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  1. Parking Application for a Mobility Impaired Person. PART I • TO BE COMPLETED BY THE APPLICANT (You must follow the instructions provided on the back of this form.) A.) Applicant Information • DO NOT FORGET TO ENTER YOUR SOCIAL SECURITY NUMBER IN THE LIGHT GRAY BOX ABOVE.

  2. 1 dzień temu · Here are the primary qualifying conditions for a disability parking permit in West Virginia: 1. Inability to Walk 200 Feet Without Stopping to Rest. If you are unable to walk 200 feet without experiencing significant pain, fatigue, or the need to stop and rest, you may qualify for a disability tag. This can include individuals with chronic pain ...

  3. To apply, you can either complete the application form or call 800-440-0493. You also will need to submit the following required items: Employer-sponsored health insurance plan’s rate sheet. Your employer can provide your insurance plan's rate sheet.

  4. Apply. There are three ways to apply for WV HIPP benefits! You can: 1. Fill out and submit an online application, 2. Print a WV HIPP application and mail or fax your completed application, or. 3. Call us toll-free at 1-855-MyWVHIPP (1-855-699-8447) to start your application over the telephone. Submit your completed application and documents by:

  5. Persons with Disabilities License Plate: Submit the completed application and payment (if required) in the form of a personal check, money order, or cashier’s check with proof of eligibility to your local county tax assessor-collectors office.

  6. Please see the following forms below: Parking Application for a Mobility Impaired Person. Medical Report Form. DMV-41a-TR : Application for Parking for an Agency or Organization Transporting Persons with Disabilities .

  7. Application for Texas Health Insurance Premium Payment (HIPP) Program. Print in blue or black ink only. Step 1. Tell us about the person in your family who can get health insurance at work (or another place). Step 2. Tell us about the health insurance or COBRA benefits the person in Step 1 can get. COBRA is a type of health insurance you can ...