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Get Vt Vs-113 2016
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How to fill out the VT VS-113 online
The VT VS-113 form is essential for individuals seeking to provide a medical evaluation for various driving-related purposes in Vermont. This guide will help you navigate the online process of completing the form accurately and efficiently.
Follow the steps to fill out the VT VS-113 form online.
- Click ‘Get Form’ button to access the online form and open it in the corresponding editor.
- Begin by indicating the reason for the evaluation. Select one of the four options provided under the evaluation reasons section, such as applying for a Vermont license or requesting a disabled parking placard.
- Complete Section A as the applicant. Fill in your name, mailing address, physical address (if different), date of birth, social security number, and Vermont driver license ID number. If there is a name change, mention the former name and ensure to certify that the information is accurate by signing the section.
- Sections B, C, D, and E require completion by a medical examiner. In Section B, the medical examiner will indicate the duration of their care for the patient, check relevant medical conditions, and provide a blood pressure reading, if applicable.
- The medical examiner will also complete Section C to attest to any disabilities related to the applicant's parking placard or plates request by marking the applicable conditions.
- In Section D, the medical examiner will provide an opinion regarding the applicant's medical fitness to drive, including any recommended actions or monitoring if applicable.
- Finally, in Section E, the medical examiner must provide their certification, including their signature, date of exam, contact details, and qualifications. Make sure this section is completed in full and submitted with all necessary credentials.
- Review the completed form for accuracy and ensure all required fields are filled. Once satisfied, save your changes, download the form, or print it for submission as needed.
Complete your VT VS-113 form online today!
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To obtain a handicap placard in Vermont, start by gathering required documents that confirm your disability. Next, you can either apply in person at your local DMV or use online resources, such as US Legal Forms, which provide easy access to necessary forms and instructions. After you submit your application for the VT VS-113 placard, you will receive confirmation and can expect the placard to arrive in the mail.
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