Fill in Your Kentucky Tc 96 204 Form

Fill in Your Kentucky Tc 96 204 Form

The Kentucky TC 96-204 form, issued by the Kentucky Transportation Cabinet Division of Motor Vehicle Licensing in July 2011, serves as an application for a Disabled Person’s Special Parking Permit. This form allows individuals with disabilities to apply for either a special license plate or a placard that enables access to designated parking spaces. To secure this vital permit and make mobility easier, follow the steps outlined in the form, ensuring either a county clerk's attestation or a licensed physician's certification of the disability is included.

Ready to simplify access to special parking? Click the button below to start filling out your Kentucky TC 96-204 form.

Open Kentucky Tc 96 204 Editor Here

Navigating the complexities of obtaining a disabled person's special parking permit in Kentucky involves understanding the specifics outlined in the Kentucky Transportation Cabinet's TC 96-204 form. Updated in July 2011, this document serves as an essential application for individuals seeking to secure these parking privileges due to disabilities. It meticulously divides the process into sections that require personal information from the applicant, including their name, contact details, and information about their vehicle. It also necessitates a choice between applying for a license plate or a placard and provides spaces for existing permit numbers. Crucially, the form includes provisions for verification of the applicant's disability either by the county clerk—based on visible disability or a licensed physician or advanced practice registered nurse who can certify disability based on several conditions affecting mobility. This process underscores the importance of accurately completing and forwarding the application to the county clerk to facilitate the issuance of the permit. Furthermore, it emphasizes compliance with Kentucky's statutes, specifically KRS 186.042, underscoring the state's commitment to providing necessary accommodations for individuals with disabilities, thereby enhancing their mobility and quality of life.

Kentucky Tc 96 204 Example

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 Data

<,GLtd>There are three key sections: personal details by the applicant, attestation by the county clerk for obvious disabilities, and a medical certification for those whose disabilities are not visually apparent.
Fact Name Description
Form Identification Kentucky Transportation Cabinet TC 96-204 is designed for the application for Disabled Person’s Special Parking Permit.
Content Requirement Applicants must provide personal information, vehicle identification, and choose between license plate or placard options. Additionally, current holders of a disabled parking license/placard must include their number.
Verification Process The form requires validation either by a county clerk's attestation to the applicant's disability or by a licensed physician/APRN’s certification regarding the applicant's mobility limitation or impairments.
Governing Law Issuance of the permit follows the compliance with KRS 186.042, which outlines the criteria for being considered disabled and eligible for special parking permissions in Kentucky.
Form Sections

How to Fill Out Kentucky Tc 96 204

Filling out the Kentucky TC 96-204 form is a necessary step for obtaining a disabled person’s special parking permit. This document requires detailed information to ensure the applicant meets the criteria for receiving this permit. It involves completing sections about personal and medical information. The following instructions will guide you through each part of the application process clearly and efficiently.

  1. Start with Section 1 by entering your full name, phone number, and complete address, including street or P.O. Box, city, state, and zip code.
  2. Indicate the Vehicle Identification Number (VIN) of the vehicle owned or leased by a person with a disability.
  3. Choose whether you are applying for a License Plate or a Placard by checking the appropriate box.
  4. If you already hold a disabled parking license or placard, fill in the number next to the corresponding option (No. HP for a parking license/placard and No. HV for a disabled veteran license/placard).
  5. Sign your name and write your Social Security number in the designated spaces. Ensure you also fill in today’s date and leave the section for the signature of the person attesting oath blank for later.
  6. Section 2 is to be completed by the County Clerk. If the County Clerk can attest that the applicant is obviously disabled according to KRS 186.042, and does so, then you do not need to complete Section 3. This part will be filled out and signed by the Clerk.
  7. In cases where the County Clerk does not attest, proceed with Section 3. This section requires a licensed physician or an advanced practice registered nurse to certify your disability. The medical professional must check whether the disability is permanent or temporary and sign their name. Their printed name, license number, and signature must also be provided.
  8. The bottom of the form, marked as "COUNTY CLERK’S USE ONLY," will be completed by the County Clerk after your form has been submitted and reviewed.

