Form DPSMV1966 Medical Examiner's Certification of Mobility Impairment - Louisiana

What Is Form DPSMV1966?

This is a legal form that was released by the Louisiana Department of Public Safety & Corrections - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DPSMV1966 form?
A: The DPSMV1966 form is the Medical Examiner's Certification of Mobility Impairment form in Louisiana.

Q: What is the purpose of the DPSMV1966 form?
A: The purpose of the DPSMV1966 form is to certify a person's mobility impairment for purposes of obtaining a disability parking placard or license plate.

Q: Who needs to fill out the DPSMV1966 form?
A: The DPSMV1966 form needs to be filled out by a licensed medical examiner, such as a doctor or physician.

Q: What information is required on the DPSMV1966 form?
A: The DPSMV1966 form requires information about the person's mobility impairment, including the type of impairment, the duration of the impairment, and the impact on daily activities.

Q: How long is the DPSMV1966 form valid for?
A: The DPSMV1966 form is valid for a period determined by the medical examiner, up to a maximum of five years.

Q: What should I do with the completed DPSMV1966 form?
A: Once the DPSMV1966 form is completed, you should submit it to the Louisiana Office of Motor Vehicles along with any other required documentation to obtain a disability parking placard or license plate.