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Oversized Vehicle Disability Parking Permits are available to individuals who have a valid disabled placard or license plate and who require an oversized vehicle to accommodate their mobility-related disability. These permits are valid for up to one year and may be renewed. Oversized Vehicle Disability Parking Permits may be used by the permit holder to park adjacent to their home, workplace, or facilities where they receive services. Vehicle must be registered in California.

THE APPLICANT AGREES THAT THE PERMIT(S) APPLIED FOR MAY NOT BE SOLD OR TRANSFERRED IN ANY MANNER. THE SALE OR TRANSFER OF A PERMIT IS IN VIOLATION OF SBMC SECTION 10.46.110. AND SHALL BE SUBJECT TO A MISDEMEANOR AND ANY MISUSE OF A PERMIT IS GROUNDS FOR REVOCATION OF SAID PERMIT. 

Please check that you agree before continuing.
I UNDERSTAND THE REGULATIONS REGARDING THE USE OF ANNUAL OVERSIZE VEHICLE PARKING PERMITS. By continuing I agree that I am willing to complete a digital version of the document(s) and that information about my user session will be stored.
RV
VAN
VAN_1
TRUCK
OTHER TRAILER
I CERTIFY THAT I OWN OR LAWFULLY POSSESS THIS VEHICLE
Signature HereClick to Sign
GOVERNMENT FACILITY_5
EDUCATION FACILITY
COMMERCE
MY RESIDENCE
EMPLOYMENT
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GOVERNMENT FACILITY_6
EDUCATION FACILITY_1
COMMERCE_1
MY RESIDENCE_1
EMPLOYMENT_1
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GOVERNMENT FACILITY_7
EDUCATION FACILITY_2
COMMERCE_2
MY RESIDENCE_2
EMPLOYMENT_2
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checkbox_75x
GOVERNMENT FACILITY_8
EDUCATION FACILITY_3
MY RESIDENCE_3
EMPLOYMENT_3
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GOVERNMENT FACILITY_9
EDUCATION FACILITY_4
COMMERCE_3
MY RESIDENCE_4
EMPLOYMENT_4
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A lung disease to the extent that forced respiratory expiratory volume for one secondwhenmeasured by spirometry
A cardiovascular disease to the extent that the persons functional limitations are classi ed in severity as class III or class IV
NO
A severe disability inwhich he or she is unable tomovewithout the aid of an assistive device which is due to please print_1
A signi cant limitation in the use of lower extremities due to please print_1
The loss or loss of the use of one ormore lower extremities Loss of use due to please print_1
The loss or loss of use of both hands Loss of use due to please print_2
NO_1
x

Additional Signatures Required

Upload Attachment(s)

Please upload the following attachments:

There is a 250MB limit on each attachment.

Disabled Parking Placard (upload file types - .jpg .jpeg .png .pdf) Click Here to Upload
Vehicle Registration: (upload file types - .jpg .jpeg .png .pdf) Click Here to Upload