Contents
Steps to Filling Out Kentucky Tc 96 204
Filling out the Kentucky TC 96-204 form is a straightforward process that requires careful attention to detail. Once completed, the form should be submitted to your County Clerk for processing. Below are the steps to guide you through filling out the form correctly.
- Begin by entering your Name in the designated space at the top of Section 1.
- Provide your Phone Number next to the name field.
- Fill in your Address, including the street or post office, city, state, and zip code.
- Write the VIN (Vehicle Identification Number) of the vehicle owned or leased by you, the person with a disability.
- Check the appropriate box to indicate whether you are applying for a License Plate or a Placard.
- If applicable, enter the number of any disabled parking license/placard you currently hold.
- If applicable, enter the number of any disabled veteran license/placard you currently hold.
- Sign your name in the Signature of Applicant field.
- Provide your Social Security Number in the specified area.
- Leave the area for the County Clerk's attestation blank for now; this will be completed later.
- Complete the date and signature of the person attesting oath in the designated fields at the bottom of Section 1.
- Section 2 will be filled out by the County Clerk, so do not complete this section yourself.
- If Section 2 is not completed, proceed to Section 3. If it is completed, you can skip this section.
- In Section 3, the licensed physician or advanced practice registered nurse will need to fill in their information. Ensure they certify that you have a disability as defined by the form.
- Have the physician or APRN check whether your disability is Permanent or Temporary.
- The physician or APRN must sign and print their name, along with their license number.
- Finally, submit the completed form to your County Clerk for processing.
Dos and Don'ts
When filling out the Kentucky TC 96-204 form, it's essential to follow specific guidelines to ensure a smooth application process. Here are eight things you should and shouldn't do:
- Do provide accurate personal information, including your name, phone number, and address.
- Do ensure that the vehicle VIN is correct and corresponds to the vehicle owned or leased by the person with a disability.
- Do check the appropriate box for either a license plate or placard.
- Do have the application signed by a licensed physician or advanced practice registered nurse if required.
- Don't leave any sections blank; incomplete forms may delay processing.
- Don't forget to sign the application yourself; your signature is crucial for validation.
- Don't use abbreviations or shorthand when filling out your address or other information.
- Don't submit the form without reviewing it for errors; double-check all details before sending it to your County Clerk.
File Breakdown
| Fact Name | Description |
|---|---|
| Purpose | The Kentucky TC 96-204 form is an application for a disabled person’s special parking permit, allowing individuals with disabilities to park in designated areas. |
| Governing Law | This form is governed by KRS 186.042, which outlines the requirements and eligibility for obtaining a special parking permit in Kentucky. |
| Sections | The form consists of three sections: one for the applicant, one for the county clerk, and one for a licensed physician or advanced practice registered nurse. |
| Signature Requirements | The applicant must sign the form, and a licensed physician or nurse must also provide their signature to certify the applicant's disability. |
| County Clerk's Role | The county clerk plays a crucial role in attesting to the applicant's disability, ensuring compliance with state regulations. |
| Permanent vs. Temporary | The form allows applicants to indicate whether their disability is permanent or temporary, which affects the duration of the permit issued. |
| Submission | Applicants must complete the form and forward it to their county clerk for processing to obtain their special parking permit. |
Documents used along the form
The Kentucky TC 96-204 form is essential for individuals seeking a disabled person’s special parking permit. Alongside this form, several other documents often accompany the application process. Each plays a crucial role in ensuring that the applicant meets the necessary criteria for obtaining the permit.
- Physician's Statement: This document, completed by a licensed physician or advanced practice registered nurse, certifies the applicant's disability. It outlines the specific limitations that impair the ability to walk, confirming eligibility for the special parking permit.
- Chick-fil-A Job Application Form: To begin the hiring process at Chick-fil-A, applicants can access the necessary form at smarttemplates.net, where they can express their interest in the position and submit their qualifications.
- Proof of Residency: Applicants may need to provide documentation that verifies their residence within the county. This could include utility bills, lease agreements, or government-issued identification that reflects the current address.
- County Clerk Attestation: This form is completed by the county clerk, confirming that the applicant is obviously disabled as per the requirements outlined in KRS 186.042. It serves as an official endorsement of the applicant's condition.
- Previous Parking Permit Information: If the applicant has held a disabled parking permit in the past, they must provide details about the previous permit, including its number and expiration date. This information helps streamline the application process.
These documents collectively support the application for the disabled person’s special parking permit, ensuring that the process is thorough and compliant with state regulations. Properly completing and submitting these forms can facilitate a smoother experience for applicants seeking necessary accommodations.
Common PDF Forms
Kentucky Ev Incentives - Licenses may be voided if the renewal is not completed on time.
In addition to the Employment Verification form, employers may also require an Income Verification Letter to further validate the financial stability of their prospective employees, ensuring a smoother onboarding process and adherence to hiring standards.
Free Legal Forms - Plaintiffs have the option to include costs associated with the case for potential recovery.
FAQ
What is the Kentucky TC 96-204 form used for?
The Kentucky TC 96-204 form is an application for a disabled person's special parking permit. This permit allows individuals with disabilities to park in designated spaces, which are often closer to buildings and facilities. The form must be completed and submitted to the county clerk for processing.
Who is eligible to apply for a disabled parking permit using this form?
Individuals who have a disability that significantly impairs their ability to walk may apply for this permit. This includes those who cannot walk 200 feet without stopping, require the use of an assistive device, or have conditions such as lung disease or cardiac issues. Eligibility must be verified either by the county clerk or a licensed physician.
What information is required on the TC 96-204 form?
Applicants must provide their name, contact information, and the Vehicle Identification Number (VIN) of the vehicle they own or lease. They must also indicate whether they are applying for a license plate or a placard. Additionally, the form requires signatures from the applicant and either a county clerk or a licensed physician to confirm the applicant's disability.
How does the application process work?
To initiate the process, the applicant must complete the TC 96-204 form and submit it to their county clerk's office. The county clerk will review the application, attest to the applicant's disability, and issue a special parking permit if approved. If the county clerk is unable to verify the disability, the applicant may need to have Section 3 completed by a licensed physician or advanced practice registered nurse.
What is the difference between a permanent and temporary disability on this form?
The form allows applicants to specify whether their disability is permanent or temporary. A permanent disability indicates a long-term condition that will not improve, while a temporary disability refers to a condition that is expected to improve over time. This distinction is important for determining the duration of the parking permit issued.
What happens if I lose my special parking permit?
If a special parking permit is lost, the applicant must contact their county clerk's office to request a replacement. The application for a replacement may require details about the original permit and could involve completing a new TC 96-204 form, depending on the county's procedures.
Is there a fee associated with applying for the permit?
Typically, there is no fee for obtaining a disabled parking permit in Kentucky. However, applicants should verify with their local county clerk's office, as some counties may have specific policies regarding fees or other requirements.
How long is the special parking permit valid?
The duration of the special parking permit can vary based on whether the disability is classified as permanent or temporary. Permanent permits generally do not expire, while temporary permits are valid for a limited time, often up to six months. It is essential to check the expiration date on the permit and renew it as necessary.
Can the special parking permit be used in other states?
Yes, the special parking permit issued in Kentucky is generally recognized in other states. However, parking regulations may differ from state to state. It is advisable for permit holders to familiarize themselves with the specific laws and regulations regarding disabled parking in any state they plan to visit.