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Get Nj Sp-41 2015

ONLY: DO NOT WRITE ABOVE THIS LINE) APPLICATION FOR VEHICLE LICENSE PLATES AND/OR PLACARD FOR PERSONS WITH A DISABILITY THIS IS MY: INITIAL APPLICATION I AM APPLYING FOR: RECERTIFICATION APPLICATION LICENSE PLATES PLACARD REPLACEMENT APPLICATION BOTH SECTION A: PERSON WITH A DISABILITY IDENTIFICATION CARD INFORMATION Name of Person with a Disability: Street Address: City, State, Zip Code: Driver s License Number: Date of Birth: Sex: Expires Ht: Eye Color: Wt: I acknowledge that.

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