Registry Procedures Manual - January 2012 Update - 12:15
Chapter 12-3
Forms:
Medical Affairs Forms Index
1. Disabled Parking Placard/Plate - Special Placards and Plates are available for vehicles that transport medically disabled drivers and passengers. 2. Lost Placard Form - This form is used when your placard has been lost or stolen. Any replacement, extension or renewal of a placard, for any reason, invalidates any previous placard that may have been issued. 3. Intrastate Medical Waivers to Operate Class A, B or C Commercial Motor Vehicle - This form is used to request a medical waiver to operate Class A, B, or C Commercial Motor Vehicles. 4. Medical Evaluation Form - This form is to be completed by your physician when the Registry has a question concerning your medical/physical qualification for driving. Additionally, this form may be used to regain your driving privilege after he voluntary surrender of your license. PLEASE NOTE: If your license is in revoked or suspended status, then your doctor may need to review documentation concerning your license status prior to this form being accepted. If your license is revoked or suspended, then please consult with a hearing officer or Driver Control staff prior to having this form completes. 5. Request for a Medical Evaluation - When there is a concern about a person’s functional ability to operate a motor vehicle safely then it may be reported to the RMV. A valid report from anyone other than Law Enforcement or a licensed physician will trigger the need for a medical evaluation from a physician within 30 days. Information obtained directly from law enforcement or a physician is acted upon immediately. Health Car Provider Definition: A registered nurse, licensed practical nurse, physician, physician’s assistant, psychologist, physical therapist, occupational therapist, ophthalmologist, optometrist, osteopath, or podiatrist who is a licensed health care provider under the provisions of M.G.L. Chapter 112.
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http://www.mass.gov/rmv/forms/20060.pdf
http://www.mass.gov/rmv/forms/lost_placard.pdf
http://www.mass.gov/rmv/forms/21156.pdf
http://www.mass.gov/rmv/forms/21156.pdf
http://www.mass.gov/rmv/forms/21156.pdf
http://www.mass.gov/rmv/forms/20221.pdf
http://www.mass.gov/rmv/forms/21788.pdf
Registry Procedures Manual - January 2012 Update
Table of Contents for the Digital Edition of Registry Procedures Manual - January 2012 Update
Registry Procedures Manual - January 2012 Update - Cover1
Registry Procedures Manual - January 2012 Update - Cover2
Registry Procedures Manual - January 2012 Update - A
Registry Procedures Manual - January 2012 Update - B
Registry Procedures Manual - January 2012 Update - C
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Registry Procedures Manual - January 2012 Update - N
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