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Louisiana mobility impairment form

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The document is a Medical Examiner’s Certification of Mobility Impairment issued by the Louisiana Department of Public Safety. It certifies that an individual qualifies for a mobility impaired license plate and/or hangtag based on their mobility impairment status, which can be either permanent or temporary. The document outlines the requirements for certification, including conditions that define a 'mobility impaired person,' and emphasizes the legal implications of false certification. It also includes sections for personal information, medical examiner details, and specific instructions regarding the issuance of hangtags and license plates.

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Versions	Form popularity	Fillable & printable
2021	4.5 Satisfied (56 Votes)
2004	4 Satisfied (23 Votes)

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