Get Md 110 Appendix P Fillable

Filling out the Md 110 Appendix P is a crucial step for individuals seeking a disability license plate. This guide provides clear and supportive instructions to assist users in accurately completing this online form.

Follow the steps to effectively complete your application.

1. Click the ‘Get Form’ button to access the Md 110 Appendix P Fillable form and open it in your preferred editing tool.
2. Begin with Part 1 by entering the vehicle owner’s name, the driver's license number or personal ID number, street address, daytime phone number, city, state, and ZIP code. If the permanently disabled person is someone other than the vehicle owner, include their name as well.
3. Provide vehicle information by entering the year, make, body style, and vehicle identification number. Indicate if you own a van and use a wheelchair or if you transport someone who does.
4. If applicable, enter your current license plate number and its expiration date if you wish to cancel it for credit toward the new disability license plate. Ensure you sign and date this section to certify the information is correct.
5. Proceed to Part 2, where a licensed physician, chiropractor, optometrist, nurse practitioner, or physician's assistant must complete the medical eligibility portion. The medical professional will circle the applicable disability criteria and provide their assessment.
6. The physician must include their medical license number, licensing state, name, medical specialty, office address, telephone, and fax number. After the physician completes this section, they must sign and date it.
7. Review the entire document for accuracy. Once all sections are complete and verified, you can save your changes, download the completed form, print it, or share it as needed.

Complete your Md 110 Appendix P Fillable form online today for a smooth application process.