Maryland Medical Exemption Certification Form
This file contains a medical exemption certification for window tinting in Maryland. It is intended for individuals seeking an exemption from the state's window tinting regulations. The document must be completed by a licensed physician to validate the medical necessity.
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How do I fill this out?
To fill out this form, begin by gathering all required vehicle and owner information. Next, ensure that a licensed Maryland physician completes the certification section. Finally, sign and date the form to submit it for processing.
How to fill out the Maryland Medical Exemption Certification Form?
1
Gather your vehicle and personal information.
2
Obtain a licensed physician's certification.
3
Fill in the form completely and accurately.
4
Sign the form both as the owner and the physician.
5
Keep a copy of the approved exemption in your vehicle.
Who needs the Maryland Medical Exemption Certification Form?
1
Individuals with medical conditions requiring less light transmittance.
2
Parents of children with light sensitivity issues.
3
Senior citizens with vision impairments.
4
People recovering from eye surgeries needing special window tints.
5
Any Maryland resident seeking an official exemption from tint regulations.
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What are the instructions for submitting this form?
To submit this form, ensure it is fully completed and signed by both the vehicle owner and the physician. You can mail it to the Automotive Safety Enforcement Division at 6601 Ritchie Highway NE Room 121, Glen Burnie, MD 21062. Alternatively, you may fax it to 410-768-7388 or contact them at MSP.ASED@maryland.gov for more assistance.
What are the important dates for this form in 2024 and 2025?
Important submission dates for this form include the evaluation date provided by your physician. Ensure to submit the form before it expires, generally two years from the certifying date. Stay updated with any changes in Maryland regulations regarding medical exemptions.
What is the purpose of this form?
The purpose of this form is to provide a legitimate way for individuals with specific medical conditions to obtain an exemption from Maryland's standard window tint regulations. It serves to protect the rights of those who are sensitive to light and require additional tinting on their vehicle windows for their comfort and safety. By obtaining this exemption, individuals can legally customize their vehicle while adhering to medical necessity.
Tell me about this form and its components and fields line-by-line.
- 1. Vehicle Information: Details about the vehicle including year, make, model, and VIN.
- 2. Owner Information: Personal details of the owner such as name, address, and contact number.
- 3. Medical Certification: A section to be completed by a licensed Maryland physician certifying the medical necessity.
- 4. Signature: Signature lines for both the owner and physician to affirm the information provided.
What happens if I fail to submit this form?
If you fail to submit this form, you may face penalties under Maryland's vehicle regulations. Not having approval may prevent you from legally having tint levels below the standard requirement. It's critical to have proper documentation before making modifications to your vehicle.
- Legal Penalties: Without submission, you risk fines and legal action related to vehicle modifications.
- Increased Light Sensitivity: Potential health risks may arise if you cannot legally tint your vehicle as needed.
- Incompliance with State Regulations: Failing to comply may result in citations or enforcement actions by law authorities.
How do I know when to use this form?
- 1. Post-Surgery Recovery: Individuals recovering from eye surgeries may need this form to regulate light exposure.
- 2. Chronic Light Sensitivity: People with ongoing light sensitivity issues can apply for an exemption.
- 3. Medical Recommendations: If your physician advises additional tinting for your health, this form is necessary.
Frequently Asked Questions
Who needs to complete this form?
This form must be completed by individuals in Maryland who require a medical exemption for window tinting.
What information do I need to provide?
You need to provide vehicle details, physician information, and your signature.
How do I submit this form?
Submit the completed form to the designated Automotive Safety Enforcement Division office in Maryland.
Is there a deadline for submission?
While there is no strict deadline, it's advised to submit the form as soon as possible after completion.
Can I edit this PDF form?
Yes, you can easily edit the PDF using PrintFriendly's PDF editing features.
How do I download the completed form?
Once edited, you can download the completed form directly from the PrintFriendly platform.
What if my exemption request is denied?
You can consult with your physician and reapply if necessary.
Is there a cost associated with this form?
There is no cost to fill out or submit the form, but physician fees may apply.
Can I share this document easily?
Yes, PrintFriendly allows you to generate a shareable link for your PDF.
What happens if I don’t submit this form?
Failure to submit the form may mean you cannot legally have reduced tint on your vehicle.
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