Form RDMV 130, explained
RDMV 130 is New Hampshire’s application for a disabled parking placard. It has an applicant section you complete and a medical certification a licensed practitioner completes. It is free.
Where to get it
Download it free from New Hampshire Division of Motor Vehicles. We link to the state’s own copy rather than hosting one, so you always have the current revision.
What the medical section needs
- Which of the state’s criteria apply, in the practitioner’s judgment. New Hampshire also asks for a written description of the condition, how it limits walking, and the outlook.
- Whether the condition is temporary or permanent, and for a temporary placard, how long.
- The practitioner’s name, license number and signature. New Hampshire does not accept a stamped signature. New Hampshire accepts only the original signature, not a copy, fax or scan.
Who may sign it
In New Hampshire, a physician, podiatrist, advanced practice registered nurse or physician assistant licensed in New Hampshire.
Where the signed form goes
Take the signed original to a NH DMV office or its drop box with a copy of your license, or mail it to NH DMV, Walking Disability Section, 23 Hazen Drive, Concord, NH 03305. The original can be mailed. The placard is see NH DMV.
Need a doctor to complete it? A New Hampshire-licensed doctor can evaluate you online. Free 2-minute check ›