ფორმა TR-103 კანზასი

შეზღუდული შესაძლებლობის მქონე

This document is an application form for a disabled veteran license plate issued by the Kansas Department of Revenue. The form requires vehicle and veteran information, including present license plate number, expiration date, veterans claim number, printed name, signature, street address, city, state, zip code, year, make, style, VIN, vehicle owner name, and certification from the Veterans Administration. The form includes checkboxes for different types of disabilities that qualify for the license plate, including visual impairment, mobility issues, respiratory conditions, and cardiac conditions. The form requires a medical professional's signature if the applicant has a disability listed under "C". The instructions outline how to submit the application at the local County Treasurer's Office, forward it to the Regional Director of the Veterans Administration for certification, and expedite the process through fax. The document also states that any responsible person for a veteran's motor vehicle can apply for the license plate, and plates are available for passenger vehicles, trucks, and motorcycles. The form lists the professionals authorized to sign it.