REG 195 Form – The REG 195 Form, officially known as the Application for Disabled Person Placard or Plates, is the essential California DMV document required to apply for a Disabled Person (DP) Parking Placard. This free or low-cost placard grants legal access to accessible parking spaces, blue curbs, and certain parking privileges across California.
Whether you need a permanent, temporary, or travel placard, the REG 195 PDF is the starting point. The form is revised as of November 2023 (REV. 11/2023) and remains the current official version used by the California Department of Motor Vehicles (DMV).
Who Qualifies for a California Disabled Person Placard Using REG 195?
To qualify for a DP placard via the REG 195 Form, you must meet specific medical criteria defined under California Vehicle Code (CVC) §295.5. Eligible conditions include:
- Loss of use of one or more lower extremities or both hands
- Inability to move without an assistive device
- A diagnosed disease that substantially impairs mobility (e.g., severe arthritis, Parkinson’s, or multiple sclerosis)
- Severe visual impairment (central visual acuity of 20/200 or less, or field of vision of 20 degrees or less)
- Certain cardiovascular or respiratory conditions meeting strict medical thresholds
A qualified medical provider—such as a licensed physician, surgeon, physician assistant, nurse practitioner, chiropractor (for lower extremity issues), optometrist, or certified nurse midwife—must certify the disability on the REG 195 Form.
Types of Disabled Person Placards Available with REG 195
The REG 195 Form supports multiple placard types:
- Permanent DP Placard: For long-term disabilities. Valid for 2 years and expires June 30 of every odd-numbered year. Only one permanent placard allowed per person.
- Temporary DP Placard: For short-term disabilities. Valid up to 180 days (or as specified by your doctor). Costs $6 and can be renewed up to six consecutive times.
- Travel DP Placard: For California residents with an existing permanent placard (valid up to 30 days) or non-residents (up to 90 days).
You can also use the form to apply for Disabled Person License Plates at the same time.
How to Download the REG 195 PDF Form (Official Link)?
The easiest way to get the REG 195 Form PDF is directly from the California DMV’s official virtual office:
Download REG 195 PDF here: https://www.dmv.ca.gov/portal/dmv-virtual-office/dpp-application/
This page provides the most current version of the form along with step-by-step online application instructions. Always download the latest PDF from the official DMV website to avoid outdated or rejected applications.
Step-by-Step Guide to Completing the REG 195 Form
- Fill out Section A: Provide your full legal name, address, date of birth, and driver’s license or ID number.
- Check the appropriate box: Select Permanent Placard, Temporary Placard, Travel Placard, or DP Plates.
- Complete the medical certification (Section F/G): Your licensed medical provider must sign and describe the qualifying disability using specific checkboxes (1–8).
- Sign and date: The applicant (or guardian for minors) must sign under penalty of perjury.
- Attach proof of identity: Include a copy of your California driver’s license, ID card, birth certificate, or U.S. passport.
Print legibly in ink. Incomplete or illegible forms will be rejected.
How to Apply for Disabled Person Placard Using REG 195 (Online Preferred)?
The fastest method is the online Disabled Person Parking Placard Application:
- Visit the official DMV page: https://www.dmv.ca.gov/portal/dmv-virtual-office/dpp-application/
- Have your completed and signed REG 195 PDF ready.
- Upload the form plus proof of full name and date of birth.
- Pay any applicable fees online (credit card or bank account).
You can also mail the completed REG 195 to:
DMV Placard, P.O. Box 997600, Sacramento, CA 95899-7600
Or submit it in person at any DMV office (no appointment needed for placard applications). Processing typically takes 2–4 weeks for mailing.
Fees, Validity Periods, and Renewal Process for DP Placards
- Permanent Placard: No fee. Valid 2 years. Automatic renewal notices are mailed; you only need to provide a signature attestation every 6 years.
- Temporary Placard: $6 fee.
- Replacement Placard: No fee (if lost, stolen, or damaged).
Renewals for permanent placards do not require a new medical certification in most cases. Use the dedicated online renewal portal or the REG 195A form if you lose your renewal notice.
How to Replace a Lost, Stolen, or Damaged Disabled Person Placard?
If your placard is lost, stolen, or damaged, do not use the REG 195 Form. Instead, order a replacement instantly online at the DMV’s replacement portal. An application is automatically generated, and you’ll receive the new placard within 2–4 weeks. You may request up to 4 replacements during a 2-year period.
Important Rules and Penalties for Using Your Disabled Person Placard
- The placard must be displayed properly on the rearview mirror or dashboard when parked.
- It can be used in any vehicle when the disabled person is present.
- Misuse (lending, using without the disabled person present, forging) is illegal and can result in fines, placard cancellation, and criminal penalties under CVC §§4461, 4463, and 22511.55.
Always carry the Placard Identification Card that comes with your placard.
Frequently Asked Questions (FAQ) About REG 195 Form and Disabled Person Placard PDF
Can I apply for both a placard and plates with one REG 195 Form?
Yes – simply check the appropriate boxes on the form.
Do I need a new medical certification for renewal?
No, permanent placard renewals usually require only a signature attestation.
Is the REG 195 Form available in other languages?
The official English PDF is the only version accepted; contact DMV for assistance if needed.
Where is the fastest place to submit my REG 195 application?
The online portal at the link provided above is the quickest and most convenient method.
For the most accurate and up-to-date information, always refer to the official California DMV website and use the direct download link: https://www.dmv.ca.gov/portal/dmv-virtual-office/dpp-application/. Applying correctly with the REG 195 Form ensures you receive your Disabled Person Placard without delays.