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Click ‘Get Form’ to open the Maine Tint Exemption Form in our editor.
Begin by selecting whether this is an original application or a change of vehicle. Check the appropriate box at the top of the form.
Fill in the full printed name of the registered owner as it appears on the vehicle registration, including first, middle, and last names. Provide the registered owner's address, city, state, and zip code.
If applicable, enter a different mailing address for the registered owner. Include city, state, and zip code.
Input the driver's license number of the registered owner along with their date of birth and sex.
Next, provide the full printed name of the person with the medical condition. This may differ from the registered owner. Ensure to include their signature and date.
Complete the vehicle information section by entering details such as year, make, model, plate number, vehicle identification number (VIN), and title number.
In the physician’s statement section, print/type the name of certifying authority along with their business address and certification/license number. The certifying authority must sign and date this section.
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