This version of the form is not currently in use and is provided for reference only. Download this version of Form 96-0104 for the current year.
This is a legal form that was released by the Arizona Department of Transportation - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 96-0104?
A: Form 96-0104 is the Individual Disability - Deaf/Hard of Hearing Plate/Placard Application form for Arizona.
Q: Who is this form for?
A: This form is for individuals who are deaf or hard of hearing and wish to apply for a special license plate or placard in Arizona.
Q: What does this form allow?
A: This form allows individuals who are deaf or hard of hearing to obtain a special license plate or placard for their vehicle.
Q: What information is required on the form?
A: The form requires personal information such as your name, address, contact information, and a certification from a healthcare professional.
Q: Is there a fee for the special license plate or placard?
A: Yes, there is a fee associated with obtaining a special license plate or placard. The fees vary depending on the type of plate or placard requested.
Q: How long is the special license plate or placard valid for?
A: The special license plate or placard is valid for a maximum of five years and must be renewed after that period.
Q: Can the special license plate or placard be transferred to another vehicle?
A: Yes, the special license plate or placard can be transferred to another vehicle as long as the individual is the registered owner of the vehicle.
Q: Are there any restrictions on the use of the special license plate or placard?
A: Yes, the special license plate or placard can only be used by the individual it is issued to and cannot be used by anyone else.
Q: What are the benefits of having a special license plate or placard?
A: Having a special license plate or placard allows individuals who are deaf or hard of hearing to have accessible parking and other related benefits.
Form Details:
Download a fillable version of Form 96-0104 by clicking the link below or browse more documents and templates provided by the Arizona Department of Transportation.