After you have completed your portions of the form, submit it to your County Clerk’s office. Ensure all the information provided is accurate to the best of your knowledge to avoid any delays in the processing of your application for a disabled person's special parking permit.

Crucial Queries on This Form

  1. What is the Kentucky TC 96-204 form?

    The Kentucky TC 96-204 form is an application for obtaining a Disabled Person's Special Parking Permit. This form facilitates the issuance of either a special license plate or a placard to individuals with disabilities that limit or impair their ability to walk. It is processed through the Kentucky Transportation Cabinet, Division of Motor Vehicle Licensing.

  2. Who needs to complete the Kentucky TC 96-204 form?

    Individuals who own or lease a vehicle and have a disability that conforms to the criteria established by the Kentucky statutes for special parking permits must complete this form. This includes those with conditions that limit their walking ability, require the use of an assistive device, portable oxygen, or suffer from specific conditions like arthritis, neurological or orthopedic conditions, severe lung disease, or have a cardiac condition as defined in KRS 186.042.

  3. How can one apply for a disabled parking permit in Kentucky?

    To apply for a disabled parking permit in Kentucky, one must fill out the TC 96-204 form with their personal information, vehicle identification number (VIN), and preference for a license plate or placard. The applicant can then choose to have their permit validated by a licensed physician or the county clerk, depending on the nature of their disability. The completed form should then be forwarded to the county clerk's office.

  4. Can a temporary disability qualify for a parking permit?

    Yes, individuals with temporary disabilities that meet the specified criteria can qualify for a special parking permit. The form allows the certifying licensed physician or advanced practice registered nurse to indicate whether the disability is permanent or temporary, based on their professional judgment and the condition of the applicant.

  5. What is the role of the county clerk in the application process?

    The county clerk plays a critical role in the application process for a Disabled Person’s Special Parking Permit. Besides validating applications where the applicant's disability is visually evident and not requiring physician’s certification, the county clerk is also responsible for recording placard numbers, expiration dates, and handling replacements. They ensure that the application complies with the relevant Kentucky statutes before issuing the permit.

  6. Is there a difference between the placard and license plate option?

    Yes, applicants have the option to choose between receiving a special disabled parking placard or a license plate. Placards are typically used for versatility and can be transferred between vehicles, making them ideal for individuals who might use different cars. License plates are fixed to a specific vehicle registered or leased by the person with the disability and offer the same parking privileges as a placard.

  7. What happens if a parking permit is lost or damaged?

    If a parking permit is lost, stolen, or damaged, the permit holder should contact their county clerk's office to report the issue and request a replacement. The form contains a section for explaining the reason for replacement, ensuring that individuals with disabilities maintain their access to special parking accommodations.

  8. How does the application process accommodate non-visible disabilities?

    For non-visible disabilities, a licensed physician or an advanced practice registered nurse must complete Section 3 of the form, certifying the applicant's condition and its impact on their walking ability. This ensures that individuals with non-visible disabilities are fairly assessed and provided with special parking permits based on professional medical validation.

  9. Can one hold both a placard and a license plate simultaneously?

    While the form does not explicitly address holding both a placard and a license plate simultaneously, the primary concern is to ensure that individuals with disabilities receive the necessary parking accommodations. It is advised to check with the Kentucky Transportation Cabinet or county clerk’s office for specific regulations on having both types of permits at the same time.

Common mistakes

When filling out the Kentucky TC 96-204 form, which is the Application for Disabled Person’s Special Parking Permit, individuals often make mistakes that can lead to delays in receiving their permit or even outright denial of the application. Awareness of common errors and careful attention to detail when completing this form can significantly streamline the process.

