Article Guide
The Georgia MV-9D form serves an important purpose for individuals with disabilities, enabling them to apply for a Person with Disability Parking Placard or a Disabled Person’s License Plate. This application is essential for those who require special accommodations while parking, ensuring that they have access to designated spaces that cater to their needs. The form is not intended for changes in ownership, address updates, or alterations in license plate classification. To initiate the application process, individuals must complete the form and submit it to their local County tag office, following the guidelines provided in the accompanying instructions. Applicants will need to indicate their request type, whether it’s for a new placard, a renewal, or a replacement, and provide pertinent personal information. Additionally, a licensed healthcare provider must certify the applicant’s disability, confirming eligibility for the requested accommodations. This certification process is crucial, as it ensures that only those who genuinely require assistance receive the benefits of the placard or license plate. Understanding the various sections of the MV-9D form is vital for a smooth application process, and being informed about the necessary requirements can help applicants navigate this important step with confidence.
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Georgia Department of Revenue - Motor Vehicle Division
Person with Disability Parking Placard/License Plate Application
MV-9D (Revised 05/2025)
Web and MV Manual
Purpose of this form: This form is to be used to request a Person with Disability Parking Placard or a Disabled Person’s License Plate. This form should not be
used to record a change of ownership, change of address, or change of license plate classication.
How to submit this form:After reviewing the MV-9D form instructions, this fully completed form must be submitted to your local County tag oce. Please refer to
our website at https://dor.georgia.gov to locate the address(es) for your specic county.
A REQUEST TYPE
Check applicable box(es) below:
[ ] Disabled Person’s Parking Permit (Placard):
[ ] New Issuance: [ ] Temporary Placard [ ] Permanent Placard [ ] Special Permanent Placard
[ ] Renewal (Permanent Placards Only) Record placard number
[ ] Replacement: [ ] Lost [ ] Stolen Record previous placard number
[ ] Disabled Person’s License Plate Fee: $20.00 Plate Fee plus any taxes that maybe due. Please Note: Section D must be completed and notarized.
B APPLICANT INFORMATION
Disabled Person’s
Telephone No.:
Full Legal Name:
Physical Address:
Driver’s License No.: State of Issuance: County:
C PARENT/GUARDIAN INFORMATION
Note: If you are the parent or adult charged by law with the natural parent’s rights, duties and responsibilities acting on behalf of a minor child
(under 18) in place of the child’s natural parents (person in loco-parentis), you must complete the information below. Any resident motor vehicle
owner who is the spouse, parent, or legal guardian of a person who is disabled as prescribed in this Code section shall be authorized to obtain
such specialized plates for such vehicle.
Parent/Guardian’s Relationship
Full Legal Name: to Applicant:
Physical Address:
Driver’s License No.: State of Issuance: County:
D CERTIFICATION FROM A LICENSED OR CERTIFIED HEALTH CARE PROVIDER
I hereby certify that the person with the disability listed above is under my care and has the following condition listed on the reverse side of this application under
“Eligibility Requirements.” Enter Reason Code No.: ___________________ (Note: Only those conditions listed on the reverse side of this application
qualify an applicant for a Person with Disability Parking Placard.) **PLEASE SEE INSTRUCTIONS BEFORE COMPLETING**
Health Care Provider’s Name:
Medical License No.:
Physical Address:
Telephone No.: Signature:
Sworn to and subscribed before me
this ____ day of _______________, ______
Day Month Year
Notary Seal or Stamp
____________________________________
Notary Signature
____________________________
Commission Expiration Date
E INSTITUTION/BUSINESS INFORMATION (This vehicle is used primarily for transportation of disabled persons.)
Institution/Business FEIN:
Full Legal Name:
Vehicle Identication No. (VIN
Year: Make: Model: Tag No.:
Authorized Representative’s
Position/ Job Title:
Printed Name:
Authorized Representative’s Date:
Signature:
F APPLICANT SIGNATURE
I state that I have read and signed this application after its completion, and I swear or arm that the statements made herein are true and correct, and I
acknowledge that any person knowingly or willfully making a false statement on or pursuant to this application is guilty of a misdemeanor under Georgia Code
§40-2-74(a.1).
