Follow the steps to complete the IL DSD X 164.6 form online.

1. Press the ‘Get Form’ button to access the document and open it in your selected editor.
2. Begin by entering your full name as the applicant in the designated field.
3. Provide the driver’s license number and/or identification card number if applicable.
4. Indicate the date on which you are completing the application.
5. In the section for certification, affirm that the information you provided is accurate.
6. Detail the priority of your disability using the provided numbering scale from 1 to 5.
7. Select the type of disability from the options listed (Physical, Developmental, Visual, Hearing, Mental) and mark the corresponding classification.
8. If applicable, obtain a certified signature from a physician or advanced practice nurse, including their details.
9. Once all fields are completed, review your entries for accuracy.
10. Save your changes, download a copy of the completed form, or print it for submission.

Complete your form online today to ensure timely processing.