Complete this form in its entirety and return to any DMV customer service center, mail to DMV at the address above, or fax to (804) 367-1384-2026

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Definition & Purpose of the Form

This form is essential for individuals who require sun-shading medical authorization in Virginia. It serves as an official request for permission to apply specific window tinting on vehicles due to medical needs. The form outlines required personal and vehicle details, as well as certifications from medical providers, to qualify for this exemption.

Steps to Complete the Form

  1. Gather Necessary Information: Collect all personal and vehicle-related details, including VIN (Vehicle Identification Number), vehicle registration, and medical information.
  2. Fill Personal Details: Enter your full name, address, and contact information. Ensure accuracy to avoid processing delays.
  3. Provide Vehicle Information: Include details about the vehicle needing the sun-shading, such as make, model, year, and VIN.
  4. Obtain Medical Certification: Have a licensed medical provider complete and sign the certification section, confirming the medical necessity for window tinting.
  5. Review the Form Thoroughly: Double-check all entries for accuracy and completeness to prevent rejections.
  6. Submit the Form: Choose a submission method—mail it to DMV at the listed address, fax it to, or return it to any DMV customer service center.

Reasons to Complete the Form

Completing this form allows individuals with specific medical conditions to legally modify their vehicle’s window tinting beyond standard regulations. This accommodation helps protect against certain sunlight sensitivities or medical conditions exacerbated by sunlight exposure.

Who Typically Uses This Form

Individuals residing in Virginia with medical conditions like lupus, albinism, or severe skin allergies that warrant window tinting for protection are primary users of this form. Often these individuals, or their legal guardians, complete the form in collaboration with their healthcare provider.

Key Elements of the Form

  • Personal Information Section: Requires name, address, and contact details.
  • Vehicle Information Section: Details such as make, model, year, and VIN.
  • Medical Provider Certification: Confirmation of medical necessity from a licensed healthcare provider.
  • Submission Instructions: Directives on how to submit the completed form via mail, fax, or in-person.

Legal Use and Compliance

The form is legally binding within the state of Virginia and must comply with the state’s Department of Motor Vehicles regulations. Unauthorized tinting without approval can result in penalties.

State-Specific Rules

Virginia imposes specific guidelines for sun-shading authorization, distinct from other states. Applicants must adhere to Virginia's regulations on who can certify medical necessity and how the certification is verified by DMV.

Examples of Using the Form

Consider a Virginia resident diagnosed with a skin condition requiring limited sun exposure. Completing and submitting this form, with a physician's confirmation, permits legal window tinting adjustments, safeguarding health while keeping in compliance with state laws.

Important Terms and Concepts

  • Medical Necessity: Justification from a healthcare provider for needing modifications.
  • VIN (Vehicle Identification Number): A unique code identifying the vehicle needing modification.
  • Sun-shading Medical Authorization: Permission granted for vehicle window modifications due to health reasons.

Required Documents

To successfully complete this form, applicants need:

  • Vehicle registration information
  • Medical certification details
  • Personal identification

Form Submission Methods

Applicants may submit the completed form through:

  • Mail: Send to the provided DMV address.
  • Fax: Use the dedicated fax number.
  • In-Person: Deliver to any DMV customer service center.

Each method has distinct processing times; in-person submissions often result in faster initial processing.

Application Process & Approval Time

Once submitted, the DMV reviews the form for completeness and compliance with state regulations. Processing times can vary, with a typical period ranging from a few days to several weeks, depending on the workload and submission method. Prompt submission and proper form completion expedite the approval process.

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If you require assistance with your DMV PIN or have specific questions about your DMV record, please contact us at (804) 497-7100. Note: At DMV, we are committed to protecting your privacy.
FASTEST: Use DMVs Online Plate Surrender to report the surrender of your plates. You will not be eligible for a refund on the cost of registration fees for this vehicle. Surrender your plates at a customer service center. No appointment is necessary; standard wait lines apply.
Service options for deactivating registration include: Online at . Visiting a DMV customer service center.

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People also ask

In Virginia, plates stay with the seller, not the car. You can either return them to the DMV, transfer them to another vehicle you own, or surrender them online if youre not replacing the vehicle.
Refund amounts are based on each 6 full months remaining in the registration period. No refunds are made if less than 6 full months remain in the registration period. Highway Use Fee refunds will be included in the total refund amount, when applicable.
You have three options: FASTEST: Use DMVs Online Plate Surrender to report the surrender of your plates. Surrender your plates at a customer service center. Complete a Vehicle Registration Refund Application (FMS 210) and mail it along with your plates to:

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