Form LIC101 template
With the traditional set of features for viewing and filling out a PDF document, combined with the benefits of a web application and responsive layout, you can complete Form LIC101 in minutes.

Complete this form to request the RMV to waive the photo requirement for one year due to medical reasons.
Massachusetts RMV allows a one-year extension for using an existing photograph during driver's license or ID card renewal. The applicant must have a certification from a licensed physician stating temporary changes in appearance due to medical treatment, and pay a $25 fee. A new license is valid for one year; a new photograph must be submitted upon renewal at the regular fee. This extension can only be granted once. Applicants need US citizenship or lawful presence documents for renewal as of 3/26/18.
With the traditional set of features for viewing and filling out a PDF document, combined with the benefits of a web application and responsive layout, you can complete Form LIC101 in minutes.
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