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Blank Bfs 108 Michigan PDF Form

The BFS 108 Michigan form is an application used to request a disability parking placard from the Michigan Department of State. This form requires personal information from the applicant, as well as medical certification from a qualified healthcare provider to confirm eligibility. To get started on your application, click the button below.

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The Bfs 108 Michigan form serves as a crucial tool for individuals seeking a disability parking placard in the state of Michigan. This application is divided into several parts, each designed to gather specific information essential for determining eligibility. Applicants must first complete Part 1, which includes a release of information and signature, confirming their request for a disability parking placard under Public Act 300 of 1949. Medical professionals, such as physicians or nurse practitioners, must then fill out Part 2, providing a certification of the applicant's medical condition and its impact on mobility. If the applicant qualifies for free parking, Part 3 must also be completed by the medical professional, detailing the specific circumstances that necessitate this benefit. Organizations applying on behalf of disabled individuals can utilize Part 4, outlining their transportation services. It is important to note that all applications must be submitted with the necessary signatures and medical certifications to ensure processing. Failure to provide accurate information can result in penalties, emphasizing the importance of honesty throughout the application process.

More About Bfs 108 Michigan

What is the purpose of the BFS 108 Michigan form?

The BFS 108 Michigan form is an application for a disability parking placard. It allows individuals with certain disabilities to obtain a placard that permits them to park in designated disability parking spaces. The form requires personal information from the applicant, as well as medical certification from a licensed healthcare provider to confirm the applicant's eligibility based on specific medical criteria.

Who is eligible to complete Part 2 of the form?

Part 2 of the BFS 108 form must be completed by a licensed healthcare professional. This includes physicians, physician assistants, chiropractors, nurse practitioners, or optometrists. The healthcare provider must assess the applicant's condition and determine if it meets the medical eligibility standards outlined in the form. They must indicate any physical limitations that affect the applicant's ability to walk, as well as provide their professional certification of the applicant's eligibility.

How can applicants submit the completed form?

Applicants can submit the completed BFS 108 form in one of two ways. They may present the application in person at any Secretary of State branch office in Michigan. Alternatively, they can mail the completed form to the address specified on the reverse side of the form. It is important to note that the application cannot be processed without a signed release of information and the healthcare provider's certification.

What are the penalties for misusing a disability parking placard?

The Michigan Vehicle Code outlines several prohibitions regarding the use of disability parking placards. Violations include using a placard when the disabled person is not present, altering or selling a placard, and making false statements to obtain a placard. Such violations are classified as misdemeanors and may result in fines up to $500, imprisonment for up to 30 days, or both. Law enforcement officers have the authority to confiscate placards that are improperly used.

Key takeaways

When applying for a disability parking placard using the Bfs 108 Michigan form, there are several key points to keep in mind to ensure a smooth process.

  • Complete All Relevant Parts: Make sure to fill out Part 1 yourself and have your healthcare provider complete Part 2. If you qualify for free parking, Part 3 must also be completed by your physician.
  • Accurate Medical Certification: Your physician or healthcare provider must accurately assess your condition and certify your eligibility. This certification is crucial; without it, your application cannot be processed.
  • Submission Options: You can submit your completed application at any Secretary of State branch office or mail it to the designated address. Ensure you keep a copy for your records.
  • Understand the Penalties: Be aware that making false statements on the application can lead to serious consequences, including fines or imprisonment. Always provide truthful information.

Similar forms

The BFS 108 Michigan form is similar to the ADA (Americans with Disabilities Act) Parking Permit Application. Both documents serve the purpose of providing individuals with disabilities access to designated parking spaces. They require medical certification to confirm the applicant’s disability. Just like the BFS 108, the ADA application must be completed by a licensed healthcare provider who can assess the applicant’s mobility limitations. This ensures that only those who truly need accessible parking can obtain the permit, promoting fairness and accessibility in public spaces.

Another document that shares similarities with the BFS 108 is the Temporary Disability Parking Permit Application. This form is specifically designed for individuals who have a temporary condition that limits their ability to walk. Just as with the BFS 108, applicants must provide medical documentation to verify their condition. The key difference lies in the duration of the permit; while the BFS 108 can be issued for permanent or temporary conditions, the Temporary Disability Parking Permit is exclusively for short-term needs.

The Disabled Veteran Parking Permit Application is also comparable to the BFS 108. Both forms require proof of a qualifying disability, and both aim to facilitate easier access to parking for individuals with mobility challenges. The Disabled Veteran application specifically caters to veterans who have sustained injuries during service. Both documents require verification from a healthcare provider, ensuring that the permits are granted based on legitimate needs.

The State Disability Parking Permit Application is another form that mirrors the BFS 108. This application is used in various states and serves a similar purpose: to grant parking privileges to those with disabilities. Like the BFS 108, it requires a medical professional’s signature to confirm the applicant’s eligibility. Each state may have specific requirements or conditions, but the underlying goal remains the same—providing accessible parking for individuals with mobility impairments.

