Utah DLD Invisible Condition Request Form (ICRF)

Utahns with an invisible condition such as autism, epilepsy, diabetes, dementia, hearing loss or PTSD can ask the Driver License Division to place an identification symbol on their license or ID record, shared with law enforcement through the Utah Criminal Justice System. A health care professional certifies the condition on this one-page request under UCA 53-3-207.

Who completes it

The applicant completes identity details and signs the consent; a health care professional as defined in UCA 53-3-207 checks the conditions, adds comments and signs with degree and state license number.

Submitting and payment

How to submit it
Send it to the Driver License Division by email, fax or mail; for a patient with a driver license, attach a medical or vision form marked with the matching category.

Good to know

  • Each condition maps to a category on Utah's medical forms, such as diabetes to A, heart condition to B, epilepsy to E, dementia to F and autism to D; blindness maps to the vision form.
  • Licensed drivers may be asked to complete a periodic medical or vision form under UCA 53-3-303 once a condition is on record.
  • The symbol confers no legal rights or privileges, including parking privileges for individuals with disabilities.
  • The applicant waives privacy claims over the listed medical information. A separate Invisible Condition Removal Form takes the symbol off.

Get the official form

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

Invisible Condition Request

Fill it with Vero

If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Does a Utah invisible condition request need another form attached?

For a patient who has a driver license, yes. The HCP checks a box confirming that a copy of a medical or vision form is attached and marked with the appropriate category, such as DLD 134 for epilepsy (category E) or DLD 49 for visual impairment.

Which conditions can go on Utah's invisible condition list?

The form lists communication impediment, hearing loss, traumatic brain injury, PTSD, drug allergy, schizophrenia, blindness or visual impairment, epilepsy, developmental disability, autism spectrum disorder, diabetes, Down syndrome, Alzheimer's disease or dementia, heart condition, and other.

Does the Utah invisible condition symbol give parking privileges?

No. The applicant acknowledges that the symbol confers no legal rights or privileges, including parking privileges for individuals with disabilities. Its purpose is to flag the condition on the license or ID record shared with law enforcement.