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Florida DR-416B Optometrist Disability Certification

Florida homestead owners who are totally and permanently disabled by legal blindness can qualify for property tax exemption with certification from a Florida optometrist. On DR-416B the optometrist certifies the person was totally and permanently disabled as of January 1 due to legal blindness, under Rule 12D-16.002 of the Florida Administrative Code.

Who completes it

A Florida optometrist licensed under Chapter 463 completes and signs the whole certificate, including the patient's name and Social Security number, the optometrist's address, Florida Board of Optometry license number and issue date.

Submitting and payment

How to submit it
The optometrist gives the form to the patient, who presents a copy to the county property appraiser on or before March 1 of each year.
Who pays
The Department of Revenue sets no fee and the form does not say who pays the optometrist.

Good to know

  • DR-416B is limited to legal blindness; Florida's DR-416 certification and the DR-501 exemption application are its companion forms.
  • A letter from the U.S. Department of Veterans Affairs can be presented to the property appraiser instead of this form.
  • Disclosure of the Social Security number is mandatory under sections 196.011(1) and 196.101(7), Florida Statutes, to verify identity and exemption information.
  • Section 196.131(2) makes knowingly giving false information to claim homestead exemption a first-degree misdemeanor, a warning addressed to both taxpayer and optometrist.

Get the official form

Download the current version from the source each time; forms change without notice.

Optometrist's Certification of Total and Permanent Disability

Official pagePDF

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Who can sign Florida form DR-416B?

An optometrist licensed under Chapter 463, Florida Statutes. The optometrist gives their Florida Board of Optometry license number and issue date and certifies, as a professional belief, that the person is totally and permanently disabled due to legal blindness.

When is the DR-416B due?

The taxpayer must present a copy of the certificate, or a Veterans Affairs letter, to the county property appraiser on or before March 1 of each year they apply for the total and permanent disability exemption.

Does DR-416B ask for visual acuity or a diagnosis?

No. The form has no acuity, field or diagnosis fields. The optometrist certifies only that the named person is totally and permanently disabled as of January 1 due to legal blindness, signs, and gives license and address details.