Form Mv-145v - Application For Disabled Veteran, Severely Disabled Veteran Registration Plate Or Severely Disabled Veteran Motorcycle Plate Decal Page 2

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ELIGIBILITY REQUIREM ENTS AND GENERAL INFORMATION

Qualifying Vehicles

Plate Type

Service Connected Eligibility Requirements

Benefits

“Reason Codes”

Severely

Applicant:

(1) A passenger vehicle or truck

(1) Parking permitted in spaces

Disabled

(1) is blind.

with a registered gross weight

designed for disabled

Veteran Plate

(2) does not have full use of an arm or both arms.

of not more than 14,000 lbs.

persons and for 60 minutes

(3) cannot walk 200 feet without stopping to rest.

The vehicle must be used by a

in excess of legal parking

or Severely

(4) cannot walk without the use of, or assistance

person with disability or

period except where local

Disabled

from, a brace, cane, crutch, another person,

operated exclusively for the

ordinances or police

Veteran

prosthetic device, wheelchair or other

regulations provide for the

use and benefit of the person

Motorcycle

assistive device.

with a disability.

accommodation of heavy

Plate Decal

(5) is restricted by lung disease to such an

traffic during morning,

(2) To qualify for one Severely

extent that the person’s forced (respiratory)

afternoon or evening hours.

Disabled Veteran registration

expiratory volume for one second, when

(2) Upon request of a severely

free or one Disabled Veteran

measured by spirometry, is less than one

registration for a $10

disabled veteran, local

liter or the arterial oxygen tension is less

authorities may erect on the

processing fee in lieu of

than 60 MM/HG on room air at rest.

registration fee, the qualifying

highway as close as possible

(6) uses portable oxygen.

to the person’s residence a

vehicle’s registered gross

(7) has a cardiac condition to the extent that the

weight must be 9,000 lbs.

sign(s) indicating that the

person’s functional limitations are classified

place is reserved for the

or less.

in severity as Class III or Class IV according

person with disability, that no

For motorcycles, a Severely

to the standards set by the American Heart

one else may park there

Disabled Veteran Decal is issued in

Association.

unless a person with

lieu of a special registration plate.

(8) is severely limited in his or her ability to walk

disability, severely disabled

This decal is placed on your

due to an arthritic, neurological or orthopedic

veteran plate or motorcycle

standard issued motorcycle plate.

condition.

plate decal is displayed and

NOTE: The Severely Disabled

(9) is a person in loco parentis of a person

that any unauthorized person

Veteran Plate is not available for

specified in paragraph (1), (2), (3), (4), (5),

parking there will be subject

issuance to motorcycles. The

(6), (7) or (8) above; or,

to a fine.

Severely Disabled Veteran

(10) is the parent, including adoptive parent or

Motorcycle Plate Decal is for a

foster parent, of a child or adult child provided

motorcycle only.

that the person has custody, care or control of

the child or adult child and the child or adult

child satisfies paragraph (1), (2), (3), (4), (5),

(6), (7) or (8); or,

(11) is the spouse of a person specified in

paragraph (1), (2), (3), (4), (5), (6), (7) or (8).

Loco Parentis: Any adult charged by law with

the natural parent's rights, duties and

responsibilities acting on behalf of a minor child

(under 18) in place of the child's natural parents.

In addition, a parent, including an adoptive or

foster parent who has custody, care or control

of the child or adult child or a spouse may sign

on behalf of the child, adult child or spouse

(applicant) provided the applicant meets

eligibility requirements (1) through (8).

Disabled

Same as above.

No special benefits.

Veteran Plate

A Severely Disabled Veteran who has a 100% service-connected disability that is certified by the U.S. Department of Veterans

Affairs Regional Office Administrator may have free registration for one qualifying vehicle listed above under Qualifying Vehicles,

number (2). NOTE: Full registration fees apply for vehicles greater than 9,000 lbs. or additional plates of the same type. (See

Section B on the front of this application.)

Full

A Severely Disabled Veteran who is being paid at 100% as a result of unemployability due to their service-connected disability

registration

may have free registration for one qualifying vehicle listed above under Qualifying Vehicles, number (2). NOTE: Full registration

fees apply

fees apply for vehicles greater than 9,000 lbs. or additional plates of the same type. (See Section B on the front of this

unless:

application.)

A Disabled Veteran who has lost a limb or an eye or who became partially paralyzed while serving in the Armed Forces of the

United States may have a $10 processing fee for one qualifying vehicle listed above under Qualifying Vehicles, number (2).

NOTE: Full registration fees apply for vehicles greater than 9,000 lbs. or additional plates of the same type. (See Section B on

the front of this application.)

NOTE: Should you need to renew your registration in conjunction with this application, you must complete Form MV-140 or your registration renewal

application and return it with this application along with your annual registration fee and the $11 replacement registration plate fee (if applicable).

If listing an out-of-state address you must also complete and attach Form MV-8.

This application may only be used by a vehicle owner or co-owner that qualifies for the type of registration plate or decal indicated on the front.

Two registration plates (with identical plate numbers) may be issued for vehicles equipped with a wheelchair/personal assistive device carrier on the

rear of the vehicle. One registration plate must be affixed to the rear of the vehicle and one registration plate must be affixed to the rear of the carrier

attached to the vehicle for which the registration plates are issued.

Send completed application to: Bureau of Motor Vehicles, 1101 S. Front Street, Harrisburg, PA 17104-2516.