Form BMV5755 Health Care Provider Certification of Eligibility for Permanently Disabled Identification Card - Ohio

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Form BMV5755 Health Care Provider Certification of Eligibility for Permanently Disabled Identification Card - Ohio

What Is Form BMV5755?

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

FAQ

Q: What is a BMV5755 form?
A: The BMV5755 form is the Health Care Provider Certification of Eligibility for a Permanently Disabled Identification Card in Ohio.

Q: What is a Permanently Disabled Identification Card?
A: A Permanently Disabled Identification Card is an identification card issued to individuals who have a permanent disability that impairs their ability to walk or creates mobility limitations.

Q: Who can apply for a Permanently Disabled Identification Card in Ohio?
A: Individuals who have a permanent disability that impairs their ability to walk or creates mobility limitations can apply for a Permanently Disabled Identification Card in Ohio.

Q: Who needs to complete the BMV5755 form?
A: The BMV5755 form needs to be completed by a licensed health care provider who can certify the individual's eligibility for a Permanently Disabled Identification Card.

Q: What information is required on the BMV5755 form?
A: The BMV5755 form requires information such as the individual's name, date of birth, disability details, and the health care provider's certification.

Q: How long is the Permanently Disabled Identification Card valid for?
A: The Permanently Disabled Identification Card is valid for four years in Ohio.

Q: Is there a fee for a Permanently Disabled Identification Card?
A: Yes, there is a fee for a Permanently Disabled Identification Card in Ohio. The fee may vary, so it's best to check with the Ohio BMV for the current fee.

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Form Details:

  • Released on October 1, 2019;
  • The latest edition provided by the Ohio Department of Public Safety;
  • 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 printable version of Form BMV5755 by clicking the link below or browse more documents and templates provided by the Ohio Department of Public Safety.

Download Form BMV5755 Health Care Provider Certification of Eligibility for Permanently Disabled Identification Card - Ohio

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