Trans 130.02(4) (4) “Health care specialist” means a physician licensed to practice medicine in any state, an advanced practice nurse licensed to practice nursing in any state, a physician assistant licensed or certified to practice in any state, a chiropractor licensed to practice chiropractic in any state, a Christian Science practitioner residing in this state and listed in the Christian Science journal, or an authorized representative of the U.S. department of veterans affairs.

Trans 130.02(4m) (4m) “Individual card” means a special identification card as described in s. Trans 130.03 (1) issued under this chapter and s. 343.51, Stats., to an individual for the purpose of obtaining special parking privileges.

Trans 130.02(5) (5) “Organization” means a profit or non-profit corporation, any unit of government, a partnership or association, 2 or more persons having a joint or common interest, or any other legal or commercial entity.

Trans 130.02(5g) (5g) “Organization card” means a special identification card as described in s. Trans 130.03 (2) issued under this chapter and s. 343.51, Stats., to an organization for the purpose of obtaining special parking privileges.

Trans 130.02(5m) (5m) “Permanent card” means a card that is valid for 4 years.

Trans 130.02(6) (6) “Person” means a person defined under s. 340.01 (43g), Stats.

Trans 130.02(7) (7) “Special registration plates” means registration plates issued under s. 341.14 (1), (1a), (1e), (1m), or (1q), Stats.

Trans 130.02(8) (8) “Temporary card” means a card that is valid for not more than 6 months.

Trans 130.02 History History: Cr. Register, July, 1994, No. 463, eff. 8-1-94; CR02-085: cr. (5m) and (8), Register November 2002 No. 563, eff. 12-1-02; CR 07-072: am. (4), cr. (4m) and (5g), Register November 2007 No. 623, eff. 12-1-07; correction in (7) made under s. 13.92 (4) (b) 7., Stats., Register January 2011 No. 661.

Trans 130.03 Trans 130.03 Application form.

Trans 130.03(1) (1) Application by a person for an individual card and application for special registration plates. Each application by a person for a permanent individual or temporary individual card and each application for special registration plates shall be on a form provided by the department or in a letter, except as allowed in s. Trans 130.10, and shall contain the following information:

Trans 130.03(1)(a) (a) The date of the application.

Trans 130.03(1)(b) (b) The name and address of the person.

Trans 130.03(1)(c) (c) The age, gender and date of birth of the person.

Trans 130.03(1)(d) (d) Whether or not the person holds a valid Wisconsin operator’s license issued under ch. 343, Stats.

Trans 130.03(1)(e) (e) The person’s Wisconsin operator’s license number, if applicable.

Trans 130.03(1)(f) (f) A notification that the person, if he or she holds an operator’s license, may be required to demonstrate to the department that the disability does not impair the person’s ability to operate a motor vehicle safely.

Trans 130.03(1)(g) (g) The signature of the person or, if applicable, the signature of anyone authorized to sign for the applicant.

Trans 130.03(1)(h) (h) The relationship of the signer to the person with the disability, if signed by someone other than the person.

Trans 130.03(1)(i) (i) A statement from a health care specialist including:

Trans 130.03(1)(i)1. 1. The date of the health care specialist’s statement.

Trans 130.03(1)(i)2. 2. A certification that the individual has a disability within the meaning of s. 340.01 (43g), Stats.

Trans 130.03(1)(i)3. 3. Whether the disability is permanent or temporary.

Trans 130.03(1)(i)4. 4. The duration of the disability, not to exceed 6 months, if temporary.

Trans 130.03(1)(i)5. 5. In an application for a permanent individual card, whether or not the health care specialist believes that the person’s disability impairs the person’s ability to drive safely.

Trans 130.03(1)(i)6. 6. The health care specialist’s signature, name and address.

Trans 130.03(1)(i)7. 7. The health care specialist’s medical license number, if applicable, and telephone number.

Trans 130.03(1)(j) (j) Any other information necessary to assist the person, the person signing the application, and the health care specialist to understand the requirements and privileges of ss. 340.01 (43g), 341.14 (1), (1a), (1e), (1m), or (1q), 343.51, 343.52 and 346.50 (1m), (2a) (h), (j), and (k), and (3), Stats., and this chapter.

Trans 130.03(1)(k) (k) As required by s. 343.51 (1m) (b), Stats., the person making application to the department shall make and retain a copy of the statement from the health care specialist, for the period of time during which the special identification card is valid. The person shall carry the copy of the statement on the person or in the vehicle and shall, upon request by any traffic officer, produce the statement for inspection.