West Virginia drivers whose physical disability prevents appropriate use of a safety belt can carry this physician-certified waiver under WV Code 17C-15-49(b). The physician describes the disability, explains why belt restraint is inappropriate, marks the certification permanent or temporary, and describes any alternate restraint required. DMV does not certify or keep copies, so the driver keeps the waiver.
The driver completes Part I. A licensed U.S. physician examines the driver, completes and signs Part II, and returns the form to the driver.
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Safety Belt Waiver - Physician's Certification of Disability
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Part II must be completed by a licensed U.S. physician who has examined the driver and certifies a physical disability that prevents use of a safety belt under WV Code 17C-15-49(b). The physician gives a medical license number and its expiration date, business details and signature.
The physician marks it permanent or temporary. A temporary waiver lists the period it covers, from one date to another. The driver must carry the waiver every time they drive and present it to a law enforcement officer if stopped.
No. West Virginia DMV does not certify or retain any copies of safety belt waivers. The physician completes Part II and returns the form to the driver, who keeps the original and any extra copies.