Health Care Provider Certification For Disability License Plates {BMV 4834}

BWV 4834 - HEALTH CARE PROVIDER CERTIFICATION OF ELIGIBILITY FOR ACCESSIBLE LICENSE PLATES. This form is used to certify an individual's eligibility for accessible license plates in Ohio due to a disability that limits or impairs their ability to walk. A licensed healthcare provider must confirm that the applicant meets the criteria outlined in Ohio law (R.C. 4503.44), such as difficulty walking, respiratory or cardiac conditions, or visual impairments. The form also includes an affidavit for adaptive mobility or altered vehicles, which must be completed if the vehicle has been modified for accessibility. The applicant must submit this form along with the required documentation and fees to obtain or exchange standard license plates for accessible ones. The form also outlines fines and penalties for misuse of accessible parking privileges and fraudulent applications. www.FormsWorkflow.com