Get Mo Dor 1776 2018-2026

The MO DoR 1776 form is essential for individuals seeking disabled person license plates or placards in Missouri. This guide will provide you with step-by-step instructions to ensure your form is completed accurately and efficiently online.

Follow the steps to complete your MO DoR 1776 form.

1. Use the ‘Get Form’ button to obtain the MO DoR 1776 form and open it in your editor.
2. Fill in the physician’s information section. Provide details such as the printed name of the physician or licensee, their phone number, license number, and the state of their license.
3. Complete the patient’s information section. Enter the patient's name, driver's license number or date of birth, street address, city, state, and zip code.
4. Select the applicable disabilities from the options provided in the form. At least one disability must be marked as defined under Section 301.142.1, RSMo.
5. In the signature and certification section, obtain a personal signature from the physician or healthcare professional who has examined the patient. Remember that a stamped signature is not acceptable.
6. Provide the expiration date for the statement. Ensure that the date is within the specified limits to avoid any issues.
7. After completing the form, review all entered information carefully for accuracy and completeness.
8. You can now save your changes, download, print, or share the completed form as needed.

Complete your MO DoR 1776 form online today to ensure a smooth application process for disabled person license plates or placards.