Signature:
Date:
Placard No.: Record placard number if
renewing or replacing placard.
Have a question? Visit our website at
www.dor.georgia.gov/motor-vehicles
or scan the QR code above for more information.
First Name Middle Initial Last Name Sux
Street No. Street Name
Apt/Suite No. City
State
Zip Code
First Name Middle Initial Last Name Sux
Street No. Street Name
Apt/Suite No. City
State
Zip Code
INSTRUCTIONS
How to complete the MV-9D Form
COMPLETING THIS FORM
Temporary Placard: Complete Sections A, B, C, D and F. Note: Only licensed health care providers may certify disabilities for temporary placards. Temporary
placards may not be extended for an additional period of time. When additional time is needed, a new application must be completed and certied by a health
care provider. In addition, please list your previous placard number. Temporary placards are only issued for a period of time not to exceed six months.
Permanent Placard: Complete Sections A, B, C, D and F. Note: Individuals should list their Georgia Driver’s License number or Photo ID number in the space
provided. Businesses should list their Business ID number (Bus. ID) where indicated (i.e., E.I.N.) and provide a copy of business license.
Special Permanent Placard: Follow the instructions for a Permanent Placard. A Special Permanent Placard (gold placard) is issued only to an individual with a
disability who (1) drives a motor vehicle equipped with hand controls for the operation of brakes and accelerator or (2) is disabled due to loss, or loss of use, of
both upper extremities.
Renewal Request: Complete Sections A, B and F. Note: Notarization is not required.
Replacement Request: Indicate if applying for a replacement placard. Please check reason for replacement (Lost or Stolen). List your previous placard number
and complete Sections A, B and F.
Institution/Business Information: Complete Sections A, B, E and F. Follow these additional special instructions:
• Institutions, as dened by Georgia Code §31-7-1, must attach a copy of the institutional license. Note: To qualify for a permit, the institution must oper-
ate the vehicle primarily to transport individuals with disabilities.
• Businesses, to qualify for a special plate, must meet the requirements of Georgia Code §40-2-74, including limits on the type of business organization.
Note: The business vehicle must be used only or primarily by the disabled employee for whom the plate was issued.
Please Note:
• A placard is to be used only when the vehicle in which it is displayed is parked and is being used for the transportation of the person with disability or
the severely disabled veteran.
• Any vehicle lawfully displaying a placard will qualify for parking in areas designated for use by persons with disability only.
• The placard will not allow vehicles to park where parking is prohibited.
• The placard is required to be displayed when the vehicle is parked in areas designated for use by persons with disability only and must not be dis-
played when the vehicle is being operated on the highway.
• Each eligible individual will be issued only one placard.
ELIGIBILITY REQUIREMENTS – REASON CODES
1. Applicant is so ambulatory disabled that he/she cannot walk 200 feet
without stopping to rest.
2. Applicant cannot walk without the use of assistance from a brace, a cane,
a crutch, another person, a prosthetic device, a wheelchair, or other
assistive device.
3. Applicant is restricted by lung disease to such an extent that his/her
forced respiratory volume for one second, when measured by spironmetry
is less than one liter, or when at rest his/her arterial oxygen tension is less
than 60 millimeters of mercury on room air.
4. Applicant uses portable oxygen.
5. Applicant has a cardiac condition to the extent that his/her functional
limitations are classied in severity as Class III or Class IV according to
standards set by the American Heart Association.
6. Applicant is severely limited in his/her ability to walk due to an arthritic,
neurological, orthopedic condition or complications due to pregnancy.
7. Applicant is hearing impaired person pursuant to Georgia Code §24-6-
651.
8. Applicant is a blind individual whose central visual acuity does not exceed
20/200 in the better eye with correcting lenses or whose visual acuity, if
better than 20/200, is accompanied by a limit to the eld of vision in the
better eye to such a degree that its widest diameter subtends an angle of
no greater than 20 degrees.
QUALIFYING VEHICLES
A passenger vehicle or truck with a registered gross weight of not more than 10,000 lbs. This restriction does not apply to institution or business applications.
