PA DMV Form MV-403. Application for Safety Inspection Mechanic Physical Disability Medical Exemption

Form MV-403 is an application form used to request a physical disability medical exemption for safety inspection mechanics in Pennsylvania. This form is necessary for individuals who are unable to perform certain physical tasks required for safety inspections due to a medical condition or disability.

The form consists of sections where applicants need to provide their personal information, including their name, address, contact details, and driver's license number. Additionally, applicants must provide detailed information about their medical condition or disability that prevents them from performing the required tasks.

Important fields in this form include the applicant's medical documentation, which should be attached to support the request for exemption. It is crucial to accurately complete this form as it determines whether the applicant qualifies for a physical disability medical exemption, allowing them to continue working as safety inspection mechanics without performing certain physical tasks.

Application Example: An example scenario where Form MV-403 would be used is when a safety inspection mechanic develops a medical condition that affects their ability to perform specific physical tasks required for inspections. In such a case, the mechanic can complete this form, providing all necessary medical documentation and details about their condition. Following submission and review, if the exemption is granted, the mechanic can continue working their role without being hindered their physical limitations.

Related Forms: There are no specific related forms mentioned for this particular application. However, applicants may need to provide additional supporting documents, such as medical reports or certificates, to strengthen their case for the exemption.