The PA MV-145 form is a crucial document designed for individuals with disabilities or hearing impairments, seeking to obtain specialized registration plates in Pennsylvania. This application facilitates access to registration plates for persons with a disability or hearing impaired for their vehicles, including motorcycles, for a nominal fee. Highlighting the inclusive approach of the Bureau of Motor Vehicles, the form also details the eligibility criteria, necessary documentation, and the process for application submission.
Navigating the intricacies of special vehicle registration in Pennsylvania requires understanding the MV-145 form, an essential application for those seeking registration plates tailored to persons with disabilities or hearing impairments. Ensconced within the realm of the Pennsylvania Department of Transportation, this form serves as a gateway for the acquisition of either a Person with a Disability Registration Plate or a Person with a Disability Motorcycle Plate, each at a standard fee of $7.50. Additionally, for those with hearing impairments, it provides an avenue to apply for a specialized plate, albeit without the added benefit of special parking privileges. A comprehensive certification process involves the full engagement of health care providers, or in certain scenarios, police certification for applicants who do not have the full use of their limbs or are legally blind. Furthermore, the form enunciates a slew of eligibility criteria, encapsulating a diverse array of physical disabilities and making explicit the process for attesting to these conditions through professional medical certification. Emphasizing the need for accurate and truthful personal information and the legal ramifications of falsification, the form culminates in a notarization segment, unequivocally binding the applicant to the truthfulness of their disclosure. Moreover, the specification of benefits - such as the permission to park in designated spots for disabled persons and the potential for parking accommodations near the applicant's residence - underscores the tangible advantages conferred upon approval. Understanding the MV-145 form thus demands an appreciation for its role in facilitating mobility and legal compliance, its procedural and documentation requirements, and the consequential benefits it bestows upon eligible applicants.
MV-145(11-13)
www.dot.state.pa.us
APPLICATION FOR PERSON WITHADISABILITY OR HEARING IMPAIRED REGISTRATION PLATE ORA PERSON WITHADISABILITY MOTORCYCLE PLATE
PLATES: $7.50
For Department Use Only Bureau of Motor Vehicles • 1101 South Front Street • Harrisburg, PA 17104-2516
CHECK ( 4) APPROPRIATE BLOCKS BELOW - See reverse side for instructions and eligibility requirements.
qPerson with a Disability Plate. Complete Section A and B, Section C or D (NOT BOTH) and Section E. FEE: $7.50
qPerson with a Disability Motorcycle Plate - Complete Section A and B, Section C or D (NOT BOTH) and Section E. Fee: $7.50
qHearing Impaired Plate (NOTE: No Special Parking Privileges). Complete Sections A, B, C and E. FEE: $7.50
A
Vehicle Information
Title Number
Vehicle Identification Number
Current Tag No.
NOTE: In conjunction with replacement of your plate, you will receive one registration card. If additional registration cards are desired, the fee is $1.50 for each card.
Number of Duplicate Registration Cards Requested @ $1.50 each ________
B
ApplicantInformation - (List all information as shown on current registration card)
Last Name (or Full Business Name)
First Name
Middle Name
PA DL/Photo ID# or
Date of Birth
Bus. ID#
Co-Owner Last Name
PA DL/Photo ID#
Street Address
City
State
Zip Code
NOTE: If you are the parent or the 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.
Name of Parent or Person in Loco Parentis
Relationship to Applicant
Age of Applicant Listed
in Section C
C
Certification FromAHealth Care Provider Licensed or Certified in PAorAContiguous State (NewYork, New Jersey, Delaware, Maryland, West
Virginia or Ohio). THIS SECTION MUST BE COMPLETED IN FULL. - WARNING:Altering or forging a document issued by the Department, such
as a Person with Disability, Hearing Impaired Registration Plate or Motorcycle Plate Decal, or possessing, using or displaying such a
document, knowing it to have been altered, forged or counterfeited, is a misdemeanor of the first degree pursuant to the Vehicle Code, 75
PA.C.S. Section 7122, punishable by a fine of not more than $10,000 or imprisonment of not more than five years, or both.
This is to certify that _________________________________________ is under my care and (check the appropriate block):
Name of Person with Disability
qhas a hearing impairment or,qhas the following condition listed on the reverse side of this application under “Eligibility Requirements”: ____________
List Reason Code # Here
NOTE: Only those conditions listed on the reverse side of this application qualify an applicant for a person with a disability plate.
