Form DSMV 643 New Hampshire

Medically Recognized Disorder Indication application

This document is a form used by the New Hampshire Department of Safety, Division of Motor Vehicles, to add a medically recognized indication of Autism Spectrum Disorder to an individual's driver license or identification card. The applicant must provide their current driver license or non-driver ID information, date of birth, address, and signature. A licensed physician must complete a certification section, attesting to the diagnosis of Autism Spectrum Disorder. The form includes a disclaimer, warning against false completion under penalty of law.

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Driving License Application Forms

In most countries, it's mandatory to have a driving license before you can hit the road. Getting a driving license is an important milestone for anyone who wants to drive a car.

Form DSMV 643 is one of Driving License Application forms that are documents used to gather information from people who want to apply for a driving license. It usually contains fields for the applicant's name, date of birth, ID number, contact information, as well as their driver's license history and experience.

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