Get Application For Tinted Window Exemption. Used To Apply For A Medical Exemption From The
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How to fill out the APPLICATION FOR TINTED WINDOW EXEMPTION online
Filling out the application for tinted window exemption is an important step for individuals who require medical protection from sunlight. This guide provides clear, comprehensive instructions to assist users in completing the form accurately and efficiently.
Follow the steps to complete your application for tinted window exemption.
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin completing page 1 of the form by providing your personal details as the applicant. This includes your last name, first name, middle initial, driver license ID number, address, city, state, zip code, and phone number.
- If you are applying for someone other than the registered vehicle owner, include that person's details, including their last name, first name, middle initial, driver license ID number, address, city, state, zip code, and phone number. Additionally, specify your nature of relationship to the applicant and reasons for their regular ridership.
- Read the certification statement carefully, affirming that all provided information is accurate. Sign and date the form at the designated area.
- Next, complete page 2, which must be filled out by a New York State licensed medical professional. This includes providing the patient's name, date of birth, examination date, medical condition, and reasons why other protective measures are inadequate.
- Ensure the medical provider includes their name, mailing address, telephone number, professional license number, and signature, along with the copy of their professional license.
- Compile all required documents including the completed application, the medical provider’s license copy, and a photocopy of your vehicle registration.
- Finally, submit all materials to the address provided at the bottom of the application form. You can save changes, download, print, or share the completed form as necessary.
Submit your application online today to secure your tinted window exemption.
(a) If the optometrist or physician, including but not limited to an ophthalmologist or dermatologist licensed to practice in this state, finds photophobia as the medical condition requiring the medical exemption provided for in this Section, the optometrist or physician shall write in the appropriate section why a ...
Fill APPLICATION FOR TINTED WINDOW EXEMPTION. Used To Apply For A Medical Exemption From The
NYS Health Department regulations specify that only certain medical conditions can be used to justify an exemption from the limits on light transmittance. Eligible medical conditions for exemption include blurry vision, eczema, rosacea, and light sensitivity. 1. Gather personal information such as name, address, and date of birth. The exemption does not apply to the windshield below the AS-1. There is no form to complete or submit for a window tint exemption. Persons who own or frequently travel in exempt vehicle can apply for a medical exemption. Persons who own or frequently travel in exempt vehicle can apply for a medical exemption. Tint may be placed on the windshield being affixed to the topmost portion of the windshield not to extend more than six inches down from the top. You should seek medical authorization for your window tinting. Here's a step-by-step guide to help you get started.
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