How to Apply

Residents of Virginia with permanent upper limb mobility impairment, in accordance with Section § 33.2-613 D of the Code of Virginia may be eligible for toll free passage on Virginia toll roads. Qualifying residents with specially equipped vehicles may receive a restricted use non-revenue transponder for travel within the Commonwealth of Virginia.

Please print and complete the Permanent Upper Limb Mobility Impairment application Parts I, II, and III. Fax or mail the form to the customer service center listed below to submit your application.

The application will be reviewed for completeness and all documents will be submitted to VDOT for approval. When approved, a non-revenue transponder will be issued for use in the vehicle specified in the application.

You must notify the Customer Service Center if there is any change to the information submitted in your original application.

For questions, please contact our Customer Service Center toll free at 877-762-7824, 7 a.m. - 7 p.m, Monday through Friday.

E-ZPass Customer Service Center
P.O. Box 1234
Clifton Forge, VA 24422-1234

Phone: 877-762-7824
Fax: 540-302-4773

Hours : Monday-Friday 7 a.m. – 7 p.m.