Louisiana Window Tint Medical Exemption Affidavit
This form is used to apply for a medical exemption for window tint in Louisiana. It helps individuals who require additional sun protection for medical reasons. Completion of this form ensures compliance with state law while considering medical needs.
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How do I fill this out?
To fill out the Window Tint Medical Exemption Affidavit, begin by providing the required personal information. Ensure that a qualified medical professional endorses your medical need for the exemption. Review the criteria and submit the completed form as per the provided instructions.

How to fill out the Louisiana Window Tint Medical Exemption Affidavit?
1
Enter your full name, driver's license number, and personal details.
2
Provide vehicle information including make, model, and identification number.
3
Declare your medical condition with supporting physician details.
4
Sign the affidavit and ensure it's notarized.
5
Submit the completed form to the Louisiana State Police.
Who needs the Louisiana Window Tint Medical Exemption Affidavit?
1
Individuals with albinism requiring protection from sun exposure.
2
People suffering from lupus who need to shield their skin from UV rays.
3
Patients with porphyria needing to reduce light sensitivity.
4
Drivers with photophobia who cannot adequately use standard sunglasses.
5
Any registered vehicle owners aged 60 or older needing window tint for medical purposes.
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Upload the Window Tint Medical Exemption Affidavit.
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What are the instructions for submitting this form?
To submit the form, send it via email to the appropriate department as indicated on the form. Alternatively, you can fax it to the specified fax number or submit it online if applicable. You may also deliver it in person to the local Louisiana State Police office for processing. Double-check that all personal and medical information is accurate before submission to ensure a smooth process.
What are the important dates for this form in 2024 and 2025?
This exemption is valid immediately upon approval and expires three years from the issuance date. Ensure your application is submitted timely to avoid delays. Review official deadlines for submissions in 2024 and 2025.

What is the purpose of this form?
The purpose of the Windown Tint Medical Exemption Affidavit is to provide individuals with medical conditions the ability to legally tint their vehicle windows beyond standard regulations. This form addresses specific medical needs while ensuring compliance with Louisiana’s window tint laws. It is vital for those whose health may be affected by excessive light exposure and who require additional protection.

Tell me about this form and its components and fields line-by-line.

- 1. Full Name: The name of the affiant applying for the exemption.
- 2. Driver's License Number: The state-issued driver's license number of the affiant.
- 3. Date of Birth: The birth date of the affiant to verify eligibility.
- 4. Address: The residential address of the affiant.
- 5. Vehicle Information: Details about the vehicle that requires the window tint exemption.
- 6. Medical Condition: Space to specify the medical condition prompting the exemption.
What happens if I fail to submit this form?
If the form is not submitted properly, the exemption may not be granted, leaving the applicant without legal protection for their window tint. Additionally, incomplete applications can lead to delays in receiving approval. It's crucial to follow all instructions and provide accurate information to avoid these issues.
- Incomplete Information: Failure to provide complete details can result in denial of the application.
- Notarization Issues: If the signed affidavit is not properly notarized, it may not be accepted.
- Submission Delays: Submitting the form late may lead to additional complications and potential compliance issues.
How do I know when to use this form?

- 1. Seeking Medical Exemption: To legally tint vehicle windows beyond the standard limits due to medical needs.
- 2. Annual Renewal: This form is needed for renewing an existing exemption after three years.
- 3. New Vehicle Registration: Required when transferring or registering a vehicle that will utilize the exemption.
Frequently Asked Questions
How do I start filling out the form?
Begin by entering your personal details in the required fields.
What if I have a medical condition?
Ensure to provide your medical information and have it verified by a physician.
How do I edit the PDF?
You can use our user-friendly editor to modify any part of the form.
What does notarization involve?
The form must be signed in front of a notary public to validate the affidavit.
Can I save my changes?
You can download your edited version directly after making changes.
Is there a fee to use the PDF editor?
The editing features are available at no cost for users.
How can I share my completed form?
Use the share feature to send your document via email or link.
What are the legal requirements for this form?
Ensure compliance with L.R.S. 32:361.1 and provide truthful information.
How do I submit this form?
Follow the submission instructions included with the form.
What happens after submission?
You will receive notification regarding your exemption status.
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