Get FL HSMV 83039 2012
Ww.flhsmv.gov/offices/ This form is not valid for more than 12 months from the date of the certifying authority’s signature. APPLICATION BY DISABLED PERSON (See Warning Below) Please Print/Type below I certify that I am a person with one of the disabilities listed in section 320.0848, Florida Statutes. I further state that my physician or other certifying practitioner has completed the statement of certification below on my behalf, as required in section 320.0848, Florida Statutes. Name of.
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