Get Ny Mv-80w 2019-2026

The NY MV-80W form is essential for individuals seeking a tinted window exemption for medical reasons. This guide will provide you with a clear, step-by-step approach to filling out this form online, ensuring that you complete it accurately.

Follow the steps to complete the NY MV-80W form successfully.

1. To access the form, click the ‘Get Form’ button to obtain the NY MV-80W and open it in your preferred editing software.
2. On page 1, fill in your personal details as the requestor. This includes your last name, first name, middle initial, apartment number, address (number and street), city, state, and zip code. If you are requesting an exemption for someone other than yourself, provide their details in the designated section.
3. Ensure you complete the certification section, affirming that all information provided is true and correct. This section requires your signature and the date you are signing the form.
4. On page 2, provide the patient’s details, including their last name, first name, middle initial, and date of birth. This section needs to be filled out by the physician, physician assistant, or nurse practitioner.
5. The healthcare provider must check the applicable medical condition that justifies the tinted window exemption. They must also include their name, mailing address, telephone number, and professional license number.
6. The physician must certify that the tinted windows are necessary for the patient’s health by selecting 'Yes' or 'No' and signing the form with the date.
7. Once the form is fully completed, save your changes. You may also download, print, or share the form as needed before submitting it to the DMV.

Complete your NY MV-80W application online today for a smoother process.