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Mv2162 MV2162 (Wisconsin)

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WISCONSIN DEPARTMENT OF TRANSPORTATION
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MV2162 4/2020 
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Persons that qualify
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Vehicles that qualify

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
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Things you should know

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
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
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 not
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» 

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7. 
Registration Fee Trust.
 
WisDOT
Special Plates Unit – DIS
P O Box 7306
Madison, WI 53707-7306
If you have questions
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 
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 
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 special-plates.dmv@dot.wi.gov
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Disabled Parking License Plates Information and Application Wisconsin Department of Transportation
MV2162 4/2020 s.341.14(1a) Wis. Stats.
Applicant section
Please print clearly




      





               

X
 
DIS ID permit information

Complete information for the vehicle you wish to register with disabled parking license plates.

      

(standard VIN has 17 characters)
                
Registration for vehicle owned or leased by: (Please check one)

Print name and sign below.
 Print name and sign
below.

Sign below.
 
Personalized plate section
Please check one
non-personalized
personalized

A M B U L 8 I M A B L
 Use

L or I1, S5, G6, Z2, B8, U
Vwisconsindmv.gov/personalizedplatelookup






Note:

Health care certication


https://app.wi.gov/disabledparking
Eligibility Certication Statement qualifying permanent disability
X______________________________________________________________ 
 
 
      

   

wisconsindot.gov/Pages/dmv/license-drvs/mdcl-cncrns/medicalmedprofessionals.aspx 
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
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



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
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Mv2162 MV2162 (Wisconsin)

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Completed 15 July 2020

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