Disabled Person Placard Online Renewal 2.1.0

Disabled Person Placard Renewal

Required Fields*

Disabled Person Placard Renewal Application

Please fill out the form to verify your information and continue with your application

Do you have your Renewal Notice? Value is not selected

Renewal Identification Number

Placard Number

Sample Disabled Person Placard Renewal Notice. The locations of the Renewal Identification Number and owner's full name are marked with arrows. The renewal identification number is in the center of the document a third of the way down, owner's name is on the bottom-left of the notice.

Note

Please enter the name as it appears in your renewal notice

Sample Disabled Person Placard Identification Card. Placard number, date of birth, and owner's name are marked with arrows. Placard number is on the top-right, date of birth and owner name are on the left side.

Note

Please enter the name as it appears in your placard ID Card

Last Name

First Name

Middle Name

Full Name

Please check this box if you are applying as an organization

Organization Name

Date Of Birth Please include the "/" symbol as shown below when entering your date of birth

Placard Number

Date Of Birth [Hidden]

Please fill in all the fields above and try again.

Unable to locate a matching record. Please review the information above and confirm that it matches what is printed on your Renewal Notice or Placard ID Card.

Our records show that a Renewal Notice was received and processed.
No further action is needed from you at this time.

Date:
Channel:

You should expect to receive your new placard in the mail before .

If you have not received your Disabled Person Parking Placard after 30 days of renewing, you may request a replacement.

Good News! DMV records show a signature certification is not required to renew your permanent placard at this time.

If you have not received your 2025 permanent placard, you may request a replacement here.

Success! We were able to locate a matching record.

Postgress API Response

New Placard Est Arrival Date

API Response - RIN

API Response - Placard No

API Response - Full Name

API Response - DOB

API Response - DOB (Transformed)

API Response - Attestation Body

API Response - Attestation Type

API Response - Attestation Date

API Response - Attestation Date (Transformed)

API Response - Address

Status

Potrec

FormChange?

Field Empty?

VerifyButton Clicked?

Disabled Person Placard Renewal Application

Please review the following before submission

You are submitting a Disabled Person Placard Online Renewal Confirmation with the following details

Name:
Current Placard Number:
Mailing Address:  ...

Please review the following before submission

You are submitting a Disabled Person Placard Online Renewal Confirmation with the following details

Name:
Date Of Birth:
Current Placard Number:
Mailing Address:  Intake: API Response - Address(no title)...

I have a new address and would like the placard to be shipped to the new address

Please enter your new mailing address below

Address Line 1

Address Line 1 - copy

Address Line 2

Address Line 2 - copy

City

State Value is not selected

Zip Code

County

Standardized Address: , ,

An error was detected with the address. Please make the necessary corrections or check the box below to continue with this address.

I wish to continue with this address *

I would like to receive a digital copy of my Disabled Person Placard Online Renewal Confirmation

Re-enter your email address

Email [Hidden]

Select "Submit" to provide your signature on the next page. After you sign, select the "Sign Agreement" button on the page.

request_parameter

request_value

Name - PDF

USPS Validation Response

City - Text

Full Address

Trigger USPS Validation

USPS - Response Body

USPS - Address Line 1

USPS - Address Line 2

USPS - City

USPS - State

USPS - Zip

USPS - DPV Confirmation Indicator

USPS - Status

USPS - Invalid Address

USPS - Address Line 1 (Abbreviated)

USPS - Address Line 2 (Abbreviated)

USPS - City (Abbreviated)

URL Parameters

URL Param - Renewal Id #

URL Param - Placard #

URL Param - Full Name

PDF Data

First Name

Last Name

Full Name

Placard

UiPath (QuickWeb) Response

QuickWeb Status Code

QuickWeb Queue ID

QuickWeb LastName First 3

Salesforce API Response

Salesforce Access Token

Response

customer code

Date

Renewal Id #

POST Attestation

POST - Errror Message

Post Attestation - Status

Need Help?

Your session has timed out.

Click here to access the application.

Disabled Person Placard Online Renewal 2.1.0

Disabled Person Placard Renewal

Disabled Person Placard Renewal Application

Please fill out the form to verify your information and continue with your application

Postgress API Response

Disabled Person Placard Renewal Application

Please review the following before submission

Please review the following before submission

USPS Validation Response

URL Parameters

PDF Data

UiPath (QuickWeb) Response

Salesforce API Response

POST Attestation