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The Kentucky TC 96-204 form, issued by the Kentucky Transportation Cabinet's Division of Motor Vehicle Licensing as of July 2011, serves a significant role for individuals with disabilities. It is an essential document for those seeking to acquire a Disabled Person’s Special Parking Permit, offering a streamlined path towards ensuring parking accessibility and compliance with state regulations. The form mandates detailed information from applicants, including personal identification and the nature of the disability, whether it necessitates a license plate or a placard. It also incorporates sections that need to be validated either by the County Clerk, as a testament to the visible impairment in accordance with KRS 186.042, or through a healthcare professional's endorsement, certifying the disability based on medical criteria such as limitations in walking, the requirement for assistive devices, or specific medical conditions. Additionally, this form differentiates between temporary and permanent disabilities, directing how the permit is issued and for how long it remains valid, thereby tailing the state's commitment to accommodating its residents who face mobility challenges.

Kentucky Tc 96 204 Sample

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 # ______________________________________________________

Expires _____________________________________

Replacement Reason: __________________________________________________________________________________________________

_________________________________________________________________________________________________________________________

County Clerk File Copy

Form Features

Fact Detail
Form Function Application for Disabled Person’s Special Parking Permit
Issuing Body Kentucky Transportation Cabinet, Division of Motor Vehicle Licensing
Form Identification TC 96-204
Version Date July 2011
Applicant Section Completion Applicant must complete their personal details and vehicle information.
Options for Proof of Disability Validation by County Clerk as obviously disabled or by a licensed physician/advanced practice registered nurse's certification.
Governing Law KRS 186.042
Permit Options License Plate or Placard
Disability Criteria Limitations or impairments to walking 200 feet without stopping, the need for an assistive device, portable oxygen usage, arthritic, neurological or orthopedic conditions, lung disease restrictions, or cardiac conditions.
Processing Application to be forwarded to the applicant's County Clerk.

Detailed Steps for Using Kentucky Tc 96 204

Once you have acquired the Kentucky TC 96-204 form, also known as the Application for Disabled Person’s Special Parking Permit, it’s important to correctly fill it out to ensure a smooth process. This form is required to apply for a special parking permit for individuals with disabilities, whether it's for the first time or for a renewal. The following instructions will guide you through the filling process step by step.

  1. Start by entering the Name of the applicant in the designated space. Include the first name, middle initial, and last name.
  2. Provide the Phone number of the applicant, including the area code.
  3. Fill in the Address of the applicant. This should include the street or post office box, city, state, and zip code.
  4. Next, enter the VIN (Vehicle Identification Number) of the vehicle owned or leased by the person with a disability.
  5. Select whether you are applying for a License Plate or a Placard by checking the appropriate box.
  6. If the applicant currently holds a disabled parking license/placard, enter the number in the space provided for HP (handicapped person's parking placard/license) or HV (handicapped veteran's parking placard/license).
  7. The applicant must sign their name where indicated to certify the application.
  8. Include the applicant's Social Security Number.
  9. For the oath section, the applicant or a person authorized on their behalf must fill in the date and have the form notarized. This involves entering the day of signing and the month and year, followed by the notary’s signature and commission expiration date.
  10. Section 2 is to be completed by the County Clerk if the applicant is obviously disabled and this is evident without further medical certification. The clerk will sign and date this section.
  11. If Section 2 is not applicable, a licensed physician or advanced practice registered nurse must complete Section 3. They will check whether the disability is permanent or temporary and provide their signature, printed name, and license number.
  12. Finally, the form will be handled by the county clerk for processing. This includes issuing a placard number and indicating any replacement reasons if applicable.

After completing and submitting the application as instructed, the process will be in the hands of the county clerk’s office. They will review the application for compliance with the Kentucky Revised Statutes. Successful applicants will be issued a special parking permit, which may come in the form of a placard or license plate, depending on the selection made. The permit’s expiration will also be set by the county clerk. It’s important to display the permit correctly in the vehicle to make use of the designated parking spaces for individuals with disabilities.

Obtain Clarifications on Kentucky Tc 96 204

  1. What is the Kentucky TC 96-204 form used for?
  2. The Kentucky TC 96-204 form is an application for a Disabled Person’s Special Parking Permit. This form allows individuals with disabilities, as stipulated by Kentucky law, to apply for either a special license plate or a placard that enables them to use designated handicapped parking spaces. It streamlines access to parking and ensures those with mobility impairments or health conditions affecting their ability to walk can park closer to entrances of buildings or facilities.

  3. Who needs to complete the Kentucky TC 96-204 form?
  4. Any resident of Kentucky who has a disability that limits or impairs their ability to walk 200 feet without stopping, requires the use of an assistive device, portable oxygen, or has a condition affected by arthritis, neurological disorders, orthopedic limitations, restrictive lung diseases, or cardiac condition, should complete the TC 96-204 form. This form must also be filled out to renew or replace a special parking permit.

