Transcription of APPLICATION FOR DISABLED PERSON …
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APPLICATION FOR DISABLED PERSON identification . PLACARD AND / OR DISABLED PERSON license PLATE. VTR-214 (Rev. 6/2006). DHT # 142347. WARNING! PENAL CODE PROVIDES THAT FALSIFYING A GOVERNMENTAL RECORD IS A CLASS A MISDEMEANOR UNLESS THE ACTOR'S INTENT IS TO DEFRAUD OR HARM. ANOTHER IN WHICH EVENT IT IS A SECOND DEGREE FELONY. DISABILITY STATEMENT. TO BE COMPLETED BY A PHYSICIAN: LICENSED TO PRACTICE MEDICINE IN TEXAS, ARKANSAS, LOUISIANA, NEW MEXICO OR OKLAHOMA. PRACTICING MEDICINE IN A MILITARY INSTALLATION IN TEXAS. PRACTICING MEDICINE IN A HOSPITAL OR OTHER HEALTH FACILITY OF THE DEPARTMENT OF VETERANS AFFAIRS.
vtr-214 (rev. 6/2006) dht # 142347 application for disabled person identification placard and / or disabled person license plate warning! penal code §37.10 provides that falsifying a governmental record is a class a misdemeanor unless the actor’s intent is …
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Application Instructions for A Facility License, APPLICATION, FACILITY LICENSE, INSTRUCTIONS, Application for a facility, APPLICATION FOR A COMMUNITY CARE FACILITY, LICENSE APPLICATION, License Application Instructions, Facility, License, Application Checklist for Facility Medicaid, Under the Controlled Substances Act, Of Florida Department of Business &, Of Florida . Department of Business & Professional