Edit, Download, and Sign the New York Tinted Window Exemption Application
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How do I fill this out?
Filling out the tinted window exemption form is straightforward. Begin by gathering the necessary documentation, including your vehicle registration and a physician's statement. Next, carefully fill out the application to ensure all information is correct.

How to fill out the New York Tinted Window Exemption Application?
1
Obtain a photocopy of your vehicle registration receipt.
2
Fill out the application form completely.
3
Get a physician to provide a statement on letterhead.
4
If applicable, include information for anyone else needing the exemption.
5
Submit the completed application to the DMV.
Who needs the New York Tinted Window Exemption Application?
1
Individuals with porphyria who require sun protection.
2
Patients diagnosed with xeroderma pigmentosa needing to limit sun exposure.
3
Those with severe drug photo-sensitivity that necessitates shielded conditions.
4
Drivers who frequently transport medically vulnerable passengers requiring tinted windows.
5
Anyone experiencing health conditions exacerbated by sunlight can benefit from this exemption.
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What are the instructions for submitting this form?
To submit the tinted window exemption form, first ensure that all required fields are completed and all necessary documents are attached. Submit the completed form by mailing it to the DMV address specified on the form. Make sure to retain a copy for your records; submitting the application early is advisable to avoid delays.
What are the important dates for this form in 2024 and 2025?
For the years 2024 and 2025, ensure to submit your exemption application with ample time to receive your certificate before the summer months, when sunlight exposure peaks. Monitoring deadlines listed on the New York DMV website is vital to avoid any delays.

What is the purpose of this form?
The purpose of the tinted window exemption form is to allow individuals with specific medical conditions to apply for relief from standard light transmittance regulations. It acknowledges the health needs of individuals who cannot be exposed to direct sunlight. By filling out this application, drivers can legally operate vehicles with tinted windows that accommodate their health requirements.

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

- 1. Last Name: The surname of the vehicle registrant.
- 2. First, M.I.: The first name and middle initial of the registrant.
- 3. Address: Residential address of the registrant.
- 4. City: City of residence.
- 5. State: State of residence.
- 6. Zip Code: Postal zip code of the registrant.
- 7. Physician's Statement: A statement from the applicant's physician detailing their medical condition.
What happens if I fail to submit this form?
If the exemption form is not submitted, individuals risk being in violation of New York state vehicle regulations regarding window tints. This could result in fines or having to revert to standard window tinting laws. Proper submission ensures compliance and protects health needs.
- Legal Compliance: Failure to submit the form means not adhering to state regulations regarding window tints.
- Health Risk: Without the exemption, individuals may be exposed to harmful sunlight.
- Financial Penalties: Non-compliance may result in fines or legal issues.
How do I know when to use this form?

- 1. Medical Exemption: To secure an exemption from standard light transmittance laws.
- 2. Vehicle Modification: When modifications to vehicle window tints are necessary.
- 3. Health Protection: To protect individuals from harmful sunlight due to medical issues.
Frequently Asked Questions
What is the purpose of this form?
This form allows individuals to apply for a medical exemption for tinted windows in New York.
Who can sign the application?
Only the vehicle registrant or the individual requiring the exemption can sign the application.
How do I submit my completed form?
You can submit the completed form via mail to the DMV address provided on the form.
What if my physician is from out of state?
Include their license information and the state where they are licensed.
Can I edit the PDF before submitting?
Yes, PrintFriendly allows you to edit the PDF prior to submission.
Is there a fee for applying for this exemption?
No, there is no fee to apply for the tinted window exemption.
How long does it take to process the application?
Processing times can vary; it's best to submit your application early.
What medical conditions qualify for the exemption?
Conditions like porphyria and xeroderma pigmentosa qualify for the exemption.
Can I request an exemption for someone else?
Yes, provide their information in the application.
Where can I find the application form?
The application form can be found on the New York DMV website.
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