Request for Window Tint Medical Exemption - Texas Department of ... - txdps state tx 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name as it appears on your Driver License in the 'Applicant' section, along with your DL number and expiration date.
3. Fill in the 'Patient Name' if different from the applicant, followed by your residence address, city, state, county, and ZIP code.
4. Provide your contact information including home phone, cell phone, email, business phone, and any other relevant phone numbers.
5. In the 'Physician' section, enter the name and license number of your physician or optometrist along with their contact details.
6. List up to three vehicles for which you are requesting an exemption by providing their VINs, years, makes, and models.
7. Ensure that you attach a letter from your physician or an original prescription indicating the medical reason for the exemption.
8. Submit the completed form along with required documentation via online secured email, fax, or mail as specified in the instructions.

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