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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DPSMV1966
for the current year.
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 for?
A: The DPSMV1966 form is for the Medical Examiner's Certification of Mobility Impairment in Louisiana.
Q: Who needs to fill out the DPSMV1966 form?
A: Individuals with mobility impairments in Louisiana who need to certify their condition for driver's license or identification card purposes.
Q: What information is required on the DPSMV1966 form?
A: The form requires the individual's personal information, healthcare provider's information, and details about the mobility impairment.
Q: What do I do with the completed DPSMV1966 form?
A: You must submit the completed form to the Louisiana Office of Motor Vehicles as part of your driver's license or identification card application process.
Form Details:
- Released on September 1, 2001;
- 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 DPSMV1966 by clicking the link below or browse more documents and templates provided by the Louisiana Department of Public Safety & Corrections.
