Form 96-0104 Individual Disability - Deaf / Hard of Hearing Plate / Placard Application - Arizona

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Form 96-0104 Individual Disability - Deaf / Hard of Hearing Plate / Placard Application - Arizona

What Is Form 96-0104?

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.

FAQ

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.

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Form Details:

  • Released on July 1, 2022;
  • The latest edition provided by the Arizona Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form 96-0104 Individual Disability - Deaf / Hard of Hearing Plate / Placard Application - Arizona

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