Form MV2162 at a glance
What it is: Disabled Parking License Plates Information and Application MV2162 is a Wisconsin Department of Transportation form.
Where and when to file: Mail this application and all required items to: WisDOT Special Plates Unit - DIS PO Box 7306 Madison, WI 53707-7306
Any person certified by an authorized health care specialist as having a permanent disability is eligible for the disabled parking license plates.
Disabled parking license plates may be issued to a person with a permanent disability that limits or impairs the ability to walk, who is one of the following:
Owner of a vehicle; lessee of a vehicle; person who is regularly transported by the owner or lessee of a vehicle; employee who is provided a vehicle owned or leased by the employer; beneficiary of a trust that owns or leases a vehicle.
What to bring and attach to Form MV2162
If the vehicle you wish to register with disabled parking license plates is already titled in your name, send a copy of your Certificate of Registration or complete the vehicle description on the application. Also send the annual registration fee if the current plates expire within the next three months, a $12 plate issuance fee, and an additional $15 if applying for personalized plates (checked November 2, 2026).
If the vehicle is not titled in your name, send: the title assigned to you, a completed title application: MV1 (Private Sale) or MV11 (Dealer Sale), and all required fees, including annual registration fee.
Make check or money order payable to: Registration Fee Trust.
A filled-in Form MV2162 example: Dana Reed applies for non-personalized plates
How to fill out Form MV2162, box by box
Applicant section
Print clearly in the Applicant section the Legal Name of Person with Disability, First, Middle Initial, Last, and check Female or Male.
Enter the Date of Birth and the Telephone Number Where You May Be Reached 7 a.m.-4:30 p.m.
Enter the Address and the City, State, ZIP Code.
Enter the Driver License/Nondriver Identification Number. If none, write NONE.
Sign at X (Signature of Person with Disability) to authorize your health care specialist to supply the information requested in this form, and enter the Date of Visit.
DIS ID permit information
Check the box if you would also like one Disabled Parking Identification (DIS ID) permit.
Please make and keep a copy of this application for your records.
If you are requesting a DIS ID permit, you must keep a copy of this completed application and provide it to any traffic officer for inspection upon request.
Persons with disabled parking license plates may be issued one Disabled Parking Identification (DIS ID) permit.
If you currently have a valid permanent (blue) DIS ID permit, health care certification is not required at this time.
Complete information for the vehicle
Complete the information for the vehicle you wish to register with disabled parking license plates: Current License Plate Number, Vehicle Year - Make Body Type and Vehicle Identification Number (standard VIN has 17 characters).
Registration for vehicle owned or leased by
Registration for vehicle owned or leased by: (Please check one)
Check Person with disability or Person who regularly attends person with disability. Print name and sign in Print Name and Signature.
Check Employer who provides vehicle to person with disability. Write the name in Print Name and sign in Signature.
Check Trust whose beneficiary is person with disability. Complete and attach form MV2790. Sign in Signature.
Personalized plate section
Under Personalized plate section, please check one: I would like non-personalized disabled parking license plates, or I would like personalized disabled parking license plates.
Personalizing your disabled parking license plates is optional.
Choose 1-6 characters. If you choose six characters, no spaces are allowed. If you choose five or fewer characters, you may request up to two spaces between any two characters.
Indicate a space with a diagonal line as shown here. Use capital letters or numbers. The letter O and the number zero are the same.
Provide a meaning for your request. For personalized plate message availability, please visit: wisconsindmv.gov/personalizedplatelookup
If the requested personalized plate choices are not available, non-personalized disabled parking license plates will be issued.
Common mistake: The following are not acceptable: small letters, symbols, signs, hyphens, apostrophes, etc. Carefully distinguish between: letters L or I and number 1, letter S and number 5, letter G and number 6, letter Z and number 2, letter B and number 8, letters U and letter V.
Common mistake: No refund or adjustment will be made for a change of choice or spacing after the plate has been ordered, or if the application is unclear or incorrectly completed.
Health care certification
This section must be completed and signed by any of the following health care specialists licensed to practice in any state: physician, podiatrist, advanced practice nurse, chiropractor, public health nurse or physician assistant who is licensed or certified, physical therapists or Christian Science Practitioner residing in Wisconsin. For faster processing, health care specialists can certify your eligibility online at: https://app.wi.gov/disabledparking
An RN must have additional credentials to certify permit eligibility.
Eligibility Certification Statement - I certify the applicant has a qualifying permanent disability as specified on this form. Certification must be based on an exam conducted in the last 12 months.
The health care specialist signs at X (Signature of Authorized Health Care Specialist) and enters the Date of Visit, Name of Certifying Eligibility (Please Print), Medical License Number, Area Code and Office Telephone Number, Address, City, State, ZIP Code.
More rules for Form MV2162
Persons with a permanent disability must be recertified every four years.
If you have questions about this application: Call: (608) 266-3041, FAX: (608) 267-5106, E-mail: special-plates.dmv@dot.wi.gov
Plates will be mailed 3-4 weeks after you receive the new certificate of registration.
Common questions about Form MV2162
Where do I file it?
Mail this application and all required items to: WisDOT Special Plates Unit - DIS PO Box 7306 Madison, WI 53707-7306
Are there fees?
A $12 plate issuance fee, and an additional $15 if applying for personalized plates. Also send the annual registration fee if the current plates expire within the next three months; if the vehicle is not titled in your name, send all required fees, including annual registration fee (checked November 2, 2026).
Sources
[1] Form MV2162 (10/2025), Disabled Parking License Plates Information and Application, Wisconsin Department of Transportation (the Official source link on this page).