VILLAGE OF RIVER GROVE
2621 Thatcher Ave
River Grove, IL 60171
Disabled Parking Sign Request
Full Name: ___________________________________________________________________
Street Address: _____________________________________________River Grove, IL 60171
Contact Number: _____________________________________________________________
Email: ________________________________________________________________________
Do You: Own or Rent
Does the home have a driveway Yes No
Does the home have a garage? Yes No
Disability placard number or disability license plate number: _______________________
Before applying for local parking privileges, the applicant must obtain disability license
plates or a disability parking placard from the Illinois Secretary of State Office.
The Secretary of State documentation must confirm that the applicant’s vehicle is
registered at the applicant’s residence, or that the parking placard has been registered
for use by the disabled person or household member residing at the residential address
of the applicant.
Signature: ___________________________________ Date: ____________________
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Office Use Only
Date Received: ___________________________________________________________________
Date Investigated: _________________________________________________________________
Approved By:_______________________________________________________________________
Date of Installation: _________________________________________________________________
Remarks: _________________________________________________________ ____________
