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Disabled Veterans & Purple Heart Recipients Discount Form

  1. Check Box If:
    I certify that I am a Disabled Veteran with a minimum of 50% service-related disability or a Purple Heart Recipient.
  2. Check Box If:
    I certify that I am a requesting a parking space for myself as a disabled veteran and not for the use of another person.
  3. Upload Award Letter showing service-connected disability of 50% or higher OR DD-214 showing that the individual was a recipient of a Purple Heart Medal.

  4. Drivers license or state-issued ID must match the name on the DD-214 or Award Letter.

  5. Leave This Blank:

  6. This field is not part of the form submission.