Texas Department of Motor Vehicles · Texas form

Fill out Form VTR-214

Application for Persons with Disabilities Parking Placard and/or License Plate Rev. 09/24

From TxDMV: Apply for a "permanent" (blue) or "temporary" (red) disabled parking placard, and/or Disabled Person license plates, at a county tax assessor-collector's office. Source

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Medical certification. The licensed medical professional's signature on page 2 must be notarized if an original prescription is not submitted. Source
Preview of the official Form VTR-214 PDF, page 1
Page 1 of the official Form VTR-214 PDF.

Facts from the official source

Quoted or closely restated from the Texas Department of Motor Vehicles' own pages and PDFs, checked .

FactWhat the source saysSource
Issued byTexas Department of Motor VehiclesDisabled Parking Placards & Plates (TxDMV)
EditionRev. 09/24Form VTR-214 (Rev. 09/24), official PDF Form VTR-214, page 1 footer.
Current revisionTxDMV's Forms listing links this exact PDF under "Application for Persons with Disabilities Parking Placard and/or License Plate (VTR-214)"; the PDF served at that link prints Rev. 09/24.TxDMV Forms (Texas Department of Motor Vehicles) TxDMV Forms listing, entry "Application for Persons with Disabilities Parking Placard and/or License Plate (VTR-214)" (links /sites/default/files/form_files/VTR-214.pdf).
Where it is submitted (placard)Placard: submit the completed application, payment (if required) and proof of eligibility to your local county tax assessor-collector's office or the county tax assessor-collector's office where you are seeking medical treatment.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Instructions.
Where it is submitted (plates)License plate: submit the completed application, payment (if required) and proof of eligibility to your local county tax assessor-collector's office.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Instructions.
Placard fee printed on the formNo fee for a placard issued to a person with a permanent disability; $5 per placard for a person with a temporary disability.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Instructions.
Applying by mailFor a mail application, contact the county tax assessor-collector's office; do not mail cash, and include a copy of the photo ID.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Instructions.
Driver license or ID numberInclude your Driver License or Identification Card number; it will be partially shown on the placard issued.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Identification Statement.
Medical certificationThe licensed medical professional's signature on page 2 must be notarized if an original prescription is not submitted.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Instructions.
Placard and plate limitsLimit one placard for persons with Disabled Person license plates; two placards for persons without them. Disabled Person plates with the ISA are for a permanent disability (limit one set).Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1, Instructions.
Who completes which partThe applicant completes and signs page 1. The Disability Statement on page 2 is completed by a Licensed Medical Professional; the Notary section (placards only) is completed by a notary if an original prescription is not submitted.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 2, Disability Statement and Notary sections.
Renewing a permanent placardTo renew a permanent (blue) placard, complete all sections on page 1 of a new application; the doctor is not required to complete the disability statement on page 2.Disabled Parking Placards & Plates (TxDMV) Disabled Parking Placards & Plates page, "How to Renew" section.
Official instructionsInstructions are printed on page 1; definitions of disability and the Disability Statement are on page 2.Form VTR-214 (Rev. 09/24), official PDF Form VTR-214 (Rev. 09/24), page 1.

What is on the form

Applicant Information
Name, institution name (if applicable), address, email and phone. Form VTR-214, page 1
Identification Statement
Whether the signer is the person with the disability, applying on their behalf, or an institution administrator; DL or ID number and state of issuance, or facility ID. Form VTR-214, page 1
Application for Parking Placard(s) and/or Disabled Person License Plate(s)
Choice of plates and/or one or two placards. Form VTR-214, page 1
Vehicle Information for License Plate(s)
VIN, current Texas plate, year, make and vehicle type, only when applying for Disabled Person plates. Form VTR-214, page 1
Certification
Applicant signature and date. Form VTR-214, page 1
Disability Statement
Completed by a Licensed Medical Professional: person's name, permanent or temporary disability, professional's name, license number, signature, date and mailing address. Form VTR-214, page 2
Notary
Placards only: notary acknowledgement of the medical professional's signature when an original prescription is not submitted. Form VTR-214, page 2

Checked by PDF Tower: the official PDF has 2 pages and 51 fillable fields (39 text, 12 checkbox or radio), 4.1 MB. SHA-256 b00b6367ac5baaf3…, computed .

Edition and revisions

  • Edition on this page: Rev. 09/24.

Sources

  1. Disabled Parking Placards & Plates (TxDMV) Retrieved .
  2. TxDMV Forms (Texas Department of Motor Vehicles) Retrieved .
  3. Form VTR-214 (Rev. 09/24), official PDF Retrieved .

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