Form BMV 5755 template
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Health Care Provider Certification of Eligibility for Permanently Disabled ID Card
This document outlines the process for Ohio residents under seventeen years old with permanent disabilities to apply for a permanently disabled identification card with an eight-year expiration date and fee exemption. The applicant's full legal name, date of birth, DL/ID/SSN, and address are required. A healthcare provider's certification of the disability is also necessary, stating that the applicant is permanently or irreversibly disabled with no present indication of recovery. The document is valid for 30 days from the healthcare provider's signature.
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