In Texas, understanding property transfer options is essential, and one clear choice is the Texas Quitclaim Deed form, a legal document that helps in transferring property rights without making any warranties about the title. This straightforward approach allows property owners to convey their interests smoothly, much like the related processes for accessible permits. For additional information and forms related to property transfer, you can visit legalpdf.org.

Lastly, the Organization Disability Parking Placard Application resembles the BFS 108 in that it allows organizations to apply for parking placards to assist disabled individuals. Both forms require detailed information about the applicant’s condition and the organization’s purpose. The organization must demonstrate its commitment to providing transportation services to disabled persons, similar to how individual applicants must prove their eligibility. This ensures that the placards are used effectively to support those in need.

Misconceptions

Misconceptions about the Bfs 108 Michigan form can lead to confusion and delays in obtaining a disability parking placard. Here are ten common misconceptions clarified:

  1. Anyone can fill out the form. Only the disabled person or their authorized representative can complete Part 1. A qualified medical professional must fill out Part 2.
  2. Medical certification is optional. The application cannot be processed without a physician's certification. This is a mandatory requirement.
  3. All disabilities qualify for a placard. Only specific conditions that severely limit mobility or require assistance qualify for a disability parking placard.
  4. Free parking is automatically granted. Applicants must meet additional criteria outlined in Part 3 to qualify for free parking. Economic need is not a factor.
  5. Only doctors can certify the application. A licensed physician, chiropractor, nurse practitioner, physician’s assistant, or optometrist can complete the medical certification.
  6. Placards are transferable. Disability parking placards are issued specifically to individuals. They cannot be used by anyone else, even if they are family members.
  7. Expired placards are still valid. Once a placard expires, it is no longer valid for use. It must be renewed to continue parking in designated spaces.
  8. All organizations can apply for placards. Only organizations that provide transportation services for disabled persons can apply for disability parking placards on behalf of their clients.
  9. Submitting the application is enough. Applications must include all required signatures and certifications. Incomplete applications will be rejected.
  10. Violations have no consequences. Misusing a disability parking placard can lead to fines, imprisonment, or both. Law enforcement can confiscate placards for improper use.

Understanding these points can streamline the application process and ensure compliance with Michigan's disability parking regulations.

Documents used along the form

The BFS 108 Michigan form serves as a critical document for individuals seeking a disability parking placard. Alongside this form, there are several other documents that may be required or beneficial for applicants. Each of these documents plays a unique role in ensuring that the application process is smooth and compliant with state regulations.

  • Physician's Certification Form: This document is essential for verifying the medical eligibility of the applicant. A licensed physician must complete it, confirming the applicant's disability and the specific criteria that qualify them for a disability parking placard.
  • Medical License Verification: If the physician's medical license was issued outside of Michigan, a copy of this license must be submitted. This ensures that the physician is qualified to assess the applicant's condition according to Michigan law.
  • Bill of Sale Form: To properly document your personal property transactions, refer to the comprehensive bill of sale form guidelines for accurate and legal completion.
  • Free Parking Application: This application is necessary for those who qualify for free parking privileges. It requires additional medical verification from the physician, confirming that the applicant meets specific conditions that warrant this benefit.
  • Organization Request Form: For organizations applying on behalf of individuals with disabilities, this form outlines the services provided to disabled persons and the number of disability placards requested. It must be signed by an officer of the organization.
  • Release of Information Authorization: This document allows medical professionals to share necessary health information with the Michigan Department of State. It is crucial for processing the application and must be signed by the applicant.
  • Proof of Residency: Applicants may need to provide documentation confirming their Michigan residency. This can include a utility bill, lease agreement, or other official documents that verify their address.

In summary, these documents work in tandem with the BFS 108 Michigan form to facilitate the application process for disability parking placards. Each plays a vital role in ensuring that applicants receive the benefits they are entitled to under state law.

Form Features

Fact Name Description
Purpose The BFS 108 Michigan form is used to apply for a disability parking placard.
Governing Law This form is governed by Public Act 300 of 1949 and the Michigan Vehicle Code (MCL 257.675).
Eligibility Criteria Applicants must have a qualifying disability that affects their ability to walk, as determined by a licensed medical professional.
Application Parts The form consists of four parts: personal information, medical eligibility, free parking application, and organization requests.
Medical Certification A licensed physician or other qualified medical professional must certify the applicant's disability.
Free Parking Part 3 of the form allows for an application for free parking if specific criteria are met.
Submission Options Completed applications can be submitted in person at any Secretary of State branch office or mailed to the designated address.
Penalties Violations related to misuse of the placard can result in fines up to $500 or imprisonment for up to 30 days.
Contact Information For questions, applicants can call 1-888-767-6424 for assistance.
Expiration Disability parking placards have an expiration date, which is noted on the application form.