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application for a disabled parking permit and/or disabled license plate on the condition that I will comply in all respects with the applicable Mississippi Laws and the rules and regulations hereunder.
You can apply for a disability parking placard or license tag in person at your MS county tax collector’s office. Contact the MS DOR for information about applying by mail. To apply for a plate or placard, you will need to submit a completed Disabled Parking Application (Form 76-104).
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To get your permit, you’ll have to fill out a Mississippi Disabled Parking Application, which is Form 76-104. Once you fill out your part of the application, you’ll also need to take the document to your doctor or nurse practitioner.
FORM 76-104-96-1 (Rev. 2/97) Mississippi. Disabled Parking Application. (Section 27-19-56, MS Code of 1972) Section 1. Certification to be Completed by Licensed Physician or Nurse Practitioner. I do hereby certify that _____________________________________ has the following condition. Printed Name of Disabled Person.
application for a disabled parking permit and/or disabled license plate on the condition that I will comply in all respects with the applicable Mississippi Laws and the rules and regulations hereunder.
How to obtain a permit. The applicant must submit a Mississippi Disabled Parking Application (Form 76-104) to the county tax collector. The application must be completed by a licensed physician or nurse practitioner certifying the disability.
To apply for a disabled tag and/or placard, you need to submit to your county Tax Collector a Mississippi Disabled Parking Application, Form 76-104. The application must be completed by your licensed physician or nurse practitioner.
Individuals may apply for a disability tag/placard using the Mississippi Disabled Parking Application Form (PDF). This form must be certified by the applicant's physician or nurse practitioner as being permanently disabled.
To apply for a handicap parking permit in MS, you can fill out the Disabled Parking Application (Form 76-104) in person at a local county tax collector’s office. You can also apply by mail under special circumstances.