  5. What sections are included in the TC 96-204 form, and who completes them?
  6. The TC 96-204 form consists of three main sections:

    • Section 1 is to be completed by the applicant, providing personal, vehicle, and disability information.
    • Section 2 is for the County Clerk to attest the applicant’s obvious disability in compliance with KRS 186.042. This section is only completed if the disability is visually evident.
    • Section 3 should be filled out by a licensed physician or an advanced practice registered nurse, certifying the applicant’s disability and whether it is permanent or temporary.

  7. Can the form be submitted without a physician’s or nurse’s certification if the disability is obvious?
  8. Yes, if the applicant's disability is obvious, as determined by the County Clerk, Section 3 of the form, which requires a certification by a licensed physician or a nurse, does not need to be completed. The County Clerk’s attestation in Section 2 will suffice for the issuance of the special parking permit.

  9. Is it possible to apply for both a license plate and a placard using the TC 96-204 form?
  10. The form allows applicants to check one option: either a license plate or a placard. Those in need of both may have to submit separate applications or consult with their County Clerk's office for specific instructions or exceptions.

  11. What documentation is required along with the TC 96-204 form application?
  12. In addition to completing the TC 96-204 form, applicants may need to provide proof of identity, residency in Kentucky, and vehicle ownership if applying for a disabled parking license plate. If the disability is not obvious and requires certification by a healthcare provider, the relevant section of the form must be completed in full. The specific requirements may vary, so it's advised to check with the local County Clerk’s office.

  13. How long does it take to receive the special parking permit after applying?
  14. Processing times can vary depending on the county’s workload and if the application form is filled out correctly and in full. For the most accurate estimate, it's best to inquire directly with the local County Clerk’s office where the application is submitted. Typically, applicants can expect to receive their special parking permit within a few weeks.

Common mistakes

When filling out the Kentucky TC 96-204 form, applicants often encounter several common mistakes. These errors can lead to delays in receiving a Disabled Person’s Special Parking Permit. Being aware of these pitfalls can save time and ensure the process runs smoothly.

One of the frequent mistakes is providing incomplete information. The form requires details such as full name, phone number, address, and the Vehicle Identification Number (VIN) if a vehicle is owned or leased by a person with a disability. Missing any of these details can result in an incomplete application that cannot be processed.

  1. Incorrect or Unreadable Information: Applicants sometimes fill in the wrong information or write in a manner that is hard to read. This can be especially problematic for crucial details like the VIN or social security number.
  2. Not Checking the Appropriate Boxes: Choosing between a license plate and a placard or indicating the type of disability (permanent or temporary) is mandatory. Failure to check the right box can lead to incorrect processing of the application.
  3. Forgetting to Sign the Form: An unsigned form is invalid. Both the applicant and, if applicable, the certifying physician or nurse must sign the form to confirm the accuracy of the information provided and the presence of a qualifying disability.
  4. Overlooking the Need for a Physician’s or Nurse’s Certification: Unless the County Clerk can attest the applicant is obviously disabled, a licensed physician or advanced practice registered nurse must certify the disability. Missing this certification can halt the application process.
  5. Not Updating Information for Replacements: If applying for a replacement permit, the reason for the replacement and previous placard number must be filled in. Skipping these details may prevent the issuance of a new permit.

To avoid these mistakes, applicants should take their time filling out the form, double-check all information before submission, and ensure all required sections are completed. In addition, keeping a copy of the completed form for personal records is a good practice. This careful attention to detail can significantly streamline the process of obtaining a Disabled Person’s Special Parking Permit in Kentucky.

Documents used along the form

When applying for or renewing the Kentucky TC 96-204 form, often required for obtaining a disabled person's special parking permit, applicants might need to provide additional documents to ensure their application is processed smoothly. These documents are crucial for verification of eligibility, identity, vehicle ownership, and to meet specific regulations set by the Kentucky Transportation Cabinet Division of Motor Vehicle Licensing.

  • Proof of Identity and Age: A document such as a state-issued driver's license or identification card that proves the applicant's identity and age.
  • Vehicle Registration Certificate: This document shows that the vehicle is registered in the applicant's name, linking the special parking permit to the correct vehicle.
  • Medical Certification: A detailed statement from a licensed physician or advanced practice registered nurse certifying the applicant's disability and need for a special parking permit.
  • Proof of Kentucky Residency: Documents like a utility bill or lease agreement confirm the applicant's residency within Kentucky, ensuring the permit is issued by the correct jurisdiction.
  • Proof of Social Security Number (SSN): A social security card or official document containing the SSN is often required for identity verification purposes.
  • License Plate or Placard Application Form: An additional form may be necessary when applying for a specific type of disabled parking permit, such as a license plate versus a placard.
  • Renewal Notification (if applicable): For individuals renewing their permit, the renewal notification sent by the Kentucky Transportation Cabinet serves as a reminder and contains specific instructions.
  • Payment for Any Applicable Fees: While the disabled person's special parking permit application may be free, there could be fees associated with the issuance of specific types of permits or plates.

