Provider Notes
New Hampshire · Help

Who qualifies for a placard in New Hampshire

These are the criteria on New Hampshire’s form RDMV 130, in plain words. A doctor applies them; this page cannot.

  • You cannot walk without help or a cane, crutch, brace, prosthetic device or wheelchair.
  • You have lung disease that severely limits your breathing, or you use portable oxygen.
  • You have a heart condition classed as Class III or IV by the American Heart Association.
  • You are severely limited in your ability to walk because of an arthritic, neurological or orthopedic condition.
  • You have another medically debilitating condition that limits your walking, which the doctor describes on the form.

New Hampshire no longer uses the 200-foot test. The doctor describes your condition, how it limits your walking, and the outlook, in writing on the form.

Who may sign the medical part

In New Hampshire, a physician, podiatrist, advanced practice registered nurse or physician assistant licensed in New Hampshire. The form is free from NH DMV, and your own doctor can complete it.

Temporary or permanent

A temporary placard lasts up to six months (up to six months.) and the state charges see NH DMV. A permanent placard is valid up to five years, with your license or ID (expires with your driver license or id, so a renewal comes around.) and the state charges see NH DMV.

No doctor who will complete it? A New Hampshire-licensed doctor can evaluate you online. Start the free check ›

Which state are you in?