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Get Az 40-0112 2014-2025
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How to fill out the AZ 40-0112 online
The AZ 40-0112 form is essential for requesting a disability or hearing impaired parking placard in Arizona. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring an efficient and straightforward experience for all users.
Follow the steps to complete the AZ 40-0112 form online.
- Click the ‘Get Form’ button to access the AZ 40-0112 form and open it in your preferred editor.
- Indicate the type of placard you are requesting by selecting either the 'Disability Parking Placard' or 'Hearing Impaired Placard' checkbox.
- Next, choose the request type by checking the appropriate box for 'Renewal' or 'Replacement' if your placard was lost, stolen, destroyed, or mutilated. Remember to return any mutilated placard if applicable.
- Fill in the applicant's name, which should be the person with a disability or hearing impairment, or the organization's name if applicable.
- Enter your phone number, ensuring it is accurate for any necessary follow-up.
- Complete the mailing address section, including the street address, city, state, and zip code.
- If applying on behalf of an organization, provide the organization representative's name. Otherwise, check the applicable box for individual applicants.
- Record the current placard number in the designated area.
- Certify your eligibility by signing in the space provided, confirming your permanent disability or hearing impairment.
- If renewing, obtain a notary or MVD agent signature. This step is not required for organizations or replacement requests.
- Finally, complete the date and county sections for the notary or MVD agent, and if applicable, add their signature. Make sure to follow any additional instructions for completing this section.
- After filling out the form, review all information for accuracy, then save your changes. You can also download, print, or share the completed AZ 40-0112 form as needed.
Start filling out the AZ 40-0112 form online today for your parking placard request.
Yes, individuals with arthritis may qualify for handicapped parking in Arizona if their condition limits mobility significantly. It is important to have your doctor document the extent of your disability to support your application. Consulting AZ 40-0112 can provide clarity on what disabilities warrant a parking permit and help streamline the process.
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