or similarly licensed by another state. NOTE: Documentation of the physician's licensure in the other state must be submitted. Osteopathic Physician. Podiatric Physician. Chiropractor. Optometrist (for sight only). Physician who practices medicine in a military medical facility, state hospital or federal prison. Indicate the facility and the address. Advanced Practice Registered Nurse licensed under Chapter 464, under the protocol of a license physician. Physician assistant licensed to practice under Chapter 458 or Chapter 459.

The Certifying Authority enters the Print/Type Name of Certifying Authority, Signature and Date Signed on the Statement of Certification.

Enter the Business Street Address and Telephone Number.

Enter the City, State and Zip Code.

Enter the Certification or License Number (Required).

Enter the state under LICENSED IN THE STATE OF:

Submit this form to your local tax collector office or license plate agency.

Any person who knowingly makes a false or misleading statement in an application or certification under section 320.0848, Florida Statutes, commits a misdemeanor of the first degree, punishable as provided in section 775.082 or 775.083, Florida Statutes. The penalty is up to one year in jail or a fine of $1,000 or both (checked October 31, 2026).