CERTIFICATION FROM A LICENSED OR CERTIFIED HEALTH CARE PROVIDER
“For purposes of this Code section (40-2-74.1) the department shall accept,
in lieu of an adavit, a signed and dated statement from the doctor which
includes the same information as required in an adavit written upon security
paper as dened in paragraph (38.5) of Code Section 26-4-5.”
Please Note: Certication in lieu of an adavit (completion and notarization
of Section D) can only be submitted for placards and cannot be provided on
license plate applications.
Who may provide certication: Health care providers that are permitted to
provide a certication are limited to medical practitioners licensed to practice
under Article 2 of Chapter 34 of Title 43 (physicians); Chapter 35 of Title 43
SUBMITTING THIS FORM
After reviewing the MV-9D form instructions, this fully completed form must be submitted to your local County tag oce. Please refer to our website at
https://dor.georgia.gov to locate the address(es) for your specic county.
Jane Doe 40
123 Main St.
Secured paper document (as dened by GA Code
26-4-5) from healthcare provider must include:
• Specic disability as indicated on MV-9D
instructions form.
• Indication of permanent or temporary
disability
• Stamp or signature of healthcare provider
• Date
SAMPLE
Have a question? Visit our website at
www.dor.georgia.gov/motor-vehicles
or scan the QR code above for more information.
Form Specifications
| Fact Name | Details |
|---|---|
| Form Purpose | This form is used to request a Person with Disability Parking Placard or a Disabled Person’s License Plate. |
| Submission Location | The completed form must be submitted to the local County tag office. |
| Governing Law | Georgia Code §40-2-74 governs the issuance of disability parking permits. |
| Application Types | Applicants can request temporary, permanent, or special permanent placards. |
| Fees | A fee of $20.00 applies for a Disabled Person’s License Plate, plus any applicable taxes. |
| Health Care Provider Certification | Certification from a licensed health care provider is required to confirm the disability. |
| Notarization Requirement | Section D must be completed and notarized for certain requests. |
| Eligibility Criteria | Eligibility is based on specific medical conditions outlined in the form's instructions. |
| Vehicle Requirements | Eligible vehicles must be passenger vehicles or trucks weighing no more than 10,000 lbs. |
| Single Placard Issuance | Each eligible individual will receive only one placard at a time. |
Georgia Mv 9D: Usage Guidelines
Filling out the Georgia MV-9D form is a straightforward process, but it requires careful attention to detail. Once you have completed the form, the next step is to submit it to your local County tag office. Make sure to check your specific county's address on the Georgia Department of Revenue website to ensure your application is sent to the correct location.
- Obtain the Form: Download or print the MV-9D form from the Georgia Department of Revenue website.
- Request Type: In Section A, check the applicable box for the type of request you are making, such as a new placard, renewal, or replacement.
- Applicant Information: Fill out your personal information in Section B, including your full legal name, physical address, and telephone number.
- Parent/Guardian Information: If applicable, complete Section C with the details of the parent or guardian acting on behalf of a minor child.
- Certification from a Health Care Provider: In Section D, have a licensed health care provider certify your disability. They must complete their part and notarize the section.
- Institution/Business Information: If you are applying on behalf of an institution or business, complete Section E with the required details.
- Applicant Signature: Sign and date Section F, affirming that all information provided is true and correct.
- Review the Form: Double-check all entries for accuracy and completeness before submission.
- Submit the Form: Send the completed MV-9D form to your local County tag office as per the instructions provided.
Your Questions, Answered
What is the purpose of the Georgia MV-9D form?
The Georgia MV-9D form is used to apply for a Person with Disability Parking Placard or a Disabled Person’s License Plate. It is important to note that this form should not be used for changes in ownership, address, or license plate classification.
How do I submit the MV-9D form?
Once you have completed the MV-9D form, you must submit it to your local County tag office. You can find the specific address for your county by visiting the Georgia Department of Revenue website at dor.georgia.gov.
What types of requests can I make with the MV-9D form?
