Get Ak Form 861 2016-2026

Filling out the AK Form 861 online is straightforward and user-friendly. This guide will walk you through each section of the form to ensure a smooth application process for disabled parking identification.

Follow the steps to complete your application accurately.

1. Click the ‘Get Form’ button to obtain the AK Form 861 and open it in your preferred editor.
2. In Part 1, enter the full legal name of the applicant, as it appears on official documents. Provide the mailing address, ID or driver license number, date of birth, and the city, state, and ZIP code of residence. Include the daytime telephone number for contact purposes.
3. Indicate the sex of the applicant by circling either 'M' for male or 'F' for female.
4. In Part 2, the certified health professional must indicate whether the applicant meets any of the qualifications for a person with a disability by selecting the relevant criteria. Ensure that all applicable definitions are checked.
5. Provide the name of the patient and select whether the disability is permanent or temporary. If temporary, list the starting and ending dates of the disability.
6. Answer the questions regarding Commercial Driver License (CDL) status by selecting 'YES' or 'NO' as appropriate.
7. The health professional must complete their section by signing the form, printing their name and occupational license number, and providing the city, ZIP code, and date.
8. Once all parts are filled out, review the form for completeness, and ensure all signatures are present. Save your changes, download, print, or share the form as necessary to submit your application.

Complete your application for disabled parking identification online today!