---
title: REG 195 Customer-Assembly Preparation Kit
description: Prepare REG 195 online and receive an unsigned printed kit for your own final review, hand-signing, assembly, and submission.
seotitle: REG 195 Customer-Assembly Preparation Kit
seo-description: Prepare REG 195 online and receive an unsigned printed kit for your own final review, hand-signing, assembly, and submission.
group: resources
indexable: true
llms: false
schema: webpage
og-image: /forms/reg-195/thumbnail
og-image-alt: California DMV REG 195 — Disabled Person Placard or Plates generated form preview
published: 2026-07-12
updated: 2026-07-12
tags:
  - disabled parking placard
  - disabled person license plates
  - california dmv
  - dmv
path: /forms/reg-195
---
# REG 195 Customer-Assembly Preparation Kit

Prepare REG 195 online and receive an unsigned printed kit for your own final review, hand-signing, assembly, and submission.

## How it works
1. **Answer the guided questions and review the prepared form information.** - 
2. **PostalForm prints the official form with signature areas left blank and sends the customer-assembly kit only to your verified address.** - 
3. **After delivery, follow the cover instructions, hand-sign where required, and add every original, certified record, payment, witness, certification, companion form, or other physical item.** - 
4. **Verify the current deadline and destination, then personally complete final submission through the official channel.** -


## Form summary
This workflow helps you prepare California DMV Form REG 195 for disabled placard or plate assembly. PostalForm prepares the official form and delivers the unsigned preparation kit only to your verified address. PostalForm does not file, serve, or submit it. Obtain all required original applicant and medical-provider signatures and certification, add identity proof and any applicable fee or vehicle materials, and submit the original completed REG 195 to DMV yourself.

## What you need
- Which placard or plates you are applying for
- Applicant legal name, date of birth, and address (or organization details)
- Vehicle details if requesting DP license plates or a reassignment
- Medical provider certification of the disability (Sections 5–6), signed in ink — not needed if DMV already has you on record
- A copy of your driver license or ID card as proof of legal name and birth date
- Original ink signatures — DMV rejects photocopied or printed signatures
- Hand-sign the printed form after the preparation kit is delivered
- Proof of legal name and date of birth (required) — Attach a copy of a driver license, identification card, or another acceptable document proving the applicant's legal name and date of birth, as required by California DMV.

## Data collected
- Which placard or plate request is being made (permanent, temporary, travel, DP plates, reassignment)
- Applicant name, birth date, address, and contact details — or organization details
- Prior DP placard or plate issuance history
- Vehicle details for DP license plate requests
- Proof of legal name and birth date attachment

## Where it gets mailed
PostalForm mails the unsigned preparation kit only to the customer or authorized signer at the verified delivery address entered during checkout.

Final submission: Obtain all required original applicant and medical-provider signatures and certification, add identity proof and any applicable fee or vehicle materials, and submit the original completed REG 195 to DMV yourself.

## Packet order
- Customer assembly instruction cover (remove and keep before final submission)
- Prepared unsigned form (signature and reserved third-party fields blank)
- Printed reference attachments

## Common mistakes
- Mailing a photocopy or a printed signature image — the form states only original ink signatures are accepted.
- Omitting the copy of your driver license or ID card (proof of legal name and birth date), which gets the application rejected.
- Leaving Section 6A vague — listing symptoms like "trouble walking" instead of the diagnosed illness or disability.
- Forgetting the $6 fee with a temporary placard request.
- Requesting DP license plates without completing the Section 3 vehicle information.
- Using REG 195 to replace a lost or stolen placard — that is form REG 156.

## Agent summary
Customer-assembly workflow for REG 195. It prepares the form and sends an unsigned kit only to the customer. It must never be represented as direct filing, service, or agency submission. Final customer action: Obtain all required original applicant and medical-provider signatures and certification, add identity proof and any applicable fee or vehicle materials, and submit the original completed REG 195 to DMV yourself.

## For assistants
This is a human-only customer-assembly workflow and is not available for automated or machine ordering.

- PostalForm delivers an unsigned preparation kit only to the customer or authorized signer.
- The customer must remove and keep the PostalForm cover, complete every physical signature, enclosure, certification, and final-submission step, and verify the current deadline and destination.