NOTE: If reason code #4 is listed above, please indicate the type of device used: _________________________________________________
(Type of Device)
Health Care Provider’s Name
Health Care Provider’s Signature
Medical License No.
Office Street Address
Telephone Number
(
)
D
Certification by Police Officer - Police officer may only certify that the applicant does not have full use of a leg or both legs, or is blind.
NOTE: If Section C above is completed, please skip this Section and go on to Section E.
This is to certify that ____________________________has the condition checked below and is entitled to the use and privileges of the registration plate
requested:
qblind, OR does not have full use of a leg or both legs as evident by the use of a
qwheelchair
qwalker
qcrutches
qcane/quad cane
q other prescribed device
(state device)
Officer’s Name
Officer’s Signature
Badge Number
Department/Station
E
Notarization And Applicant Signature - Applicant, natural parent or other authorized person listed in Section B must sign below.
SUBSCRIBED AND SWORN
I state that I have read and signed this application after its completion, and I swear or
affirm that the statements made herein are true and correct, and that any statement
TO BEFORE ME:
MONTH
DAY
YEAR
made on or pursuant to this application is subject to the penalties of 18 PA C.S.
t
Section 4903(a)(2) (relating to false swearing), which shall include punishment of a
SIGNATURE OF PERSON ADMINISTERING OATH
fine not exceeding $5,000, or to a term of imprisonment of not more than two years,
or both.
S
T
SIGN IN PRESENCE OF NOTARY
Applicant Signature
Date
M
Messenger No.
P
Eligibility Requirements and General Information
Plate Type
Eligibility Requirements
Qualifying Vehicles
Benefits
Person with a
Disability
Plate
“Reason Codes”
Applicant:
(1)is blind.
(2)does not have full use of an arm or both arms.
(3)cannot walk 200 feet without stopping to rest.
(4)cannot walk without the use of, or assistance from, a brace, cane, crutch, another person, prosthetic device, wheelchair or other assistive device.
(5)is restricted by lung disease to such an extent that the person’s forced (respiratory) expiratory volume for one second, when measured by spirometry, is less than one liter or the arterial oxygen tension is less than 60 MM/HG on room air at rest.
(6)uses portable oxygen.
(7)has a cardiac condition to the extent that the person’s functional limitations are classified in severity as Class III or Class IV according to the standards set by the American Heart Association.
(8)isseverelylimitedinhisorherabilitytowalkdue to an arthritic, neurological or orthopedic condition.
(9)is a person in loco parentis of a person specified in paragraph (1), (2), (3), (4), (5), (6),
(7) or (8) above.
(1)A passenger vehicle or truck with a registered gross weight of not more than 10,000 lbs. The vehicle must be used by a person with disability or operated exclusively for the use and benefit of the person with a disability.
NOTE: Organizations that operate a passenger vehicle to transport persons with disabilities must supply the Department with the following:
a)A notarized statement of how the vehicle will be used and the type of services that will be provided.
b)The weekly or monthly number of hours that the services are provided.
NOTE: The vehicle(s) must be titled in the name of the organization.
(1)Parking permitted in spaces designated for disabled persons and for 60 minutes in excess of legal parking period except where local ordinances or police regulations provide for the accommodation of heavy traffic during morning, afternoon or evening hours.
(2)Upon request of a person with disability, local authorities may erect on the highway as close as possible to the person’s residence a sign(s) indicating that the place is reserved for the person with disability, that no one else may parkthereunlessapersonwith disability plate or placard is displayed and that any unauthorized person parking there will be subject to a fine.
Definition of Person in Loco Parentis - ANY 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.
Hearing
Any person with a hearing impairment verified by a
No restrictions.
No special benefits.
Impaired
licensed health care provider.
Person with a Disability
Same disabilities as listed for Person with a
Motorcycle Only.
Same as above for Person
Motorcycle Plate
Disability Plate.
with a Disability Plate.
lA Health Care Provider is defined as a physician, chiropractor, podiatrist, physician’s assistant or a certified registered nurse practitioner. A Health Care Provider may only certify disabilities within their scope of practice.
lThis application may only be used by a vehicle owner or co-owner that qualifies for the type of plate indicated on the front of this application unless the vehicle owner is a person in loco parentis of a qualified person. NOTE: Individuals should list their PADriver’s License (PADL) or Photo ID# in the space provided. Businesses should list their Business ID# (Bus. ID) where indicated (i.e. E.I.N.).
lOnly one plate issued per qualified person for one passenger vehicle or truck with a registered gross weight of not more than 10,000 pounds.
lPerson with a Disability and Hearing Impaired plates may not be personalized.
lShould you desire to renew your registration in conjunction with this application, you must complete Form MV-140 or your registration renewal application and return it with this application along with your annual registration fee and the $7.50 replacement registration plate fee (if applicable).
