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Get MD VR-210 2018-2023

are execution authorization, give permission to my to release to the Motor Vehicle Administration all medical information relative to the qualification requirements that established my eligibility to obtain the disability placard or plate. Additionally, I agree to release the MVA from any and all liability that may arise from the collection and storage of medical information, in the procurement of this application. This authorization will not expire unless all disability placards and plates in .

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