## LLM field schema
```json
[
  {
    "id": "request_permanent_placard",
    "label": "Permanent DP parking placard (free)",
    "type": "checkbox",
    "required": true,
    "meta_class": "multi_select",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "request_temporary_placard",
    "label": "Temporary DP parking placard ($6 fee)",
    "type": "checkbox",
    "required": false,
    "meta_class": "multi_select",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "request_travel_placard",
    "label": "Travel DP parking placard (free)",
    "type": "checkbox",
    "required": false,
    "meta_class": "multi_select",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "request_disabled_plates",
    "label": "Disabled person license plates (free)",
    "type": "checkbox",
    "required": false,
    "meta_class": "multi_select",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "request_plate_reassignment",
    "label": "Reassign my existing DP plates to a different vehicle",
    "type": "checkbox",
    "required": false,
    "meta_class": "multi_select",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "prior_issuance_yes",
    "label": "Yes, I've been issued one before",
    "type": "checkbox",
    "required": true,
    "meta_class": "radio",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "prior_issuance_no",
    "label": "No, this is my first application",
    "type": "checkbox",
    "required": true,
    "meta_class": "radio",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "prior_plate_or_placard_number",
    "label": "Previous license plate or placard number",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "prior_issuance_yes",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "needs_vehicle_info",
    "label": "My request includes DP license plates (new plates or a reassignment)",
    "type": "checkbox",
    "required": false,
    "meta_class": "yes_no",
    "ui_width": null,
    "group_id": "request_type",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "applicant_is_organization",
    "label": "Is this application for an organization rather than a person?",
    "type": "checkbox",
    "required": false,
    "meta_class": "yes_no",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "mailing_address_differs",
    "label": "Is your mailing address different from your physical address?",
    "type": "checkbox",
    "required": true,
    "meta_class": "yes_no",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "applicant_full_name",
    "label": "True full name — last, first, middle (or organization name)",
    "type": "text",
    "required": true,
    "meta_class": "name",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "dob_month",
    "label": "Birth month (MM)",
    "type": "text",
    "required": true,
    "meta_class": "date",
    "ui_width": "third",
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "applicant_is_organization",
      "operator": "falsy"
    },
    "compound_subfields": null
  },
  {
    "id": "dob_day",
    "label": "Birth day (DD)",
    "type": "text",
    "required": true,
    "meta_class": "date",
    "ui_width": "third",
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "applicant_is_organization",
      "operator": "falsy"
    },
    "compound_subfields": null
  },
  {
    "id": "dob_year",
    "label": "Birth year (YYYY)",
    "type": "text",
    "required": true,
    "meta_class": "date",
    "ui_width": "third",
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "applicant_is_organization",
      "operator": "falsy"
    },
    "compound_subfields": null
  },
  {
    "id": "physical_address",
    "label": "Physical (home) address",
    "type": "text",
    "required": true,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "physical_apt",
    "label": "Apt., space, or suite (optional)",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "driver_license_number",
    "label": "California driver license or ID card number",
    "type": "text",
    "required": true,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "applicant_is_organization",
      "operator": "falsy"
    },
    "compound_subfields": null
  },
  {
    "id": "physical_city",
    "label": "City",
    "type": "text",
    "required": true,
    "meta_class": "city",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "physical_county",
    "label": "County",
    "type": "text",
    "required": false,
    "meta_class": "county",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "physical_state",
    "label": "State",
    "type": "text",
    "required": true,
    "meta_class": "state",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "physical_zip",
    "label": "ZIP code",
    "type": "text",
    "required": true,
    "meta_class": "zip",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "mailing_address",
    "label": "Mailing address",
    "type": "text",
    "required": true,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "mailing_address_differs",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "mailing_apt",
    "label": "Mailing apt., space, or suite (optional)",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "mailing_address_differs",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "telephone_area_code",
    "label": "Phone area code",
    "type": "text",
    "required": true,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "daytime_phone_number",
    "label": "Daytime phone number (7 digits)",
    "type": "text",
    "required": true,
    "meta_class": "phone",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "mailing_city",
    "label": "Mailing city",
    "type": "text",
    "required": true,
    "meta_class": "city",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "mailing_address_differs",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "mailing_county",
    "label": "Mailing county",
    "type": "text",
    "required": false,
    "meta_class": "county",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "mailing_address_differs",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "mailing_state",
    "label": "Mailing state",
    "type": "text",
    "required": true,
    "meta_class": "state",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "mailing_address_differs",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "mailing_zip",
    "label": "Mailing ZIP code",
    "type": "text",
    "required": true,
    "meta_class": "zip",
    "ui_width": null,
    "group_id": "applicant_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "mailing_address_differs",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "vehicle_plate_number",
    "label": "Vehicle plate number",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "vehicle_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "needs_vehicle_info",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "vehicle_vin",
    "label": "Vehicle identification number (VIN)",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "vehicle_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "needs_vehicle_info",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "vehicle_make",
    "label": "Vehicle make",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "vehicle_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "needs_vehicle_info",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "vehicle_year",
    "label": "Vehicle year",
    "type": "text",
    "required": false,
    "meta_class": "number",
    "ui_width": null,
    "group_id": "vehicle_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "needs_vehicle_info",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "weight_fee_exemption_yes",
    "label": "Yes, request weight fee exemption",
    "type": "checkbox",
    "required": false,
    "meta_class": "radio",
    "ui_width": null,
    "group_id": "vehicle_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "needs_vehicle_info",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "weight_fee_exemption_no",
    "label": "No weight fee exemption requested",
    "type": "checkbox",
    "required": false,
    "meta_class": "radio",
    "ui_width": null,
    "group_id": "vehicle_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": {
      "fieldId": "needs_vehicle_info",
      "operator": "truthy"
    },
    "compound_subfields": null
  },
  {
    "id": "applicant_signature",
    "label": "Applicant or organization representative signature",
    "type": "signature",
    "required": true,
    "meta_class": null,
    "ui_width": null,
    "group_id": "applicant_certification",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "applicant_signature_date",
    "label": "Date signed",
    "type": "text",
    "required": false,
    "meta_class": "date",
    "ui_width": null,
    "group_id": "applicant_certification",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "applicant_email",
    "label": "Email address (optional)",
    "type": "text",
    "required": false,
    "meta_class": "email",
    "ui_width": null,
    "group_id": "applicant_certification",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "medical_cert_with_details",
    "label": "Fill Section 6 now — my provider gave me the certification details",
    "type": "checkbox",
    "required": false,
    "meta_class": "radio",
    "ui_width": null,
    "group_id": "medical_certification_choice",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "medical_cert_blank",
    "label": "Leave Sections 5–6 blank — my provider will complete them by hand",
    "type": "checkbox",
    "required": false,
    "meta_class": "radio",
    "ui_width": null,
    "group_id": "medical_certification_choice",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_name",
    "label": "Provider's full name — last, first, middle",
    "type": "text",
    "required": false,
    "meta_class": "name",
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_license_number",
    "label": "Provider's medical license number",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_address",
    "label": "Provider's office address",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_room_suite",
    "label": "Room or suite (optional)",
    "type": "text",
    "required": false,
    "meta_class": null,
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_phone",
    "label": "Provider's daytime phone",
    "type": "text",
    "required": false,
    "meta_class": "phone",
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_city",
    "label": "Provider's city",
    "type": "text",
    "required": false,
    "meta_class": "city",
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_county",
    "label": "Provider's county",
    "type": "text",
    "required": false,
    "meta_class": "county",
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_state",
    "label": "Provider's state",
    "type": "text",
    "required": false,
    "meta_class": "state",
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "provider_zip",
    "label": "Provider's ZIP code",
    "type": "text",
    "required": false,
    "meta_class": "zip",
    "ui_width": null,
    "group_id": "provider_info",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "patient_name",
    "label": "Patient name (as the provider certifies it)",
    "type": "text",
    "required": false,
    "meta_class": "name",
    "ui_width": null,
    "group_id": "medical_certification",
    "choice_group": null,
    "choice_label": null,
    "visibility": null,
    "compound_subfields": null
  },
  {
    "id": "eligible_permanent_or_plates",
    "label": "Permanent DP parking placard or DP license plates",
    "type": "checkbox",
    "required": false,
    "meta_class": "multi_select",
    "ui_width": null,
    "group_id": "medical_certification",
    "choice_group": null,
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    "id": "reason_6_lower_extremities",
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]
```

