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SR-LV-129

Application for an Accessible Parking Permit

Demande de permis de stationnement accessible (PSA)

Patients with limited mobility need this form to get an accessible parking permit in Ontario. ServiceOntario issues the permit on your certification in Part B, and the status you choose there sets how long the permit lasts and whether the patient comes back to you to renew it.

At a glance

Checked October 2026

Form number
SR-LV-129
Issued by
ServiceOntario
Where
Ontario
Completed by
Applicant or representative (Part A); regulated healthcare practitioner (Part B)
Format
Fillable PDF, or online application with a photo of the signed form
Language
English and French

What the SR-LV-129 is for

The application covers a new permit, a renewal, a change of information, a replacement, and returning a permit. Ontario permits are issued to a person, not a vehicle, and the holder must be the driver or passenger whenever the permit is used. Each municipality sets its own accessible parking rules through bylaws. The traveller’s permit and company permits are handled separately.

Who completes it

The applicant completes Part A, or a parent or legal guardian for a child, or an authorized representative for an adult. Part A records the application type, the applicant’s details, whether they’ll be a passenger or passenger and driver, and a signed declaration. A regulated healthcare practitioner completes the applicant’s name and Sections 1, 2 and 3 of Part B.

Most patients pick up the form from ServiceOntario or print it, fill in Part A at home, and bring it to the appointment, or arrive with it blank and finish Part A in the waiting room while you complete Part B. In Medulla, you send Part A to the patient over a secure link before or after the visit. They fill it in on the form from any device, and their answers land on the same PDF you complete Part B on, so the patient has one finished application to submit online, by mail or in person.

How to fill in Part B

Section 1: Assessment of health conditions

Tick one or more conditions. A covers people who can’t walk without another person or an assistive device such as a brace, cane, crutch, lower limb prosthesis or wheelchair. B is lung disease with an FEV1 under 1 litre, and C is portable oxygen as a medical necessity. D is cardiovascular disease at functional Class III or IV. E is walking severely limited by an arthritic, neurological, musculoskeletal or orthopedic condition. F is visual acuity of 20/200 or poorer in the better eye, or a field of 20 degrees or less. G is mobility severely limited by one or more conditions or functional impairments.

Section 2: Status of condition

Select one only. Permanent means the condition isn’t expected to improve, and the five-year permit renews without recertification. Subject-to-change means a health assessment every five years. Temporary needs the estimated length of the condition in months, up to 12, and the permit is valid for up to 12 months.

Section 3: Practitioner information and declaration

Enter your full name, college number, phone and fax, tick your college, and print or stamp your name and address. Sign and date the declaration. It confirms the applicant meets the requirements and that you aren’t treating yourself or a family member, and false statements are referred to law enforcement and your college.

Common reasons it’s refused or delayed

  • More than six months between your signature and the application.
  • No status selected, or a temporary status with no number of months.
  • More than one status ticked.
  • Signed by a practitioner whose college isn’t on the list.
  • A permanent permit renewal sent without Part B after the permit expired more than a year ago.

Submitting and who pays

The patient submits the form online with a photo of the signed application and their ID, mails it to ServiceOntario, PO Box 9800, Kingston ON K7L 5N8, or takes it to a ServiceOntario centre. They need ID showing their full name, date of birth and signature. The permit is free and takes up to three weeks to arrive when the patient applies online or by mail. ServiceOntario doesn’t list any payment to practitioners for Part B, so any completion fee is between your clinic and the patient.

Get the official form

Download the current version from ServiceOntario each time. Forms change without notice, and an old edition can be returned.

Official page ↗ PDF ↗ Version française ↗

Medulla Forms

Fill SR-LV-129 with your patient, from the chart.

Upload the fillable PDF to your practice's forms once. Medulla fills it from the visit and the chart open in your EMR, leaves blank anything the record doesn't support, and opens the form for your review. Send Part A to the patient over a secure link, and their answers come back on your form. When it's done, save it to the patient's chart in one click.

Free 1-month trial. No credit card required.

Sources for this guide

Questions

Questions we hear a lot.

Who can sign Part B of the Ontario accessible parking permit?

A registered member of the College of Physicians and Surgeons, the College of Nurses (Nurse Practitioner, Extended Class), the College of Occupational Therapists, the College of Physiotherapists, the College of Chiropractors or the College of Chiropodists. You can't certify yourself or a family member.

How long is the signed application valid?

Up to six months from the date the practitioner signs Part B. After that the patient needs a new certification.

Does the patient need Part B to renew?

Not for a permanent permit renewal, a change of information or a replacement, unless the permanent permit expired more than a year ago. Subject-to-change and temporary permits need a new certification to renew.

Is there a fee for the permit?

No. ServiceOntario charges nothing to get, renew or replace an accessible parking permit.

Is patient information secure?

Yes. Medulla has a SOC 2 Type II report from an independent auditor, is HIPAA, PIPEDA, and PHIPA compliant, and is built and hosted in Canada, so patient data stays in the country and never gets pasted into consumer AI tools. Everything is encrypted in transit and at rest. See how we protect patient data.

More questions? Browse help.medulla.ca.