REG 195: California Application for Disabled Person Placard or Plates

Applicants must provide a copy of acceptable proof of their legal name and date of birth, such as a valid driver's license or identification card, with this application, or the application will be rejected.

A valid driver license (DL) or identification (ID) card is acceptable, or any document necessary to apply for a California DL or ID card.

Enter the TRUE FULL NAME (LAST, FIRST, MIDDLE OR ORGANIZATION NAME) and the DATE OF BIRTH (FOR INDIVIDUALS ONLY) (MM/DD/YYYY).

Enter the PHYSICAL ADDRESS (INCLUDE ST., AVE., RD., CT., ETC.), the APT./SPACE/STE.# and the DRIVER LICENSE/ID CARD NUMBER (FOR INDIVIDUALS ONLY).

Enter the CITY, COUNTY, STATE and ZIP CODE.

Enter the MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS) with its APT./SPACE/STE.#, CITY, COUNTY, STATE and ZIP CODE, and the TELEPHONE NUMBER.

In Section 2, check all that apply.

Permanent DP Parking Placard (No Fee): For permanent disabilities. Valid for two years and expires on June 30 of every odd-numbered year. You will receive two automatic renewals, covering a 4-year period. Your third renewal will require you to reapply; a new certification is not required.

Temporary DP Parking Placard ($6.00 Fee) (checked October 22, 2026). For temporary disabilities. Valid for up to 180 days or the date noted by your qualifying licensed medical professional, whichever timeframe is less. This placard cannot be renewed more than six times consecutively.

Disabled Person License Plates (No Fee), see Section 3. For permanent disabilities. Can only be assigned to vehicles registered in the name of the qualified person.

Disabled Person License Plates Reassignment, see Section 3: For existing DP plates to be reassigned to a different vehicle.

Travel Parking DP Placard (No Fee): Must already have a DP Parking Placard, Disabled Veteran License Plates, or DP License Plates. For California residents who currently have DP Permanent parking placard or plates, or Disabled Veteran License Plates, but not both. For nonresidents who plan to travel in California and have a permanent disability and/or DP plates.

Have you ever been issued DP License Plates, Disabled Veteran License Plates, or a Permanent DP parking placard in California? Check Yes or No. If yes, enter the license plate or DP parking placard number. A doctor's certification is not required unless it was cancelled by DMV or is no longer on record, or four replacement permanent DP placards have been issued during the 2-year renewal period.

DP license plates may be issued for any vehicle or motorcycle registered to a qualified person or an organization involved in the transportation of disabled persons if the vehicle is used solely for the purpose of transporting those persons (CVC §5007, 22511.55).

For disabled person license plates applicants only, enter the license plate number, vehicle identification number (VIN), vehicle make and vehicle year.

For organizations, the plated vehicle is used exclusively for transporting disabled persons.

One commercial vehicle with an unladen weight of 8,001 pounds or less registered to a qualified person may be exempt from payment of weight fees (CVC §9410).

Commercial Vehicles - Weight Fee Exemption: I am requesting an exemption from weight fees for the vehicle described by VEHICLE INFORMATION. It weighs less than 8,001 pounds unladen.

I understand that this exemption may be used for ONE commercial vehicle only and I do not have this exemption for any other vehicles I own.

Check Yes or No.

You certify that you have read the “Important Information, Disclosures, and Certifications” on page one and you fully understand and take responsibility for the use of the Disabled Person Parking Placard and/or License Plates that are issued to you.

You also certify that you are a disabled person per California Vehicle Code (CVC) §295.5 or that you are an authorized representative of the organization involved in the transportation of disabled persons and the vehicle is used for the purpose of transporting those persons per CVC §§5007(a)(3), 22511.55(a)(4).

You certify (or declare) under penalty of perjury under the laws of the State of California that this is true and correct.

Sign at SIGNATURE OF APPLICANT OR ORGANIZATION AUTHORIZED REPRESENTATIVE, then enter the DATE and the EMAIL ADDRESS (OPTIONAL).

Only original signatures will be accepted, no photocopies or faxes.

Form must be legible and completed in ink. Any alterations, crossovers, or whiteouts (including changes with initials) will void this form.

You may be eligible for Disabled Veteran License Plates which exempts one vehicle from the payment of registration and license fees. Medical certification or documentation from a county veterans service officer, the Department of Veterans Affairs, or the United States Department of Veterans Affairs that certifies that the applicant is a disabled veteran as described in California Vehicle Code (CVC) §295.7, along with a completed DMV REG 256 A form is required. Visit dmv.ca.gov or call 1-800-777-0133 for forms and additional information.

Sections 5 and 6: Medical Provider's Certification, Information, and Signature.

Both pages 2 and 3 are required in order to process the application.

In person: Visit a DMV field office. No appointment needed. Online: virtual.dmv.ca.gov

Mail To: DMV Placard P.O. Box 997600 M/S D238 Sacramento, CA 95899-7600

REG 195, the Application for Disabled Person Placard or Plates: use this form to apply for a disabled person (DP) parking placard or license plates. Illegible, incomplete, and/or unsigned forms will be returned. Incomplete applications delay processing.

With your valid DP placard or plates, you may park (CVC §22511.5): In parking spaces with the wheelchair symbol. In an area requiring a resident or merchant permit. Next to a blue or green curb for an unlimited period. In any on-street metered parking space at no charge.

DP plates and/or parking placard(s) must be surrendered to DMV within 60 days of the death of the disabled person. (CVC §§5007, 22511.55)

It is illegal, punishable by fine, imprisonment or both fine and imprisonment (CVC §§22511.55, 22511.56, 22511.57, 22511.6), to alter, forge, or counterfeit a DP parking placard or placard ID card; to allow someone to use your DP parking placard if you are not in the vehicle; for an individual to have more than one permanent DP parking placard. The same punishment applies to provide false information to obtain a DP parking placard or plates, to forge a medical provider's signature, and to possess or display a counterfeit DP parking placard. The court may also impose a civil penalty if: a person attempts to pass, acquires, possesses, sells, or attempts to sell a genuine or counterfeit placard or if a person displays, with fraudulent intent, or causes or permits to be displayed, a forged, counterfeit, or false placard. (CVC §4463)