Free eligibility check · about two minutes Start
Provider Notes
The form

HSMV 83039, and What Each Part of It Is For

This is the application Florida requires for a disabled parking permit. It has two halves: one you complete, and one only a licensed practitioner may.

Your Half

Your name, date of birth and address exactly as they appear on your Florida driver license or ID card, your license number, and your signature.

Exactly matters. Counties compare the form against the ID you present, and a middle initial on one but not the other is enough to be sent away.

The Practitioner's Half

A certification that your condition meets one of the criteria printed on the form, the practitioner's license number and signature, and whether the permit should be permanent or temporary.

Florida sets who may sign: a physician, an osteopathic physician, a chiropractor, a podiatrist, an optometrist or an advanced practice registered nurse, each within their own scope. A chiropractor may certify a musculoskeletal condition; a heart condition needs a physician.

Where to Get the Current Form

The Florida Department of Highway Safety and Motor Vehicles publishes it, and it is free. Search for "HSMV 83039" on flhsmv.gov and download the current version.

Always use the current version.

The form is revised from time to time and counties reject old editions. If we complete it for you, we use the current one.

Expectant mothers use a different form, HSMV 83040, which only a physician may sign.

What Happens After It Is Signed

Take the completed form and your Florida ID to your county tax collector. A permanent permit is free; a temporary one costs $15. What your county needs.

See If You Qualify

A few questions about your condition. Free, about two minutes, and it tells you before you pay anything.