REG 195 Disabled Person Placard or Plates: Fill Online Free
REG 195 applies for a California disabled person parking placard, plates or plate reassignment. The PDF has three pages: instructions, applicant information and medical certification. Faye helps with the editable applicant fields; the medical provider sections require separate completion.
What is this form?
REG 195 applies for a California disabled person parking placard, plates or plate reassignment. The PDF has three pages: instructions, applicant information and medical certification. Faye helps with the editable applicant fields; the medical provider sections require separate completion.
Who should use it?
Individuals applying for an appropriate disabled-person credential, and qualifying organizations transporting disabled persons, should read page 1 and the medical-certification requirements. A licensed medical provider, not Faye, determines and certifies medical facts.
When to use a different process
Use REG 156 to replace a lost, stolen or damaged placard or plates. Disabled Veteran plate applications have separate documentation and REG 256A requirements. Do not use this page to self-certify a diagnosis or bypass a required provider certification.
Current form status
- Current edition
- 2023-11-01
- Verified
- 2026-10-11
- Pages
- 3
How to fill REG 195 online
- 1
Confirm the right transaction
Individuals applying for an appropriate disabled-person credential, and qualifying organizations transporting disabled persons, should read page 1 and the medical-certification requirements. A licensed medical provider, not Faye, determines and certifies medical facts.
- 2
Prepare and fill the official PDF
Prepare proof of legal name and birthdate as required by the instructions, applicant or organization address and contact, any prior California DP/DV credential number, and vehicle details only for plate applications. Arrange the required medical-provider completion.
- 3
Review, sign and submit
Keep pages 2 and 3 together with the required proof. Page 1 lists a DMV office, the official virtual DMV route and the DMV Placard mailing address. Follow the selected official channel’s requirements; Fylune does not issue a placard or submit a medical application.
Prepare the form with Faye
Faye starts with this question: Are you applying for a parking placard, disabled person plates, or reassignment of existing plates?
Answer in English, Spanish or Chinese. Faye maps confirmed facts to the editable fields of this English original as you answer. You can skip, correct or undo changes. Review all pages; signatures and any noneditable certification areas require the appropriate person.
Field guidance
Applicant
Applicant: enter the full date of birth and full license/ID number when applicable, despite legacy field names suggesting a single digit. Organizations use their organization details. Enter the birth date as eight digits MMDDYYYY without slashes so the complete year fits the eight PDF boxes.
Credential type
Credential type: distinguish permanent, temporary and travel placards, new plates and reassignment. Ask about prior credentials and the exceptions before discussing any medical-certification waiver.
Vehicle and medical roles
Vehicle and medical roles: section 3 is for plate applicants. Sections 5–6 belong to the authorized provider and need separate completion; the original medical fields are not AI-editable.
Information and documents to prepare
Prepare proof of legal name and birthdate as required by the instructions, applicant or organization address and contact, any prior California DP/DV credential number, and vehicle details only for plate applications. Arrange the required medical-provider completion.
Signatures and review
Page 2 requires original signatures, completed in ink, and says alterations or whiteouts void the form. The applicant/authorized organization representative signs section 4; the medical provider signs the certification. Printing a name or finishing the AI interview does not supply either signature.
Where to submit the completed form
Keep pages 2 and 3 together with the required proof. Page 1 lists a DMV office, the official virtual DMV route and the DMV Placard mailing address. Follow the selected official channel’s requirements; Fylune does not issue a placard or submit a medical application.
Common mistakes to avoid
Avoid submitting only page 2, requesting vehicle data for a placard-only application, assuming prior issuance always waives medical certification, or treating the weight-fee exemption as automatic. The provider information and medical page have no editable widgets in this original.
REG 195 questions
Can Faye complete the medical certification on REG 195?
No. Faye helps with editable applicant fields. The authorized medical provider completes and signs the medical sections when required; these areas have no editable widgets in the official PDF.
Who must sign this form?
Page 2 requires original signatures, completed in ink, and says alterations or whiteouts void the form. The applicant/authorized organization representative signs section 4; the medical provider signs the certification. Printing a name or finishing the AI interview does not supply either signature.
Does Fylune submit this form for me?
Keep pages 2 and 3 together with the required proof. Page 1 lists a DMV office, the official virtual DMV route and the DMV Placard mailing address. Follow the selected official channel’s requirements; Fylune does not issue a placard or submit a medical application.
Form edition and verification history
Official revision: 2023-11. Month-based revision dates use the first day for catalog storage.
Verified the official blank PDF, page count and field mapping.
Independent preparation tool
Fylune is an independent document editor, not the issuing agency. Preparing or downloading a PDF does not sign, certify, file or obtain approval for it. Follow the issuing agency’s current instructions for your transaction.