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Form DPSMV2012 Physician's Certification for Seat Belt Exemption - Louisiana
What Is Form DPSMV2012?
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 DPSMV2012?
A: DPSMV2012 is a Physician's Certification form for Seat Belt Exemption.
Q: Who is eligible for a seat belt exemption in Louisiana?
A: Individuals who have a signed DPSMV2012 form from a physician are eligible for a seat belt exemption in Louisiana.
Q: What is the purpose of the DPSMV2012 form?
A: The purpose of the DPSMV2012 form is to certify the medical necessity for an individual to be exempt from wearing a seat belt in Louisiana.
Q: Who needs to complete the DPSMV2012 form?
A: A licensed physician needs to complete and sign the DPSMV2012 form.
Q: Is the seat belt exemption permanent?
A: No, the seat belt exemption granted based on the DPSMV2012 form is valid for one year and needs to be renewed annually.
Form Details:
- Released on June 1, 2018;
- The latest edition provided by the Louisiana Department of Public Safety & Corrections;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form DPSMV2012 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Public Safety & Corrections.
