The Kentucky TC 96-204 form serves as an application for a disabled person’s special parking permit. This form must be completed and submitted to the county clerk to facilitate the issuance of a permit that allows individuals with disabilities to park in designated spaces. For those seeking to obtain this permit, please fill out the form by clicking the button below.
The Kentucky TC 96-204 form serves as an essential application for individuals seeking a disabled person’s special parking permit. Designed by the Kentucky Transportation Cabinet, this form facilitates the process for applicants to secure parking privileges that accommodate their mobility challenges. The application requires the individual’s name, contact information, and details about the vehicle they own or lease. It also includes sections that must be completed by both a county clerk and a licensed physician or advanced practice registered nurse. The county clerk attests to the applicant’s visible disability, while the medical professional certifies the specific limitations that qualify the individual for the permit. The form distinguishes between permanent and temporary disabilities, allowing applicants to specify their situation accurately. This streamlined process not only helps ensure that those with disabilities receive necessary support but also promotes compliance with state regulations regarding disabled parking permits.
Kentucky Transportation Cabinet
TC 96-204
Division of Motor Vehicle Licensing
July 2011
APPLICATION FOR DISABLED PERSON’S SPECIAL
PARKING PERMIT
(Complete and forward to your County Clerk.)
SECTION 1 – TO BE COMPLETED BY APPLICANT
Name: _____________________________________________________________________________ Phone: ________________________
Address: _______________________________________________________________________________________________________________
(Street or Post Office)(City)(State)(Zip Code)
VIN of the vehicle owned or leased by a person with a disability __________________________________________
CHECK ONE:
License Plate or Placard
Applicant now holds disabled parking license/placard No. HP _______________________________
Applicant now holds disabled veteran license/placard No. HV _______________________________
County Clerk attests that applicant is obviously disabled in Section 2 below.
A licensed physician signs statement that applicant is disabled in Section 3 below.
__________________________________________________________
(Signature of Applicant)
(Social Security)
Subscribed and sworn to before me this __________ day of _________________________________ 20 __________
My commission expires _________________________, 20 _________
________________________________________________
(Signature of Person Attesting Oath)
SECTION 2 – TO BE COMPLETED BY COUNTY CLERK
I hereby attest that the applicant is obviously disabled in compliance with KRS 186.042, and should be issued a special parking permit.
Signature of Clerk __________________________________________________________
County ________________________________
Section 3 need not be completed when Section 2 is completed.
SECTION 3 – TO BE COMPLETED BY A LICENSED PHYSICIAN OR ADVANCED PRACTICE
REGISTERED NURSE
I certify that the applicant is a person with disabilities which limit or impair the ability to walk 200 feet without stopping; without the use of assistant device; without portable oxygen; due to arthritic, neurological, or orthopedic condition; restricted by lung disease; or has a cardiac condition in compliance with KRS 186.042.
CHECK ONE: This is a
Permanent Disability
Temporary Disability
Signature of Licensed Physician/APRN _________________________________________________________________________________
Printed Name of Physician/APRN ______________________________________________ License # ______________________________
COUNTY CLERK’S USE ONLY
Previous Placard # __________________________________________________
Expires _____________________________________
New Placard # ______________________________________________________
Replacement Reason: __________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
County Clerk File Copy
Completing the Kentucky TC 96-204 form is an important step for obtaining a special parking permit for individuals with disabilities. Once the form is filled out, it should be submitted to your County Clerk for processing. Below are the steps to guide you through the completion of this form.
The Kentucky TC 96-204 form is an application for a disabled person’s special parking permit. This form is essential for individuals with disabilities who need accessible parking options. It must be completed and submitted to your County Clerk for processing.
Eligibility for the disabled parking permit is granted to individuals with disabilities that significantly impair their ability to walk. This includes conditions like arthritis, neurological disorders, orthopedic issues, lung diseases, or cardiac conditions. A licensed physician or an advanced practice registered nurse must certify the disability.
To complete the TC 96-204 form, follow these steps:
In Section 1, you need to provide your full name, phone number, and address (including street, city, state, and zip code). Additionally, you must include the VIN of the vehicle associated with your disability and indicate whether you are applying for a license plate or placard.
If you have a temporary disability, you can still apply for a special parking permit using the TC 96-204 form. Be sure to indicate that your condition is temporary in Section 3, where your physician or nurse will certify your disability.
A physician's signature is not required if the County Clerk attests to your disability in Section 2. However, if the Clerk does not complete Section 2, you will need a licensed physician or advanced practice registered nurse to sign Section 3 to confirm your disability.
The validity of the disabled parking permit can vary. Typically, a permanent permit does not expire unless your disability changes. Temporary permits are usually valid for a specified duration, which should be indicated on the permit. Always check with your County Clerk for specific expiration details.
