Fillable Form 9400-544 Class B Disability Permit Application-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section I, where you will enter your personal information. Fill in your name, driver's license number, DNR customer ID number, address, phone number, city, state, ZIP code, county of residence, date of birth, eye color, hair color, weight, height, and sex. Ensure all fields are completed legibly.
3. In Section II, a licensed physician or chiropractor must complete the disability assessment. They will need to answer questions regarding temporary disabilities affecting mobility or function. Make sure they provide detailed explanations if necessary.
4. Review the application for completeness before submitting. Ensure that all required signatures are obtained and that any additional documentation is attached as needed.
5. Finally, submit the application to the Department of Natural Resources at the provided address and allow for processing time.

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