Arkansas taxpayers claiming the individual income tax credit for a dependent with a developmental disability attach AR1000-DD, formerly AR1000RC5, to their return. A physician, psychologist or psychological examiner certifies a diagnosis of autism, cerebral palsy, Down syndrome, epilepsy or intellectual disability that originated before age 22.
The taxpayer enters names and Social Security numbers, certifies the dependent is not claimed by another taxpayer and authorizes the Department to contact the certifier. A licensed physician, psychologist or psychological examiner checks the diagnosis, answers the onset and impairment questions and signs with name and NPI.
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Arkansas Individual Income Tax Certificate for Individuals with Developmental Disabilities
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A licensed physician, licensed psychologist or licensed psychological examiner who diagnosed the developmental disability. The certifier signs, dates, prints their name and adds an NPI number and telephone number; signature and address stamps are acceptable.
The form lists autism, cerebral palsy, Down syndrome, epilepsy and intellectual disability. The condition must have originated before age 22, and the certifier answers whether it is a substantial impairment to the person's ability to function without appropriate support services.
It was renamed. The current certificate for individuals with developmental disabilities is AR1000-DD, and the form itself notes that it was formerly AR1000RC5. DFA's individual income tax forms page lists it with its instructions.