
Utah.gov/forms IMPORTANT: Incomplete information will delay issuance of your windshield placard or disabled person license plates. Please make a copy of your completed application for your records. Section 1: Applicant Information Primary owner s name (last, first, middle initial, or business name) Email address Phone Owner s driver s license no. (if available) FEIN (if business) Owner s date of birth Street address City State ZIP code Mailing address (if different from St.
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How to fill out the UT TC-842 online
The UT TC-842 form is essential for people seeking disability certification for special parking privileges in Utah. This guide provides clear, step-by-step instructions to ensure you can easily complete the form online.
Follow the steps to fill out the UT TC-842 form online effectively.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- In Section 1, provide the applicant's information. This includes the primary owner's name (last, first, and middle initial), email address, phone number, and driver's license number (if available). For businesses, include the FEIN.
- Continue with the applicant's date of birth, street address, city, state, and ZIP code. If the mailing address differs from the street address, fill in the mailing address accordingly.
- Choose the type of certification you are requesting by selecting either disabled person license plates or a windshield placard. If applicable, indicate if it is for a wheelchair user and if you require a replacement for an existing placard.
- Provide your authorization by signing the form in Section 1. Include your relationship to the applicant if necessary and today's date.
- If you are a care facility, complete Section 2, providing the facility’s certification details, including the signature of an authorized person and their title and date.
- In Section 3, have your licensed physician, physician assistant, or nurse practitioner fill out the necessary details, including their name, address, and phone number.
- Check all applicable conditions that apply to the applicant's disability, and indicate if the disability is permanent or temporary, providing the expected duration of the temporary limitation if relevant.
- Finally, the certifying medical professional must sign and date the form, including their license number.
- Once all sections are completed, review the document for accuracy. You can then save changes, download the completed form, and print or share it as needed.
Complete your UT TC-842 form online today to ensure prompt processing of your disability certification.
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