Dpsmv 2021-2025 Form

What is the Medical Examiner's Certification of Mobility Impairment

The Medical Examiner's Certification of Mobility Impairment, often referred to as the DPSMV 1966 form, is a crucial document in Louisiana that certifies an individual's mobility impairment. This form is typically completed by a licensed medical professional and is necessary for individuals seeking a handicap parking permit or placard. The certification confirms that the applicant has a physical condition that significantly limits their ability to walk, thereby qualifying them for special parking privileges.

How to Obtain the Medical Examiner's Certification of Mobility Impairment

To obtain the Medical Examiner's Certification of Mobility Impairment, an individual must first schedule an appointment with a qualified medical examiner. During this appointment, the medical professional will assess the individual's mobility limitations. If the examiner determines that the individual meets the criteria for mobility impairment, they will complete the DPSMV 1966 form. It's essential to ensure that the medical examiner is familiar with the specific requirements for this certification to avoid any delays in processing.

Steps to Complete the Medical Examiner's Certification of Mobility Impairment

Completing the Medical Examiner's Certification of Mobility Impairment involves several key steps:

• Schedule an appointment with a licensed medical examiner.
• Attend the appointment and undergo an assessment of mobility limitations.
• If eligible, the medical examiner will fill out the DPSMV 1966 form, including necessary details about the impairment.
• Review the completed form for accuracy before submission.
• Submit the form along with any required documentation to the appropriate state agency.

Legal Use of the Medical Examiner's Certification of Mobility Impairment

The Medical Examiner's Certification of Mobility Impairment serves as a legal document that validates an individual's claim for handicap parking privileges. This certification must be completed accurately and submitted to the Louisiana Department of Public Safety and Corrections to ensure compliance with state regulations. Misuse or fraudulent submission of this form can lead to penalties, including fines or revocation of parking privileges.

Key Elements of the Medical Examiner's Certification of Mobility Impairment

Several key elements must be included in the Medical Examiner's Certification of Mobility Impairment to ensure its validity:

• Identification of the applicant, including name and address.
• Details of the medical examiner, including name, license number, and signature.
• A clear statement regarding the nature of the mobility impairment.
• The date of the examination and completion of the form.

State-Specific Rules for the Medical Examiner's Certification of Mobility Impairment

In Louisiana, specific rules govern the use of the Medical Examiner's Certification of Mobility Impairment. The form must be filled out by a licensed medical professional who is authorized to assess mobility impairments. Additionally, the certification must be submitted to the Louisiana Department of Public Safety and Corrections, which oversees the issuance of handicap parking permits. Understanding these state-specific requirements is vital for ensuring that the application process runs smoothly.