The disabled parking permit is generally valid for any vehicle that you are driving or riding in. However, the permit must be displayed properly when parked in designated disabled parking spaces. Always ensure that the permit is visible and not expired.
If your disabled parking permit is lost or stolen, you should report it to your County Clerk's office as soon as possible. They will guide you through the process of obtaining a replacement permit. You may need to fill out additional paperwork to verify the loss.
For more information about the TC 96-204 form and the application process, you can visit the Kentucky Transportation Cabinet's website or contact your local County Clerk's office. They can provide guidance and answer any specific questions you may have.
Incomplete Personal Information: Applicants often forget to fill in all required fields, such as their full name, address, or phone number. Missing any of this information can delay the processing of the application.
Incorrect Vehicle Identification Number (VIN): Some applicants mistakenly enter the wrong VIN. This number must match the vehicle owned or leased by the person with a disability.
Failure to Check the Appropriate Box: The form requires applicants to specify whether they are applying for a license plate or a placard. Neglecting to check one of these options can lead to confusion and processing errors.
Omitting Signatures: Both the applicant and the person attesting to the applicant's disability must sign the form. Missing signatures can result in an incomplete application.
Not Providing Required Documentation: Applicants often forget to include necessary documentation, such as the physician's statement in Section 3, if Section 2 is not completed.
Ignoring County Clerk's Section: Some applicants overlook the need for the county clerk to attest to their disability in Section 2. This section is crucial for the application’s approval.
Incorrect or Missing License Information: When completing Section 3, applicants sometimes provide incorrect information about the physician or fail to include their license number. This detail is essential for validation.
The Kentucky TC 96-204 form is essential for individuals seeking a special parking permit due to disabilities. Alongside this form, several other documents and forms are commonly utilized to facilitate the application process. Each of these documents serves a specific purpose, ensuring that the application is complete and compliant with state regulations.
Understanding these accompanying documents can help streamline the application process for a disabled person’s special parking permit in Kentucky. Each form plays a vital role in ensuring that applicants receive the assistance they need while complying with state requirements.
The Kentucky TC 96-204 form is similar to the Application for a Disabled Parking Permit in other states. This document serves the same purpose: to allow individuals with disabilities to apply for special parking privileges. Applicants typically need to provide personal information, details about their disability, and a physician's statement confirming their condition. Like the TC 96-204, this application often requires verification from a county clerk or a designated authority to ensure the legitimacy of the request.
Another document that resembles the TC 96-204 is the Application for a Special License Plate for Disabled Persons. This form allows applicants to obtain a license plate specifically designed for individuals with disabilities. It usually requires similar information, including the applicant's personal details and medical verification. Both documents aim to facilitate access to parking for those with mobility challenges, ensuring they can park closer to their destinations.
The Application for Disabled Veteran License Plates also shares similarities with the TC 96-204 form. This document is specifically tailored for veterans who have disabilities resulting from their service. Like the TC 96-204, it requires proof of disability and often includes a section for a physician's certification. Both forms help provide necessary accommodations for individuals who have served in the military and face mobility issues.
The Federal Application for a Disabled Parking Permit is another document that aligns with the TC 96-204. This application is used in various jurisdictions to grant parking privileges to individuals with disabilities. Similar to the Kentucky form, it requires personal information, a physician's statement, and verification from an authorized official. The intent behind both forms is to ensure that individuals with disabilities can access parking that meets their needs.
The Application for a Temporary Parking Permit for Persons with Disabilities is also comparable to the TC 96-204. This document is used by individuals who may not have a permanent disability but require temporary accommodations due to a medical condition or injury. Both applications require medical verification and personal information, ensuring that those in need of temporary assistance can access designated parking spaces.
Lastly, the Application for a Mobility Impaired Parking Permit is similar to the TC 96-204 form. This document is used to apply for parking privileges specifically for those with mobility impairments. Like the Kentucky form, it requires details about the applicant's disability and often mandates a physician's signature. Both forms serve the essential function of providing necessary access to parking for individuals who face mobility challenges.
When filling out the Kentucky TC 96-204 form, it is essential to follow specific guidelines to ensure your application is processed smoothly. Here are nine important dos and don'ts to consider:
By following these guidelines, you can help ensure that your application for a disabled person’s special parking permit is processed efficiently.
Understanding the Kentucky TC 96-204 form is essential for those seeking a disabled person’s special parking permit. However, several misconceptions often cloud the application process. Here are nine common misunderstandings:
By addressing these misconceptions, individuals can navigate the application process more effectively and ensure they meet all necessary requirements for obtaining a disabled parking permit in Kentucky.
Filling out the Kentucky TC 96-204 form is an important step for individuals seeking a special parking permit for disabilities. Here are key takeaways to help you navigate the process:
By following these guidelines, you can effectively complete the Kentucky TC 96-204 form and obtain the special parking permit you need. Remember, this process is designed to support individuals with disabilities in accessing parking more easily.