Louisiana's Office of Motor Vehicles requires DPSMV 1966 for a mobility impaired hang tag or license plate under R.S. 47:463.4. A medical examiner certifies which of six qualifying conditions the applicant meets and whether the impairment is permanent or temporary. OMV rejects or returns applications that arrive without this certification.
The medical examiner completes the whole certification: applicant details, the condition number, permanent or temporary status, and a signature, printed name and state license number. The lower block is for the OMV analyst only.
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Medical Examiner's Certification of Mobility Impairment
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Yes. The OMV website calls it the Physician's Certification of Mobility Impairment, while the printed form is titled Medical Examiner's Certification of Mobility Impairment. Both names refer to DPSMV 1966, the certification required for mobility impaired hang tags and plates.
A temporary hang tag is valid for one year. Because improvement or recovery is expected, a new medical examiner's certification is required to renew it. Permanent impairments, by contrast, need the certification only when the applicant first applies.
Yes. Next to the medical examiner's signature and printed name, the form asks for a state license number, plus the examiner's address and phone. The examiner also writes the number of the qualifying condition the applicant meets.