The form allows you to request a new placard, a temporary or permanent placard, a renewal of an existing placard, or a replacement for a lost or stolen placard. Additionally, you can apply for a Disabled Person’s License Plate.
What information do I need to provide on the MV-9D form?
You will need to provide personal information such as your name, address, and telephone number. If applicable, you must also include details about a parent or guardian if you are applying on behalf of a minor. Additionally, a licensed health care provider must certify your disability, which requires their signature and information.
Do I need to have the form notarized?
Yes, Section D of the MV-9D form must be completed and notarized. This section includes the certification from a licensed health care provider confirming your disability.
What are the eligibility requirements for obtaining a placard or license plate?
Eligibility is determined based on specific medical conditions listed in the form's instructions. These conditions may include severe mobility limitations, respiratory issues, or visual impairments. Only licensed health care providers can certify these conditions.
How long is a temporary placard valid?
A temporary placard is valid for a maximum of six months. If you need an extension, you must complete a new application and have it certified by a health care provider.
Common mistakes
-
Failing to read the instructions carefully before filling out the form can lead to errors. Each section has specific requirements that must be followed.
-
Not checking the appropriate request type in Section A can result in delays or denials. Ensure you select whether you are applying for a new placard, renewal, or replacement.
-
Leaving out personal information in Section B, such as your full legal name, address, or phone number, can cause processing issues. All fields should be completed accurately.
-
Not providing the correct placard number when renewing or replacing can lead to confusion. Always include your previous placard number if applicable.
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Overlooking the need for notarization in Section D can halt the application process. Ensure this section is completed and notarized if required.
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Failing to include health care provider certification can result in rejection. Make sure the health care provider's information is filled out and signed as needed.
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Not listing the correct reason code for the disability can affect eligibility. Review the eligibility requirements to ensure you select the right code.
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Not providing the vehicle information if applying for a disabled person’s license plate can lead to delays. Include the make, model, and year of the vehicle.
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Using an outdated version of the form may lead to complications. Always check that you are using the most current version, which is the MV-9D (Revised 1-2019).
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Neglecting to double-check all entries before submission can result in errors that could have been easily avoided. Review the form thoroughly to ensure accuracy.
Documents used along the form
When applying for a Person with Disability Parking Placard or a Disabled Person’s License Plate in Georgia using the MV-9D form, several other documents may also be required. Each of these documents serves a specific purpose in the application process.
- Form MV-9D Instructions: This document provides detailed guidance on how to properly complete the MV-9D form. It outlines the necessary sections, what information is needed, and the submission process.
- Health Care Provider Certification: A signed statement from a licensed health care provider is required to confirm the applicant's disability. This certification must include specific details about the disability and the provider's credentials.
- Proof of Identity: Applicants may need to provide a copy of their Georgia driver’s license or state-issued ID. This helps verify the identity of the individual applying for the placard or license plate.
- Business License (if applicable): For institutions or businesses applying for a special plate, a copy of the business license must be submitted. This verifies that the vehicle is used primarily for transporting individuals with disabilities.
Gathering these documents ensures a smoother application process and helps avoid any delays. Always double-check the requirements before submission to ensure compliance.
Similar forms
The Georgia MV-9D form, used for requesting a Person with Disability Parking Placard or a Disabled Person’s License Plate, shares similarities with several other documents. Each of these documents serves a specific purpose related to disability verification or vehicle registration. Below is a list of documents that are similar to the MV-9D form:
- ADA Paratransit Certification Application: This form is used to certify individuals for paratransit services under the Americans with Disabilities Act, similar to how the MV-9D certifies disability for parking privileges.
- State Disability Parking Permit Application: Like the MV-9D, this application is for obtaining a disability parking permit, ensuring that individuals with disabilities can park in designated spaces.
- Vehicle Registration Application: This form registers a vehicle with the state, often requiring similar personal information and proof of eligibility as the MV-9D.
- Temporary Disability Parking Permit Application: This document is specifically for those needing temporary parking privileges, paralleling the temporary options available on the MV-9D.
- Health Care Provider Certification Form: Used to certify a disability, this form is essential for various disability-related applications, much like the health care provider section of the MV-9D.
