Parking Permit

Accessible Parking Permit Renewal - Individual

Step 1 of 2

Application Type(Required)

Renewal - Existing Permanent Permit (I self-declare that my medical condition has not improved and I still require a parking permit)

ClientID #(Required)

(Found on top right-hand corner of renewal letter.)

Existing Parking Permit #

Replacement Type(Required)

Lost

Stolen

Damaged (Damaged permit must be returned before replacement will be issued)

Name(Required)

First Last

Address(Required)

Street Address City Postal Code

Date of Birth(Required)

Applicant Phone (Daytime)(Required)

Preferred Contact Method(Required)

Addressed mail

Applicant Email(Required)

Optional Email

Consent(Required)

I, the applicant, agree to the following statements:

• I am applying for a parking permit and the information provided on this application is true and correct.

• I am aware that I will only be issued one permit, and that the parking permit will only be used when I (the applicant)
am entering or exiting the vehicle. Any misuse of a parking permit will result in the permit being cancelled and the
refusal to issue a parking permit in the future.

• The medical information must be completed by one of the designated healthcare professionals. Any unauthorized
changes of the medical information will nullify the application form.

• I am responsible for any costs related to completing this application.

• If applying for a replacement of a lost or stolen permit, I declare the permit is unavailable for return.

• For audit purposes, the information may be shared with SGI.

• I am responsible for advising SaskAbilities of any mailing address or email address changes.

Signature(Required)

A Medical Information Form must be completed by a Healthcare Professional for this application. Please provide the information below for your authorized individual.

Your healthcare professional can be one of the following: Physician, Occupational Therapist, Physical Therapist, Nurse Practitioner or Chiropractor

Healthcare Contact:(Required)

First Last

Healthcare Phone:(Required)

Send medical form to (email):(Required)

Accessible Parking Program

2310 Louise Avenue
Saskatoon, SK S7J 2C7

parkingprogram@saskabilities.ca 306.385.7213

Accessible Parking Permit Renewal - Individual

A Medical Information Form must be completed by a Healthcare Professional for this application. Please provide the information below for your authorized individual.

Accessible Parking Program

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