Get Request For Exemption From Use Of Motor Vehicle Safety Restraints - Odot State Or

Filling out the Request for Exemption from Use of Motor Vehicle Safety Restraints is an essential process for individuals who qualify for this exemption in Oregon. This guide provides step-by-step instructions to make the application process straightforward and accessible.

Follow the steps to seamlessly complete your exemption request.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with Part A of the form, which needs to be completed by the patient. Fill in your full name, gender, address, city, date of birth, and Oregon driver license or ID card number, along with the type of license you hold. Ensure that all information is accurate.
3. After completing Part A, sign and date the form to confirm your request for exemption from safety restraints.
4. Next, the patient should provide the form to the physician. The physician will then complete Part B of the form, checking the relevant statements regarding the safety restraint's impracticality or harm due to physical conditions, medical problems, or body size.
5. The physician must provide a detailed description of how the individual’s condition makes the use of a safety restraint impractical or harmful. Additionally, they must include their name, license number, address, phone number, and sign the form.
6. Both the patient and physician should confirm that they have read the instructions provided on Page 2 of the form and understand the relevant Oregon Revised Statute. The physician must initial this section.
7. Submit both pages of the completed form to the ODOT at the specified address. Ensure to do this after allowing a minimum of five business days for processing.
8. Once the request is processed, if approved, ODOT will issue a wallet-sized certificate that must be carried to claim exempt status while traveling.
9. You can save changes, download, print, or share the completed form as needed.

Start filling out your request form online today and ensure you meet the necessary requirements for a safety restraint exemption.