First and foremost, a frequent oversight is not checking the correct box to indicate whether the applicant is applying for a license plate or a placard. This distinction is crucial for processing the application correctly. Additionally, applicants sometimes forget to include the Vehicle Identification Number (VIN) of the vehicle owned or leased by a person with a disability. This omission can halt the process since the VIN is essential for identifying the eligible vehicle.

  1. Incorrect or incomplete personal information: The name, phone number, and address sections are straightforward, yet they are often filled out incorrectly or left incomplete. Double-checking this information for accuracy is vital.
  2. Failing to specify the current disabled parking license or placard number: If the applicant already holds a disabled parking license or placard, failing to include the current number can complicate record verification and renewal processes.
  3. Overlooking the need for authorization: It's either the County Clerk’s confirmation of the disability in Section 2 or a licensed physician's certification in Section 3 that must be completed. Skipping this step or leaving it partially filled can invalidate the application.
  4. Not properly indicating the type of disability: The physician or APRN must check whether the disability is permanent or temporary. Missing this detail can affect the type of permit issued.
  5. Failing to obtain the necessary signatures: The application requires signatures from the applicant, a person attesting the oath, and, when applicable, a licensed physician or APRN. Missing any of these signatures can lead to processing delays.

Moreover, applicants often overlook the expiration date of their current placard and fail to request renewal in a timely manner. This lapse can result in periods where the individual is without the necessary parking accommodation. Additionally, not detailing the reason for a replacement (if applicable) can hinder the County Clerk's ability to process the application efficiently.

  • Ensure all sections of the form that apply to your situation are filled out completely and legibly.
  • Review the form multiple times before submission to catch any overlooked sections or errors.
  • Keep a copy of the completed form for your records before forwarding it to your County Clerk, in case it needs to be referenced in the future.

In conclusion, while the Kentucky TC 96-204 form may seem straightforward, attention to detail is imperative. By avoiding these common mistakes, the process of applying for a Disabled Person’s Special Parking Permit can be smooth and efficient, ensuring that those who need these permits receive them in a timely and hassle-free manner.

Documents used along the form

When processing or submitting the Kentucky TC 96-204 form, which is an application for a Disabled Person’s Special Parking Permit, it’s often necessary to be aware of and possibly include additional forms and documents. These may be required for a comprehensive submission, ensuring that the applicant receives the appropriate disabled parking permit or license plate. Understanding these additional documents can simplify the process for applicants.

  • Proof of Identity: This could be a state-issued driver's license or other government-issued photo identification. The document must clearly show the applicant’s name and photo, verifying the identity of the person applying for the parking permit.
  • Vehicle Registration: A copy of the current vehicle registration for the car that will use the disabled parking permit. This shows that the vehicle is registered in the state of Kentucky to the applicant or the applicant's guardian or caretaker.
  • Doctor's Note: For applicants who do not have their disability immediately apparent, a detailed statement from a licensed physician or advanced practice registered nurse, as specified in Section 3 of the TC 96-204 form, is required. This document must attest to the nature of the disability and the necessity of the permit.
  • Proof of Residency: A utility bill, lease agreement, or mortgage statement can serve as proof of Kentucky residency. This confirms that the applicant resides in the location where the special parking permit will be used.
  • Application for Kentucky Certificate of Title/Registration (TC 96-182): If the applicant is also registering a vehicle or transferring a title in conjunction with applying for a disabled parking permit, this form is necessary. It combines the processes of vehicle registration and title transfer in Kentucky.
  • Renewal Notice for Disabled Parking Permit: For individuals seeking to renew their Disabled Person’s Parking Permit, this document serves as a reminder and provides necessary information for renewal. Not all applicants will need this, only those renewing an existing permit.
  • Change of Address Form: If the applicant has recently moved and needs to update their address for the disabled parking permit, this form will be required to ensure that all correspondence and the permit itself are sent to the correct location.
  • Power of Attorney (if applicable): In instances where another individual is applying on behalf of the disabled person, a power of attorney document may be needed to authorize this action legally. This ensures the person has the right to make such applications for the applicant.

