Get Mobility Impaired Certification Application - New Mexico Game And ... - Wildlife State Nm

This guide provides a comprehensive overview of how to complete the Mobility Impaired Certification Application for New Mexico Game and Fish online. By following these step-by-step instructions, users can ensure their application is accurately filled out and submitted.

Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the Mobility Impaired Certification Application and open it in your preferred document editor.
2. Fill out the applicant's information section carefully. This includes providing your last name, first name, middle initial, and full address. Make sure to enter your city, state, zip code, and contact numbers accurately.
3. Complete the demographic section with your Social Security Number's last four digits or your Customer Identification Number (CIN) or birth date. Specify your gender, height, weight, eye color, and hair color.
4. At the end of the applicant's information, attest that all provided information is truthful regarding your qualifying permanent impairment by signing in the designated area.
5. Proceed to the physician’s statement section. Here, your doctor will need to certify your permanent mobility restrictions. Ensure your physician checks one or more of the listed mobility restrictions.
6. Have your certifying physician provide a description of your restrictions and sign the statement. They must also fill in their printed name, medical license number, address, and contact number.
7. After all sections are complete, save your changes and ensure the document is reviewed for any errors. The application can now be finalized for submission.
8. Download, print, or share the completed form as necessary before mailing it to the New Mexico Department of Game and Fish at the provided address.

Complete your Mobility Impaired Certification Application online today!