HSMV 83039: Application for Disabled Person Parking Permit

Check Application for Original Parking Permit or Application for Renewal Parking Permit.

Enter the Name of Disabled Person as printed on their Florida DL/ID Card.

Enter the Date of Birth. Sign on the Signature of Disabled Person or Guardian of the Disabled Person line and enter the Date Signed.

Enter the Sex, Disabled Person's Phone Number and Disabled Person's Email Address, then the Address, City, State and Zip.

If applicable, check one of the following: I am a frequent traveler or I am quadriplegic. An additional permit may be issued to a disabled person who qualifies as a frequent traveler or as a quadriplegic.

Enter the Florida DL/ID Number, required for permanent and temporary parking permits unless exception is noted by physician below in Section 2 of form HSMV 83039. A Florida driver license number or identification number is required unless the authorized physician certifies that the applicant's disability is too severe to visit or be transported to an office to obtain a driver license or identification card.

Enter the Current Disabled Parking Permit Number, if applicable.

Section 2, the Physician/Certifying Practitioner's Statement of Certification, must be completed by one of the certifying authorities and must include the certifying authority's license number and the name of the state where their license was issued.

The certifying authorities are a Physician licensed to practice under Chapters 458, 459 or 460, Florida Statutes, or similarly licensed by another state; an Osteopathic Physician; a Podiatric Physician; a Chiropractor; an Optometrist. Certifying authorities are also an Advanced Practice Registered Nurse licensed under Chapter 464, under the protocol of a licensed physician, and a Physician Assistant licensed to practice under Chapter 458 or Chapter 459.

Temporary permit: the applicant is a person with a temporary disability (six months or less) that limits or impairs his/her ability to walk or is temporarily sight impaired. Enter the dates the disabled person parking permit should be issued from and through, for the temporary specific disability(ties) checked.

Temporary parking permits are issued for the time period specified by the certifying authority not to exceed six (6) months.

Box 1, permanent permit: the applicant is legally blind or is a disabled person with a permanent disability(ties) that limits or impairs his/her ability to walk 200 feet without stopping to rest. Specify either legally blind or the specific disability(ties).

Box 2: Inability to walk without the use of or assistance from a brace, cane, crutch, prosthetic device, or other assistive device, or without assistance from 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.

Box 3: They need to permanently use a wheelchair.

Box 4: Restriction by lung disease to the extent that the person's forced (respiratory) expiratory volume for 1 second, when measured by spirometry, is less than one liter or the person's arterial oxygen is less than 60 mm/hg on room air at rest.

Box 5: Use of portable oxygen.

Box 6: Restriction by 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.

Box 7: Severe limitation in a person's ability to walk due to an arthritic, neurological, or orthopedic condition.

Box 8: Legally blind.

Box 9: Permanent dismemberment or amputation and is in need of the disabled parking permit due to that permanent dismemberment or amputation. A lifetime disabled parking permit shall be issued to the applicant.

Enter the Certification or License Number (Required) of a Physician, Osteopathic or Podiatric Physician, Chiropractor, Optometrist, Advanced Practice Registered Nurse under the protocol of a licensed physician or a physician assistant licensed under Chapter 458 or 459.

Enter the state in Licensed in State of.

Enter the Business Address, City, State, Zip and Telephone Number, then the Print/Type Name of Certifying Authority, the Certifying Authority Signature and the Date Signed.

Check the Special Exception box when the severely disabled applicant applying for a permanent placard is unable to obtain a Florida driver license or identification card.

If the Special Exception box is checked, the certifying physician must provide his/her signature and date signed on the Certifying Authority Signature and Date Signed lines under the Special Exception box, and one of the disability(ties) must also be checked.

Submit the original signed form HSMV 83039 or a copy in person at your local tax collector office, or have the certifying authority fax it directly to your local tax collector or license plate agency.

This form is not valid for more than 12 months from the date of the certifying authority's signature.

Form HSMV 83039 must be accurately completed, including Section 2, Physician/Certifying Practitioner's Statement of Certification, verifying the disability.

A permanent parking permit must be renewed every 4 years.

The first renewal of the permanent parking permit after an original issuance, does not require form HSMV 83039 to be submitted.

Form HSMV 83039 is required for the next renewal and every other 4-year renewal thereafter.

A lifetime parking permit does not require renewal.

Convenience renewals are available to the applicant when the form HSMV 83039 is not required.

For online renewal services, please visit https://mydmvportal.flhsmv.gov/

Permits issued to disabled persons will expire in four years on the owner's birthday.

Permits issued to organizations will expire in four years on June 30.

The permit must be hung on the rear-view mirror of any vehicle used to transport the disabled person(s) while parked in a designated disabled person parking space.

The permit number must be visible from the front of the vehicle.

There is no charge for a Permanent Parking Placard. A Temporary Parking Placard is $15 (checked October 19, 2026). If a second Temporary Parking Placard is required within one year of the initial Temporary Parking Placard there will be no charge.

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 19, 2026).