Send completed application to: PA Department of Transportation Bureau of Motor Vehicles 1101 S. Front Street Harrisburg, PA 17104-2516
Visit us at www.dmv.state.pa.us or call us at:
In state: 1-800-932-4600 u TDD: 1-800-228-0676 u Out-of-State: 1-717-412-5300 u TDD Out-of-State: 1-717-412-5380
Filling out the Pa MV-145 form is the first step for individuals with disabilities or hearing impairments in Pennsylvania to obtain a special registration plate for their vehicle. This process not only simplifies parking and access but also ensures that those eligible can receive the benefits and accommodations they require for their mobility needs. Careful completion of this form requires attention to detail and an understanding of the specific requirements as set forth by the Pennsylvania Department of Transportation. Here’s how to navigate through the process efficiently.
After submitting the form, the Pennsylvania Department of Transportation will review your application to ensure it meets all the eligibility criteria. Once approved, your new registration plate or plates will be mailed to you. Keep in mind, this plate not only facilitates parking access but also signals to others the necessity of the accommodations it provides. It's a vital step towards ensuring mobility and accessibility for those with disabilities or hearing impairments across Pennsylvania.
What is the purpose of the PA MV-145 form?
The PA MV-145 form is an application designed for individuals seeking a Person with a Disability or Hearing Impaired Registration Plate or a Person with a Disability Motorcycle Plate. These specialized registration plates indicate to others the unique needs of the vehicle's owner or user, such as parking privileges designated for persons with disabilities. The form requires information about the vehicle, the applicant, and certification from a health care provider or police officer regarding the applicant's disability.
How much does it cost to apply for a specialized plate using the PA MV-145 form?
The fee for applying for a Person with a Disability or Hearing Impaired Registration Plate or a Person with a Disability Motorcycle Plate using the PA MV-145 form is $7.50. Additionally, if the applicant desires more than one duplicate registration card, each extra card will cost $1.50.
Who is eligible to apply for a plate using this form?
Eligibility for a plate via the PA MV-145 form is determined based on specific conditions outlined in the form's instructions. These conditions include, but are not limited to, visual impairment, inability to walk 200 feet without resting, use of portable oxygen, or severe limitations due to an arthritic, neurological, or orthopedic condition. Health care providers licensed in Pennsylvania or a contiguous state must certify the applicant's condition.
Can organizations apply for a Person with a Disability Plate?
Yes, organizations that operate passenger vehicles specifically for transporting persons with disabilities can apply for a Person with a Disability Plate. The vehicle must be titled in the name of the organization, and the application must include a notarized statement detailing the vehicle's use and the services provided.
What are the benefits of having a Person with a Disability or Hearing Impaired Registration Plate?
Benefits of having a Person with a Disability Plate include parking privileges in spaces designated for disabled persons and, in some cases, the allowance to park for 60 minutes beyond the legal parking period. Local authorities may also place signs near the residence of a person with a disability, indicating parking reserved for them. It’s important to note that the Hearing Impaired Plate does not carry special parking privileges.
When individuals fill out the PA MV-145 form, an application for a registration plate for persons with a disability or hearing impairment, several common mistakes can lead to delays or the rejection of an application. Understanding these mistakes can help ensure a smoother process.
Avoiding these errors helps ensure the application is processed efficiently, allowing individuals to receive their disability plates more quickly and with fewer complications.
Completing the MV-145 form for a person with a disability or hearing-impaired registration plate in Pennsylvania involves not only thorough compilation of this primary document but also potentially gathering additional forms and documentation. These supplementary items are vital for ensuring the application process is smooth and meets all the required criteria set by the Department of Transportation.
Understanding the interconnectedness of these documents with the MV-145 form underscores the importance of a careful and comprehensive approach to documentation for individuals with disabilities seeking specialized registration plates in Pennsylvania. Each document plays a role in affirming eligibility, vehicle ownership, and the lawful operation of the vehicle. Assembling these forms thoughtfully helps in navigating the application process efficiently and effectively.
