Loading
Get Tx Vi-4 2016-2026
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the TX VI-4 online
Filling out the TX VI-4 form is essential for individuals seeking a medical exemption for window tint on their vehicles. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently.
Follow the steps to complete the TX VI-4 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In the 'Applicant' section, enter your name exactly as it appears on your driver license. Fill in your driver's license number, the patient's name if it differs from yours, their state, and expiration date. Provide your relationship to the applicant.
- Complete the 'Residence Address' section with your residential details, including street address, city, state, county, and ZIP code. Ensure that this information is current and accurate.
- Fill out the 'Mailing Address' section if different from your residence address. This includes similar details as before, ensuring clarity in your communication preferences.
- Enter your date of birth, home phone, cell phone, email, business phone, and any other relevant phone number in the designated fields. Ensure all contact information is clear and correct.
- In the 'Vehicle Information' section, list up to three vehicles. For each vehicle, fill in the Vehicle Identification Number (VIN), year, make, and model accurately.
- Provide details of the physician, optometrist, or ophthalmologist supporting your exemption. This includes their name, license number, address, city, phone, email, state, and ZIP code.
- Read the 'Vehicle Owner Certification' statement carefully. You must certify that all information provided is true and correct. Sign and date the form as the applicant or legal guardian.
- Attach the required documentation: a signed letter from your physician on letterhead indicating the medical reason for the exemption or an original prescription. Ensure these documents are dated within one year of your request.
- Finally, submit your completed form along with the required documentation via secure email, fax, or by mailing it to the Texas Department of Public Safety. Keep in mind that processing may take up to 15 working days.
Take the next step; complete and submit your TX VI-4 form online today.
Several medical conditions may qualify you for a window tint exemption in Texas. Conditions like severe skin disorders, lupus, or photosensitivity can necessitate the use of darker tinting. To determine eligibility, consult a healthcare provider who can evaluate your needs and provide the necessary documentation. Remember, USLegalForms can assist you in compiling all required evidence for your TX VI-4 application.