Collecting and preparing these documents in advance can streamline the application process for the Kentucky TC 96-204 form. This preparation helps in avoiding delays and ensures a smoother experience for obtaining a Disabled Person’s Special Parking Permit. It’s important for applicants or those assisting them to check with the Kentucky Transportation Cabinet or local county clerk’s office for the most current requirements and any additional forms that may be necessary.

Similar forms

The Application for Disabled Person’s Special Parking Permit in Kentucky, identified as form TC 96-204, shares similarities with the Application for Disability License Plate in various states. Both documents serve individuals with disabilities by offering a means to access parking privileges designed to accommodate their needs. The primary difference lies in the type of parking permit being applied for—one for a placard and the other for a license plate. Nonetheless, both applications require personal information, a certification of disability from a health professional, and in some states, verification by a county clerk or an equivalent authority. Through these processes, individuals with disabilities are granted special parking permits that facilitate greater accessibility in public areas.

Similar to form TC 96-204 is the Application for Handicap Parking Placard or Plate at the Department of Motor Vehicles (DMV) in various jurisdictions. This document, like Kentucky's TC 96-204, is designed to aid individuals facing mobility challenges. Applicants must provide comprehensive details about their condition, certified by a healthcare professional, to qualify for a placard or plate that enables access to designated parking spaces. While each state's form may have unique elements, the core purpose aligns: to validate the applicant's need for special parking accommodations based on a qualified disability.

The Disabled Veteran Parking Placard Application found in some states also parallels Kentucky's TC 96-204 form, especially in its provision for disabled veterans. Both applications cater to individuals with disabilities, but the Disabled Veteran Parking Placard Application specifically targets veterans who have become disabled as a result of their service. This document underscores the importance of acknowledging and providing for the unique parking needs of veterans with disabilities. Applicants are often required to furnish proof of their disabled veteran status alongside the certification of disability, underlining the special considerations afforded to them for their service.

Another document related to the TC 96-204 form is the Medical Certification for Disability Exceptions, used in the application process for various disability benefits, including parking permits. This certification process requires a healthcare provider to confirm the nature and extent of the applicant's disability. Much like the section in Kentucky’s TC 96-204 form that requires a physician or advanced practice registered nurse's certification, this document ensures that only those with legitimate needs are afforded special accommodations. It plays a crucial role in the broader system of support for individuals with disabilities, evidencing the necessity of a formal medical opinion to qualify for certain benefits.

Dos and Don'ts

When filling out the Kentucky TC 96-204 form for a Disabled Person’s Special Parking Permit, ensure a smooth process and avoid simple mistakes by following these dos and don'ts:

Do:

  • Ensure all information is complete and accurate: Double-check that you've filled in every section that applies to you, especially your contact information and the details about your disability.
  • Have the form signed by a licensed physician if required: If your disability is not immediately apparent to the County Clerk, a licensed physician must attest to your condition in Section 3 of the form.
  • Choose the correct type of permit: Make a clear choice between the License Plate or Placard option based on your needs and ensure you mark the appropriate box.
  • Keep a copy for your records: After submitting the form to your County Clerk, retain a copy for yourself. This may be useful for future reference or if there are any issues with your application.
  • Review the expiration date: If you're applying for a renewal or replacement, be aware of the expiration dates mentioned under the "County Clerk’s Use Only" section to ensure continuous accessibility.

Don't:

  • Leave sections blank: If a section of the form applies to your situation, make sure you fill it out. Incomplete forms may lead to processing delays or outright rejection of your application.
  • Forget the oath section: The application requires an oath to be sworn in the presence of a County Clerk or other authorized person, who must also sign the form. This step is crucial and should not be overlooked.
  • Use outdated information: Whether it’s your contact details or information about your vehicle, ensure all provided information is current to avoid any complications in the processing of your permit.
  • Sign without reading: Understand every part of the form before you sign. This includes grasping the implications of swearing an oath regarding the accuracy of your application and your disability.
  • Submit without verifying: Before handing over or mailing your application, check once more that everything is filled out correctly and all required sections are signed. This minimizes the risk of having to resubmit the form.

