Mississippi Handicap Form - , you can apply by submitting. The application must be completed by a licensed physician or nurse practitioner certifying the disability. Your health professional must sign the form and explain your disability to confirm your eligibility. I do hereby certify that ___________________________ has the following condition: Certification to be completed by licensed physician or nurse practitioner. Once you fill out your part of the application, you’ll also need to take the document to your doctor or nurse practitioner. Cannot walk 200 feet without stopping to rest; This form must be certified by the applicant's physician or nurse practitioner as being permanently disabled. Printed name of disabled person. To your county’s tax collector.
You need to renew your application every 5 years, when the image of the standard plate changes. Your health professional must sign the form and explain your disability to confirm your eligibility. To your county’s tax collector. Web individuals may apply for a disability tag/placard using the mississippi disabled parking application form (pdf). If you need a handicap placard for your vehicle in. The application must be completed by a licensed physician or nurse practitioner certifying the disability. Certification to be completed by licensed physician or nurse practitioner. , you can apply by submitting. Web updated on jan 30, 2024. This form must be certified by the applicant's physician or nurse practitioner as being permanently disabled. You can also apply by mail under special circumstances. Printed name of disabled person. Cannot walk 200 feet without stopping to rest; Once you fill out your part of the application, you’ll also need to take the document to your doctor or nurse practitioner. I do hereby certify that ___________________________ has the following condition: