Temp Placard Request

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Temp Placard Request

Applicant Information

  1. Fill out the form below and hit the print button below the form.
  2. Take the form to your medical practitioner to fill out their section.
  3. Bring the finalized form to the Palmyra Police Station to receive your placard.

Palmyra Police
20 West Broad Street
Palmyra, NJ 08065
856 829 0198