Disabled Parking Placard Abuse
Confiscation and Reporting Form
Registry of Motor Vehicles ● Medical Affairs
P.O. Box 55889 ● Boston, MA 02205-5889
FAX: 857-368-0018 ● PHONE: 857-368-8020
1 LE103_0318
MGL Chapter 90, Section 2 contains penalties for both violators misusing disabled parking privileges as well as placard owners/holders.
While there are established processes for citations and parking tickets, the following procedure is necessary for the Registry of Motor
Vehicles (RMV) to promptly address the placard owner.
By completing and submitting the following information, the RMV will immediately cancel any confiscated MA placard. The RMV will
accept placards from other states, and as a courtesy, return valid placards to the issuing state.
The cancellation notice will stop re-issuance if a customer reports his/her placard as lost or stolen to the RMV. The information provided
by law enforcement allows the RMV to update and keep a complete customer record regarding the abuse and it affords the placard
owner an opportunity for an administrative hearing on the following issue:
“The Registrar may revoke the plate or placard as issued to a person upon a finding that the person to whom the plate or placard was
issued willingly and without coercion or duress authorized, permitted, or allowed it to be used by another person.”
Please complete and fax this form, along with the following information, to 857-368-0018:
A copy of the confiscated placard with Placard Number visible
A copy of the police report
A copy of the citation or parking ticket, if issued
A. Police Department Information
Officer Name and Contact Info
B. Violator/Violation Information
Date of Incident (MM/DD/YYYY)
Brief Description of Incident
Was a citation or parking ticket issued? ...................................
Yes
No If Yes, citation/parking ticket # _________________
Was the Placard confiscated? ..................................................
Yes
No
Is the Placard being held as evidence? ........................................
Yes
No
(A copy of the confiscated placard is sufficient to initiate immediate RMV action. The physical placard should be returned by mail to the
address at the top of this form.)
Is the Violator the same person as the Placard Owner? ..............
Yes
No
C. Placard Owner Information (name and photo found on the Placard)
Placard Expiration (MM/DD/YYYY)
