How to use or fill out Driver License or Identification Card Medical, Hearing and Disability Designations Request Form
- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name as it appears on your current driver license or ID card in the designated field. Ensure accuracy for proper identification.
- Input your driver license or ID card number, followed by your mailing address, including street address, city, state, and ZIP code.
- Provide a 10-digit daytime phone number where you can be reached. Select your preferred method of contact: email or U.S. mail.
- In the designations section, choose the relevant designations you wish to link with your name. You can opt to display symbols on your license/ID card or keep them in the system without display.
- If applicable, ensure a parent or guardian signs the form if you are under 18 years old. Include their driver license/ID card number and state.
- Once completed, print the form and sign it before submitting it either at a driver licensing office or by mailing it to the provided address.
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