- Special License Plate Application: This application requests special license plates for individuals with disabilities, similar to the license plate options on the MV-9D.
- Medicaid Transportation Request Form: This form is used to request transportation services for individuals with disabilities, echoing the transportation focus of the MV-9D.
- Social Security Disability Benefits Application: This application seeks benefits for individuals with disabilities, requiring documentation of the disability, akin to the MV-9D's certification requirements.
- Veteran’s Disability Benefits Application: This document is for veterans seeking disability benefits, paralleling the disability verification process in the MV-9D.
Dos and Don'ts
When filling out the Georgia MV-9D form, it is essential to approach the task with care and attention. Here is a list of things you should and shouldn't do to ensure a smooth application process.
- Do read the instructions carefully before starting the form.
- Do complete all required sections, including A, B, C, D, and F for temporary and permanent placards.
- Do provide accurate personal information, including your full legal name and address.
- Do include your Georgia Driver’s License number or Business ID where required.
- Do ensure that the certification from a health care provider is completed and notarized if applicable.
- Don't forget to sign the application before submitting it.
- Don't use the MV-9D form for changes of ownership or address.
- Don't leave any required fields blank; this could delay processing.
- Don't submit the form without checking for errors or omissions.
- Don't forget to submit the completed form to your local County tag office.
By following these guidelines, you can help ensure that your application for a Person with Disability Parking Placard or Disabled Person’s License Plate is processed efficiently. Take your time, double-check your work, and don’t hesitate to seek assistance if needed. Your needs are important, and the right support is available to help you navigate this process.
Misconceptions
- Misconception 1: The MV-9D form can be used for changing vehicle ownership.
- Misconception 2: Anyone can certify disabilities for a temporary placard.
- Misconception 3: Temporary placards can be extended indefinitely.
- Misconception 4: You can apply for multiple placards at once.
- Misconception 5: The MV-9D form can be submitted without notarization.
- Misconception 6: The placard can be used in any vehicle.
- Misconception 7: All vehicles can qualify for a disabled parking placard.
This is incorrect. The MV-9D form is specifically for requesting a Person with Disability Parking Placard or a Disabled Person’s License Plate. It should not be used for ownership changes or address updates.
Only licensed health care providers can certify disabilities for temporary placards. It's crucial to have the right professional sign off on your application.
This is not true. Temporary placards are issued for a maximum of six months. If you need more time, a new application must be submitted.
Each eligible individual is allowed only one placard. Applying for more than one is not permitted.
Notarization is required for certain sections of the form, especially when certifying a disability. Make sure to follow the instructions carefully.
The placard must be displayed only when parked and used for the transportation of the person with a disability. It cannot be used while the vehicle is in motion.
Only passenger vehicles or trucks with a registered gross weight of not more than 10,000 lbs qualify, unless it's an institution or business application.
Key takeaways
Filling out the Georgia MV-9D form requires careful attention to detail to ensure a smooth application process for a Person with Disability Parking Placard or Disabled Person’s License Plate. Here are some key takeaways to keep in mind:
- The MV-9D form is specifically for requesting a parking placard or license plate for individuals with disabilities.
- It is important to submit the completed form to your local County tag office, not to the Georgia Department of Revenue directly.
- Make sure to check the appropriate request type, whether it’s for a new placard, renewal, or replacement.
- Only licensed health care providers can certify disabilities for temporary placards.
- Temporary placards are valid for a maximum of six months and cannot be extended; a new application is required for additional time.
- When applying for a permanent placard, include your Georgia Driver’s License number or Business ID number if applicable.
- A notarized certification from a health care provider is mandatory for all applications except for renewals.
- Each individual is entitled to only one placard, which must be displayed correctly when parked in designated areas.
- Vehicles displaying the placard can only park in spaces specifically reserved for persons with disabilities.
- Be aware that the placard does not allow parking in areas where parking is prohibited, even if the vehicle is used for a disability-related purpose.
Following these guidelines can help ensure that the application process is efficient and successful. For more information, visit the Georgia Department of Revenue website.