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Instructions for Form PA-4 Physician Certification - New Jersey
This document contains official instructions for Form PA-4 , Physician Certification - a form released and collected by the New Jersey Department of Human Services. An up-to-date fillable Form PA-4 is available for download through this link.
FAQ
Q: What is Form PA-4?
A: Form PA-4 is a Physician Certification form used in New Jersey.
Q: What is the purpose of Form PA-4?
A: The purpose of Form PA-4 is to certify the need for disability parking placards or license plates.
Q: Who can complete Form PA-4?
A: Form PA-4 can only be completed by a licensed physician.
Q: What information is required on Form PA-4?
A: Form PA-4 requires the physician to provide the patient's medical condition, limitations, and the length of time the condition is expected to last.
Q: Are there any fees associated with Form PA-4?
A: No, there are no fees associated with Form PA-4.
Q: How long is Form PA-4 valid for?
A: Form PA-4 is valid for up to three years.
Q: Can Form PA-4 be renewed?
A: Yes, Form PA-4 can be renewed by submitting a new certification form.
Q: Can I use Form PA-4 in other states?
A: No, Form PA-4 is specific to New Jersey and cannot be used in other states.
Q: What should I do with the completed Form PA-4?
A: The completed Form PA-4 should be submitted to the MVC either in person or by mail.
Instruction Details:
- This 1-page document is available for download in PDF;
- Actual and applicable for the current year;
- Complete, printable, and free.
Download your copy of the instructions by clicking the link below or browse hundreds of other forms in our library of forms released by the New Jersey Department of Human Services.