Each of these documents plays a vital role in the application process for a Kentucky TC 96-204 form, ensuring that all legal requirements are met, and individuals with disabilities are afforded the necessary parking privileges. Applicants are encouraged to carefully review the requirements and prepare all needed documents before submitting their application to the Kentucky Transportation Cabinet Division of Motor Vehicle Licensing or their county clerk's office.

Similar forms

The Kentucky TC 96-204 form serves a specific purpose for individuals with disabilities, enabling them to apply for special parking permits. This application mirrors several other forms and processes across different sectors in terms of its structure and intent. One such document is the Application for Disability Insurance Benefits, overseen by the Social Security Administration. Both applications aim to provide necessary support to people with disabilities, though they serve different functions—one offers financial assistance while the other facilitates mobility and accessibility.

Similarly, the Disabled Status Application for a Reduced-Fare Program, often found in public transportation systems, shares commonalities with the Kentucky TC 96-204 form. Both applications require certification of disability, either from a medical professional or through evident disability determined by an authorized official. These documents ensure that the benefits—whether it’s reduced transit fares or special parking permits—are rightfully allocated to individuals who face mobility challenges.

Vehicle Registration forms for Adapted Vehicles also parallel the TC 96-204 form in several ways. These registrations often require detailed information about the vehicle owner, similar to the Kentucky form, which includes the applicant's name, address, and contact information. Additionally, both types of forms might necessitate a declaration of disability to ensure the vehicle modifications or privileges are indeed necessary for the individual's mobility needs.

The Application for a Permanent or Temporary Handicap Placard in other states functions similarly to the Kentucky TC 96-204, providing parking privileges to individuals with disabilities. Though the application process and form specifics may vary by state, the underlying purpose—to certify disability for special parking permits—remains consistent. These applications often require medical certification or evident disability verification, echoing the Kentucky form’s requirement for a physician’s certification or county clerk’s attestation.

The Veterans Disabled Parking Placard Application is another comparable document. It specifically caters to veterans with disabilities, offering them special parking privileges. Like the Kentucky TC 96-204 form, this application typically requires evidence of disability, often substantiated by a physician’s certification or by proving one's status as a disabled veteran through official military documentation.

Applications for Disabled Person’s License Plates bear a resemblance to the Kentucky TC 96-204 form, as both cater to similar needs but through slightly different mechanisms. While the Kentucky form offers the option for a license plate or a placard, applications for disabled person's license plates solely focus on the acquisition of a vehicle plate. Both, however, necessitate a form of disability authentication to ensure the applicants qualify for the benefits provided.

Renewal Forms for Disabled Person’s Special Parking Permit share a procedural and purposive similarity with the initial application represented by the Kentucky TC 96-204 form. Though the Kentucky form can serve for both first-time applicants and renewals, dedicated renewal forms often require less medical certification, assuming the disability was previously verified. Nonetheless, they maintain the goal of ensuring continued accessibility and convenience for individuals with disabilities.

Lastly, the Temporary Disability Placard Application in various jurisdictions parallels the Kentucky form in accommodating temporary disabilities. These applications emphasize the short-term nature of the disability and often have a quicker expiry date than permanent disability forms. Like the Kentucky TC 96-204, they include sections for medical certification to validate the temporary disability claim.

Each of these documents, while tailored to specific needs or jurisdictions, shares the core objective of the Kentucky TC 96-204 form: to authenticate disability and provide necessary accommodations or benefits. Whether it’s for financial assistance, transit fare reduction, parking privileges, or vehicle registration for adapted vehicles, the process centers on certifying disability in a manner that is respectful, accessible, and supportive of individuals' mobility and daily living needs.

Dos and Don'ts

When filling out the Kentucky TC 96-204 form for a Disabled Person’s Special Parking Permit, there are specific do's and don'ts that must be followed to ensure your application is processed smoothly. Below are guidelines to help applicants complete the form accurately and efficiently.

