Get Mv 664 1

The Mv 664 1 form is an application for license plates or parking permits for persons with severe disabilities in New York. This guide provides a clear, step-by-step approach to assist users in completing this form online effectively.

Follow the steps to complete the Mv 664 1 form.

1. Press the ‘Get Form’ button to access the form and open it in your selected editor.
2. Begin with Part 1, which requires personal information about the person with a disability. Include their last name, first name, middle initial, address, telephone number, city, state, and zip code. Remember to mark the date of birth and select the gender option.
3. Indicate if you are applying for license plates or a parking permit by checking the appropriate box. If applicable, provide the number of any existing license plates for persons with disabilities.
4. Ensure the form is signed by the person with a disability or by a parent or guardian. If signed by someone else, please specify your relationship to the individual.
5. Proceed to Part 2, which requires medical certification. This section must be completed by a licensed Medical Doctor (MD), Doctor of Osteopathy (DO), or Doctor of Podiatric Medicine (DPM). The physician must certify the nature of the disability and state if it is temporary or permanent.
6. For temporary disabilities, check the relevant box, provide the expected recovery date and diagnosis, and specify any necessary assistive devices.
7. If the disability is permanent, check the applicable conditions and provide a diagnosis that corresponds with the stated impairments.
8. The physician must fill out their name, professional license number, address, contact number, and sign the certification section.
9. Finally, review all entered information for accuracy. Once confirmed, save the changes, and you can choose to download, print, or share the completed form.

Start completing your Mv 664 1 form online today.