Get Form-iv Disability Certificate (in Cases Other Than Those ...

Filling out the Form-IV Disability Certificate is an essential step for individuals seeking formal recognition of their disability. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to fill out your disability certificate online.

1. Press the ‘Get Form’ button to obtain the form and open it in your intended platform.
2. Begin by entering the name and address of the medical authority issuing the certificate in the designated section.
3. Attach a recent passport-sized photograph of the individual with a disability, ensuring that the image shows the face clearly.
4. Fill in the certificate number and the date of issuance in the provided fields.
5. Provide the name and relationship of the individual diagnosed with a disability along with their date of birth, gender, and age.
6. Enter the permanent residence details including house number, ward/village/street, post office, district, and state.
7. Indicate the extent of disability by evaluating it against the relevant disabilities listed in the table, making sure to fill in the necessary details for each applicable disability.
8. Specify whether the condition is progressive, non-progressive, likely to improve, or not likely to improve.
9. Indicate whether reassessment of the disability is necessary, and if so, provide details about the recommended reassessment time frame.
10. Document the nature and date of issue of the proof of residence submitted by the applicant.
11. Ensure the authorized signatory of the notified medical authority completes their section, including name and seal.
12. If applicable, ensure that the signature and seal of the Chief Medical Officer are included if the certificate is issued by a medical authority who is not a government servant.
13. Finally, review all the information you've entered for accuracy and completeness before saving changes, downloading, printing, or sharing the form as needed.

Start completing your Form-IV Disability Certificate online today for a smoother application process.