Form BMV 4834. Physician/Chiropractor's Certification of Eligibility for License Plates for Persons with Disabilities

Form BMV 4834 is the Physician/Chiropractor's Certification of Eligibility for License Plates for Persons with Disabilities used by the Ohio BMV. The main purpose of this form is to provide a means for individuals with disabilities to apply for disability license plates that allow certain parking privileges and exemptions.

The form typically consists of sections where a licensed physician or chiropractor certifies the applicant's eligibility for disability license plates. The certifying medical professional provides information about the applicant's disability, the expected duration of the disability, and any specific limitations or accommodations needed.

The key fields in this form are the medical certification information, including the nature of the disability and the expected duration, and the applicant's information, including their name and address.

When filling out the form, the medical professional should ensure that they provide an accurate and thorough assessment of the applicant's disability and any accommodations needed. The applicant should ensure that their information is accurately stated.

An example scenario for using Form BMV 4834 would be when an individual with a permanent disability, such as a mobility impairment, seeks to apply for disability license plates. The individual would visit their physician or chiropractor, who would complete this form, providing the necessary medical certification. The applicant would then submit the form, along with the required supporting documents, to the BMV for review and issuance of the disability license plates.

No additional documents are generally required to complete this form if the medical professional provides all the necessary certification information and the applicant meets the eligibility criteria for disability license plates. However, the BMV may request additional medical documentation or clarification if needed.

Related forms or alternatives may include similar medical certification forms for disability license plates used in other states. The specific requirements and medical eligibility criteria for disability license plates may vary depending on the state's regulations and guidelines.