## Sources
- [California DMV REG 195 form page](https://www.dmv.ca.gov/portal/form/application-for-disabled-person-placard-or-plates-reg-195/)
- [California DMV Virtual Office — disabled person placard application](https://www.dmv.ca.gov/portal/dmv-virtual-office/dppp-application/)
- [Official instructions](https://www.dmv.ca.gov/portal/vehicle-registration/license-plates-decals-and-placards/disabled-person-parking-placards-plates/)
- [Official PDF](https://www.dmv.ca.gov/portal/uploads/2024/07/REG-195-R11-2023-AS-WWW-002.pdf)

## Last verified
2026-07-12


## FAQs
- **Is there a fee for a California disabled person placard or plates?** Permanent placards, travel placards, and DP license plates have no DMV fee. A temporary placard costs $6. (DP plates still carry the vehicle's normal registration fees.)
- **Can I apply online instead of mailing REG 195?** Yes. California DMV accepts disabled person placard applications through its online Virtual Office, and at field offices. The paper REG 195 suits applicants whose provider signs a paper certification or who prefer a mailed record.
- **Does my doctor have to sign the form?** Usually, yes. A licensed physician, surgeon, physician assistant, nurse practitioner, or certified nurse-midwife can certify items 2–8 of Section 6; chiropractors may certify items 6–8; podiatrists, foot-and-ankle disabilities; optometrists or eye-specialist physicians, item 1. Exception: if you were previously issued DP plates or a permanent placard that is still on DMV record, a new certification is generally not required.
- **How long does it take to get the placard?** DMV says about two to four weeks after it receives the application.
- **Does DMV accept a printed or photocopied signature?** No. The form states only original signatures are accepted — no photocopies or faxes. Sign the printed form in ink, and have your medical provider ink-sign the Section 6 certification.
- **What do I have to include in the envelope?** All three pages of the completed REG 195 (pages 2 and 3 are both required) plus a copy of your driver license, ID card, or other acceptable proof of legal name and birth date — and the $6 fee if requesting a temporary placard.