  • Do ensure all personal information is accurately entered. This includes your full name, phone number, and address. Double-check for typos.
  • Do specify if you are applying for a License Plate or a Placard by checking the appropriate box. Not choosing correctly could delay the process.
  • Do include the VIN of the vehicle owned or leased by the person with a disability. This is crucial for the assignment of the permit.
  • Do accurately enter any current disabled parking license or placard number if you already have one. This helps in tracking your application.
  • Don't leave the physician’s section blank if the county clerk has not attested to the disability. A licensed physician's or advanced practice registered nurse's certification is necessary for proving a disability.
  • Don't forget to indicate the nature of the disability – whether it is permanent or temporary. This information determines the type of permit you receive.
  • Don't sign the form without ensuring all fields above are correctly filled. Your signature is your attestation to the accuracy of the information provided.
  • Don't submit the form without the signature from the County Clerk or a licensed physician/advanced practice registered nurse, depending on the path of certification chosen. It’s essential for the validation of your application.

Following these instructions carefully can help in a faster processing of the Kentucky TC 96-204 form, enabling easier access to disabled parking facilities.

Misconceptions

Misunderstandings about paperwork can bog down any process, especially when dealing with something as important as the Kentucky TC 96-204 form, also known as the Application for Disabled Person’s Special Parking Permit. Let's clear up some common misconceptions surrounding this form to ensure that individuals in need can access their benefits as smoothly as possible.

  • Only Vehicle Owners Can Apply: A common misconception is that only those who own or lease a vehicle can apply for the special parking permit. In reality, the form allows any individual with a qualifying disability to apply, regardless of vehicle ownership. The key requirement is the individual's disability, not their possession of a vehicle.

  • A Doctor's Note is Always Required: People often think a licensed physician must always sign off for an applicant to qualify. However, Section 2 of the form provides an alternative where a County Clerk can attest to the applicant's disability if it is obvious, bypassing the need for a doctor's certification in certain circumstances.

  • The Form is for Permanent Disabilities Only: It is a common belief that the TC 96-204 form is exclusively for those with permanent disabilities. This isn't true; there is a provision for temporary disabilities as well, allowing for a broader range of qualifying conditions to be eligible for special parking privileges. It's about the impact on mobility, not the duration of the disability.

  • It's a Complicated Process: The application process can seem daunting, leading to the myth that it's a complex and difficult form to navigate. The form is straightforward, primarily requiring certification about the individual's disability status and mobility limitations. Understanding each section can simplify the process greatly.

  • Special Parking Permits are Automatic: Some applicants might think that completing and submitting the form guarantees approval. The truth is, each application undergoes review, and eligibility must be verified according to the specified requirements before a permit is issued. Approval is not automatic; it is conditional on compliance with legal standards.

  • One Permit Covers All Vehicles: There is a misconception that one disabled parking permit is applicable to all vehicles an individual may travel in. While the permit is issued to the individual and can be used in any vehicle transporting them, separate permits might be necessary if multiple vehicles are used simultaneously for this purpose.

  • Renewals Do Not Require a New Application: Some might assume that once you've been approved for a disabled parking permit, renewals do not demand a new application process. In fact, conditions for disabilities can change, and the state often requires up-to-date information or recertification to ensure that the individual still qualifies under the current criteria.

By dispelling these myths, navigating the TC 96-204 form can become less intimidating and more accessible for those who need it. Understanding the requirements, reflecting the realities of the application process, and knowing what to expect can make all the difference for individuals seeking disabled parking permits in Kentucky.

Key takeaways

Understanding the Kentucky TC 96-204 form is crucial for individuals seeking disabled person's special parking permits. Here are key takeaways to ensure the process is as smooth as possible:

  1. The TC 96-204 form is divided into three sections, each requiring attention from different individuals. Section 1 must be completed by the applicant, including personal information and the type of permit needed. This clear division helps streamline the application process.
  2. Applicants have the option to choose between a license plate or a placard based on their preference or need, offering flexibility in how they wish to indicate their disabled parking status.
  3. An important aspect of the application is the certification of disability. This can be verified in two ways: either through attestation by the county clerk in Section 2 for visibly obvious disabilities or through a licensed physician or advanced practice registered nurse's certification in Section 3 for other conditions. This dual-path approach ensures that all eligible individuals can access the permits they need, regardless of disability type.
  4. It's essential for the applicant to provide the Vehicle Identification Number (VIN) of the vehicle owned or leased by the person with a disability. This requirement links the permit directly to the vehicle used by or for the individual with a disability, enhancing the permit's security and utility.
  5. Renewal and replacement of permits are handled by the county clerk, as indicated in the "County Clerk’s Use Only" section. If a placard is lost, stolen, or damaged, or upon its expiration, applicants are guided on how to proceed with obtaining a new one. This ensures that individuals can maintain their parking privileges without unnecessary interruption.

The TC 96-204 form is an essential document for Kentucky residents with disabilities, facilitating access to special parking permits. Understanding and correctly completing the form ensures that individuals can continue to enjoy the mobility and freedom they deserve.

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