The PA MV-145 form, an application for Person With A Disability or Hearing Impaired Registration Plate or a Person With A Disability Motorcycle Plate, is quite specific in its purpose, yet it shares similarities with other forms and documents within the motor vehicle and disability support ecosystem. The intricacies of these documents stem from their design to serve individuals requiring additional support, whether for mobility or communication challenges. Below, we delve into documents that share a purpose or procedural resemblance with the PA MV-145 form, highlighting their similarities and how they cater to distinct yet overlapping needs.
The first notable document similar to the PA MV-145 form is the Application for Disabled Person Parking Placard or Tags often utilized in many states beyond Pennsylvania. Like the PA MV-145, this application serves individuals with disabilities but focuses on providing placards or tags for parking rather than a specialized registration plate. Both documents require applicants to provide personal information, vehicle details, and a certification of disability from a healthcare provider. However, while the PA MV-145 offers a registration plate indicating disability for everyday visibility on the vehicle, the parking placard or tags are primarily for use in designated parking areas to ensure accessibility.
Similarly, the Application for Disabled Veteran License Plate shares a common ground with the PA MV-145 form, in that it targets a specific group requiring recognition and support through their vehicle registration. Both applications necessitate proof of status — a medical certification for the PA MV-145 and military service and disability documentation for the Disabled Veteran License Plate. Each form ultimately serves to acknowledge the unique challenges faced by its applicants, providing them with specific benefits and recognitions that aid their daily mobility and access.
Another related document is the Handicap Placard Renewal/Replacement form. This form is critical for individuals who already possess a handicap placard but need to update or replace it due to expiry or loss. While it is a renewal or replacement form rather than an initial application like the PA MV-145, both forms play pivotal roles in maintaining the mobility rights of people with disabilities. They ensure that the individuals’ rights to accessible parking and other vehicle-related benefits are uninterrupted, highlighting the ongoing support these documents provide within the broader aim of disability accommodation in transportation.
When seeking to complete the Pennsylvania MV-145 form for a Person with Disability or Hearing Impaired registration plate, it's crucial to adhere to specific guidelines. The process is designed to ensure clarity and compliance with state regulations. Here are essential do's and don'ts to follow:
Following these guidelines will not only streamline the application process but also ensure compliance with Pennsylvania's Department of Transportation requirements, paving the way for a smoother, more efficient handling of your request.
Understanding the Pennsylvania MV-145 form, which is used to apply for a Person with a Disability or Hearing Impaired Registration Plate or a Person with a DescriptionMotorcycle Plate, is crucial. However, there are several misconceptions about this form and its requirements. Here are five common misconceptions explained:
Misconception #1: Any doctor's note will suffice for the application.
Clarification: A health care provider who is licensed or certified in Pennsylvania or a contiguous state must complete the certification. This process ensures the applicant meets specific health-related eligibility requirements, as stated on the form.
Misconception #2: The application covers all types of disability plates and placards.
Clarification: This application is specifically for the issuance of a registration plate for persons with disabilities or hearing impairments, including a variant for motorcycles, not for temporary or permanent placards.
Misconception #3: The form allows for personalized disability plates.
Clarification: The MV-145 form does not provide an option for personalized disability plates. Only standard plates are issued through this application.
Misconception #4: There are no fees associated with this application.
Clarification: There is a fee for the plate. At the time the form was published, the fee for the plate was $7.50, which does not include potential additional fees for duplicate registration cards.
Misconception #5: Anyone can sign the application on behalf of the applicant.
Clarification: The form requires a signature from the applicant, a parent, or another authorized person. In certain cases, particularly when applying on behalf of a minor, the signer must be the natural parent or a person charged by law with the parent's rights, duties, and responsibilities.
Each of these points emphasizes the importance of understanding the specific requirements and limitations of the MV-145 application process in Pennsylvania, ensuring that applicants provide the correct documentation and adhere to the stipulated guidelines.
Filling out and using the Pennsylvania MV-145 form, which is an application for a Person with a Disability or Hearing Impaired Registration Plate or a Person with a Disability Motorcycle Plate, involves several key steps and considerations. Here are some of the critical takeaways to keep in mind:
Understanding the structured procedure and requirements outlined in the MV-145 form is crucial for successfully applying for either a Person with a Disability or Hearing Impaired Registration Plate in Pennsylvania. This process not only helps in legal compliance but also in accessing the benefits and accommodations provided to individuals with disabilities, ensuring they can navigate public spaces with greater ease and dignity.
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