Get Ut Tc-842 2020-2025

The UT TC-842 form is essential for individuals seeking disability certification for obtaining a placard or special license plates. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to successfully complete the UT TC-842 form online.

1. Click 'Get Form' button to obtain the UT TC-842 form and access it for completion.
2. In Section 1, provide your personal information: enter your full name, phone number, and driver’s license number if available. If you are applying as a business, include the Federal Employer Identification Number (FEIN) and complete the owner’s date of birth, street address, city, state, and ZIP code. If your mailing address is different, fill in that section as well.
3. Indicate whether you are applying for disabled person license plates or a windshield placard. If applicable, check the box if this placard is for a ‘Wheelchair User’ and note it if you are applying for a replacement.
4. Sign the authorization statement, confirming your consent for your healthcare provider to release information regarding your disability. If you are not the primary owner, provide your relationship to the applicant and date of signature.
5. Proceed to Section 2 if you are a representative from a disabled person care facility. Provide your business name, sign, and date the certification.
6. In Section 3, print the name of the physician, physician assistant, or nurse practitioner certifying the disability. Fill out their contact details including address, phone number, city, state, and ZIP code.
7. Check all applicable conditions that apply to the applicant’s disability from the listed options. Specify if the conditions are permanent or temporary and provide the expected duration of temporary conditions.
8. Finally, the certifying medical professional must sign, include their license number, and date the certification.
9. Once the form is fully completed, you can save your changes, download it for your records, and print or share the form as needed.

Complete your UT TC-842 form online today to ensure a smooth application process!