SCDMV Form RG-004A. Application for the Hearing Impaired

SCDMV Form RG-004A is used by individuals who are hearing impaired to apply for a special designation on their driver's license or identification card. The purpose of this form is to provide the South Carolina Department of Motor Vehicles (SCDMV) with information about the applicant's hearing impairment and to request the necessary accommodations.

The form consists of several sections where the applicant must provide personal information such as name, address, date of birth, and driver's license number. There is also a section where the applicant needs to describe the nature of their hearing impairment and specify any additional assistance they may require.

It is important for the applicant to accurately complete all the fields in the form and provide any supporting documentation that may be required. This may include medical records or letters from healthcare professionals verifying the applicant's hearing impairment.

An example of when this form may be used is if an individual with a hearing impairment needs special accommodations during a traffic stop or interaction with law enforcement. By submitting this form and obtaining the appropriate designation on their driver's license or ID card, they can ensure that law enforcement officers are aware of their hearing impairment and can take appropriate actions.

Related forms: SCDMV Form RG-004B. Request for Removal of Hearing Impaired Designation. This form can be used if an individual no longer requires the hearing impaired designation on their driver's license or ID card.