Misconceptions

When it comes to the Kentucky TC 96-204 form, used for the application of disabled person's special parking permits, there are several misconceptions that can cause confusion. Correcting these misunderstandings can streamline the process for applicants and ensure they meet all requirements without unnecessary delays. Here are ten common misconceptions:

  • The form is only for permanent disabilities. Actually, the Kentucky TC 96-204 form is used for both permanent and temporary disabilities, as indicated in Section 3 of the form where a licensed physician or advanced practice registered nurse certifies the nature and duration of the disability.
  • Any healthcare professional can sign the form. The application requires the signature of a licensed physician or an advanced practice registered nurse (APRN). Not all healthcare professionals, such as physical therapists or chiropractors, are authorized to sign this form.
  • The applicant must own a vehicle. There is a common misconception that the applicant must own or lease a vehicle to qualify for a permit. However, the form does not restrict the issuance of a permit based on vehicle ownership. It asks for the VIN of the vehicle owned or leased by a person with a disability, but this does not preclude those who do not own a vehicle from applying.
  • The form can only be submitted in person. While it is common to submit forms in person, applicants have multiple submission options, including mail or potentially online through their County Clerk’s office, depending on the county's specific procedures.
  • Only the applicant can submit the form. Friends, family members, or caregivers can assist in submitting the form on behalf of the applicant, as long as all the required information and signatures are included.
  • All sections must be completed for the form to be processed. Section 3 of the form is not required if the County Clerk attests the applicant's disability in Section 2, indicating that the applicant is obviously disabled according to KRS 186.042.
  • A Social Security number is required for the application. While the form has a space for the applicant's Social Security number, providing it is not mandatory unless specifically required by the County Clerk for identification purposes.
  • The permit is automatically renewable. Permits, especially for temporary disabilities, have an expiration date and must be renewed upon expiry. Renewal might require a new application and certification of the disability.
  • The permit allows parking in all designated disabled parking spaces. While generally true, some areas may have restrictions or require additional permits. It's always best to verify local parking regulations.
  • There is a fee to apply for the permit. Kentucky does not charge a fee to apply for a disabled person's special parking permit. However, it's important to note that some counties might have administrative fees, so it's advisable to check with the local County Clerk's office.

Understanding these facts about the Kentucky TC 96-204 form can help applicants navigate the process more effectively, ensuring that those who need special parking permits receive them in a timely and hassle-free manner.

Key takeaways

Filling out the Kentucky TC 96-204 form, which is the application for a disabled person's special parking permit, is a crucial step for individuals with disabilities in Kentucky who require special parking accommodations. Here are some key takeaways that applicants should consider:

  • The form has clear sections that need completion by different parties, including the applicant, a county clerk, and potentially a licensed physician or advanced practice registered nurse, depending on the nature of the disability. This structured approach helps ensure that all necessary information is accurately provided.
  • Applicants have the option to apply for either a license plate or a placard based on their preference and needs. This choice allows for flexibility depending on whether the applicant requires a permanent solution or a more portable one.
  • The form accommodates both permanent and temporary disabilities, with a section for the healthcare provider to indicate the nature of the disability. This distinction ensures that individuals with short-term injuries or conditions can also access the necessary parking accommodations during their period of recovery or impairment.
  • Validation by a county clerk or a healthcare professional is requisite, emphasizing the importance of official recognition of the disability. This requirement acts as an authenticating step to prevent misuse of special parking privileges and ensures that only eligible individuals receive them.

Understanding these key aspects of the Kentucky TC 96-204 form can significantly aid individuals in correctly applying for the special parking permits they need, ultimately facilitating better access to necessary facilities and services.

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