DPS 302DC: Oklahoma Physical Disability Parking Placard Application

Type of placard requested: New, Renewal or Replacement (Lost/Stolen/Destroyed).

Number of placards requested: 1 placard or 2 placards (Limit 1 replacement placard if lost, stolen, or destroyed during the term of the original placard).

Section 1 - Applicant (Patient) Information (Please print or type): enter First Name, Middle Name, Last Name, Date of Birth, Mailing Address, City, ST, Zip, Driver License/State Identification Card Number and Phone.

Section 2 - Physician must be completed in full by a physician licensed to practice medicine or surgery, osteopathic medicine, chiropractic, podiatric medicine, or optometry; a licensed physician assistant; or a licensed and certified advanced registered nurse practitioner.

Physician's statement concerning the applicant (patient): A. Cannot walk 200 feet without stopping to rest. B. Cannot walk without the use of or assistance from a brace, cane, crutch, another person, prosthetic device, wheelchair, or other assistant device (Must circle appropriate response). C. Is restricted to such an extent that the person's forced (respiratory) expiratory volume for one liter, or the arterial oxygen tension is less than 60MM/HG on room air at rest. D. Must use portable oxygen. E. Has functional limitations which are classified in severity as Class III or Class IV according to standards set by the American Heart Association. F. Is severely limited in his or her ability to walk due to an arthritic neurological, or orthopedic condition, complications due to pregnancy (Must circle appropriate response). G. Is certified legally blind. H. Is missing one or more limbs which impairs mobility.

In your professional opinion would this condition affect this person's ability to safely operate a motor vehicle under normal or adverse driving conditions? No or Yes.

Type of placard approved by signing physician (choose one): Temporary Placard, issued for a maximum of 6 months, with an Expiration date, not to exceed 6 months; or 5-year Placard.

By signing, the physician certifies that the applicant's (patient's) physical disability described in the Physician section is accurate, and said diagnosis is within the scope of the physician's practice.

Physician: enter Date, Physician's Name, Physician's License Number, Mailing Address, City, ST, Zip, Phone and Signature.

FOR SERVICE OKLAHOMA USE: Expiration Date, Date Issued and Placard Number.

You must display the official placard on the rearview mirror upon parking. The placard may only be displayed in motor vehicles either operated by you, or in which you are a passenger. Any person who knowingly makes false application for a disability parking placard, or makes or allows unauthorized use thereof, is guilty of a misdemeanor and upon conviction shall be punished by a fine of $500 (checked October 20, 2026).

Sections 1 and 2 of this form must be completed by applicant (patient) and physician before a disability placard can be issued. If you are only seeking a replacement placard which has been lost, stolen, or destroyed, only Section 1 must be completed.

Service Oklahoma shall only consider new or renewal applications submitted within sixty (60) days of the date of the physician's signature in Section 2.

You can apply for a Disability Placard online at https://oklahoma.gov/service/popular-services/disability-services.html