REG 195A Form: Application for Permanent Disabled Placard PDF

REG 195A Form – The REG 195A Form, officially known as the Application for Permanent Disabled Person (DP) Placard Renewal, is a California DMV document designed specifically for renewing a Permanent Disabled Person Parking Placard. This simple one-page form allows eligible drivers or organizations to attest to their continued disability status without needing a new medical certification in most cases.

It is used when the standard renewal notice is unavailable or when renewing by mail or in person. Permanent placards provide ongoing access to disabled parking spaces and are valid for two years (expiring June 30 of odd-numbered years).

Note: The REG 195A is distinct from the main REG 195 form, which handles initial applications for placards or plates (permanent or temporary). For the full initial application, see the linked PDF below.

Who Needs a Permanent Disabled Parking Placard?

A Permanent Disabled Person Parking Placard is intended for California residents with long-term mobility impairments that substantially limit walking or require assistive devices. Common qualifying conditions include:

  • Loss of use of one or more lower extremities or both hands
  • Diagnosed diseases (e.g., severe arthritis, Parkinson’s, or multiple sclerosis) that impair mobility
  • Inability to walk without an assistive device like a cane, crutch, walker, or wheelchair
  • Specific visual impairments (e.g., visual acuity of 20/200 or less, or field of vision of 20 degrees or less)
  • Certain cardiovascular or respiratory conditions that limit mobility

Placards grant the same parking privileges as Disabled Person License Plates but are transferable between vehicles—ideal for caregivers or family members transporting the disabled person.

Key Differences: Permanent vs. Temporary Placards

Type Duration Fee Medical Recertification Needed? Best For
Permanent 2 years (auto-renewable) $0 No (after initial approval) Long-term disabilities
Temporary Up to 180 days $6 Yes (new form each time) Short-term injuries/surgery

Permanent placards do not require repeated doctor visits for renewal—making the REG 195A Form quick and convenient.

Eligibility for REG 195A Renewal

You qualify to use the REG 195A Form if:

  • You already hold a valid Permanent DP Placard
  • Your placard is approaching expiration (notices are mailed automatically)
  • You prefer to renew by mail or in person instead of online
  • No changes to your disability status have occurred

Important: DMV cross-checks with vital records to prevent issuance to deceased individuals. A signed attestation is required for renewals after the initial 6-year period (starting 2023 updates).

Step-by-Step Guide to Completing the REG 195A Form

Filling out the REG 195A is straightforward and takes just a few minutes:

  1. Section 1 – Applicant Information: Enter your Disabled Person Placard Number, date of birth (individuals only), full legal name, driver’s license/ID number, physical address, mailing address (if different), and daytime phone number.
  2. Section 2 – Certification and Signature: Read the certification statement, sign and date the form, and provide an optional email address. You certify under penalty of perjury that you (or the organization) remain eligible under California Vehicle Code §295.5.

No medical provider signature is required for standard renewals. Print legibly in ink and keep a copy for your records.

How to Submit the REG 195A Form?

Preferred method: Renew online via the DMV Virtual Office (fastest, no paper needed). Scan the QR code on the form or visit dmv.ca.gov/dpp.

Mail option:

  • Mail the completed REG 195A to:
    DMV Placard
    PO Box 997600 M/S D238
    Sacramento, CA 95899-7600

In-person: Bring the form to any DMV office (appointment recommended).

New placards and ID cards are mailed within 2–4 weeks. Display the placard from the rearview mirror when parked in disabled spaces.

For the dedicated Permanent Disabled Placard Renewal (REG 195A), visit the official California DMV Forms page.

Direct download for the main Disabled Person Placard application (REG 195 – used for initial permanent placards or when full details are needed):
Download REG 195 PDF Here

Always use the most current version from dmv.ca.gov to ensure compliance.

Common Mistakes to Avoid with REG 195A

  • Forgetting to include the placard number
  • Signing without reading the certification (penalty of perjury applies)
  • Using the form for temporary placards or initial applications
  • Lending your placard—illegal and subject to fines, towing, or revocation

Misuse of a disabled placard carries serious penalties under California Vehicle Code sections 4463, 22511.55–22511.57, and 22511.6.

Frequently Asked Questions About REG 195A

Q: Do I need a new doctor’s note for renewal?
A: No—permanent placards do not require re-certification unless your prior placard was canceled or you’ve requested four or more replacements.

Q: What if I lost my renewal notice?
A: Use the REG 195A Form to renew by mail or in person.

Q: Can organizations use this form?
A: Yes, authorized representatives of organizations that transport disabled persons may apply.

Q: How often do permanent placards renew?
A: Every 2 years, with automatic renewals for the first several cycles before attestation is required.

Why Choose the REG 195A for Your Permanent Disabled Placard Renewal?

The REG 195A Form streamlines the renewal process, saving time and eliminating unnecessary medical visits. By using this official DMV form, you maintain legal parking privileges hassle-free.

For the latest instructions, always refer to the California DMV website. Download the provided REG 195 PDF above if you’re applying for a new permanent placard, and use REG 195A specifically for renewals.

Stay compliant, protect your privileges, and park with confidence. Questions? Contact the DMV Placard unit or visit dmv.ca.gov for virtual options.

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