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Guam Placard Form
BIRTH:
1.
2.
3.
HEIGHT:
WEIGHT:
SEX:
PHONE NO.:
Do you have a current accessible parking placard?
Yes
No
if yes, Placard No(s):
Expiration Date:
Do you have a current accessible parking license plate?
Yes
No
If yes, License Plate Number:
Expiration Date:
Please check the appropriate box: [ ] Placard(s) [ ] License Plate
I declare under penalty of perjury that the foregoing is true and correct.
I authorize the release of medical information to process this application.
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