The Texas Vi 4 form is an application for a medical exemption from the state's vehicle window tint regulations. This form is designed for individuals who require darker window tinting for medical reasons, allowing them to legally obtain an exemption. To begin the process, complete the form accurately and submit it as instructed below.
Fill out the Texas Vi 4 form by clicking the button below.
When filling out the Texas Vi 4 form, it is essential to ensure accuracy and completeness to avoid delays. Here are seven important dos and don’ts to consider:
By adhering to these guidelines, applicants can facilitate a smoother process when seeking a window tint medical exemption in Texas.
Texas Department of Public Safety Regulatory Services Division www.dps.texas.gov
MUST USE MOST CURRENT FORM
FORM MUST BE TYPED
VEHICLE INSPECTION WINDOW TINT
FOR DPS USE ONLY
APPLICATION FOR WINDOW TINT MEDICAL EXEMPTION
APPLICANT (PLEASE USE NAME AS IT APPEARS ON DRIVER LICENSE)
Name
DL #
State
Expiration
Patient Name
Relationship to Applicant
(IF DIFFERENT FROM APPLICANT)
Residence
City
County
ZIP
Address
Mailing
Date of Birth
Email
Home Phone
Cell Phone
Business Phone
Other Phone
VEHICLE INFORMATION
Vehicle #1
VIN
Year
Make
Model
VEHICLE #2
VEHICLE #3
PHYSICIAN, OPTOMETRIST OR OPHTHALMOLOGIST
License #
Zip
Phone
Fax
Vehicle Owner Certiication
I certify and afirm that all information presented in this form is true and correct, that any documents I have presented to DPS are genuine, and that the information included in all supporting documentation is true and accurate. I make this certiication and afirmation under penalty of perjury and I understand that knowingly making a false statement or representation on this form is a criminal violation.
Applicant / Legal Guardian’s Signature
Date
Completed application must be accompanied by one of the following:
●Letter, on physician letterhead, signed by the physician, indicating the medical reason for the exemption.
●An original prescription including the applicant’s name, physician’s signature and indicating the medical reason for the exemption.
Letters and prescriptions must be dated within one year of exemption request. If the exemption is approved, an exemption letter will be sent to the applicant listed above.
SUBMIT completed form with required documentation:
●Online Secured Email
➢Contact Us, select “Vehicle Inspection” and complete the online form.
➢http://www.txdps.state.tx.us/rsd/contact/default.aspx
●Fax to (512) 424-2774
●Mailing Address: Texas Department of Public Safety
Regulatory Services Division, Compliance & Enforcement Service
Window Tint Medical Exemption
P. O. Box 4087
Austin, Texas 78773-0543
Please allow up to 15 working days for your application to be processed, approved and to receive your exemption certiicate.
VI-4 (Rev. 3/16)
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When applying for a medical exemption for window tint in Texas, several additional forms and documents may be required or helpful. Each of these documents serves a specific purpose in supporting your application. Here’s a brief overview of some commonly used forms alongside the Texas Vi 4 form.
Collecting and submitting these documents can help streamline the process of obtaining your window tint exemption. Make sure to double-check that all forms are completed accurately and include the necessary supporting documentation to avoid delays.
Filling out the Texas VI-4 form can be straightforward, but many people make common mistakes that can delay their application for a window tint medical exemption. One frequent error is failing to use the most current version of the form. The Texas Department of Public Safety regularly updates its forms, and using an outdated version may result in rejection or processing delays.
Another mistake is neglecting to type the form. The instructions clearly state that the form must be typed, yet some applicants still submit handwritten versions. Handwriting can be difficult to read, leading to misunderstandings or errors in processing.
Many applicants also forget to use their name exactly as it appears on their driver’s license. This inconsistency can cause confusion and potentially delay the approval process. It’s essential to double-check this detail before submitting the application.
Inaccurate vehicle information is another common issue. When listing multiple vehicles, applicants sometimes provide incorrect VINs or fail to include all required details, such as the year, make, and model. Each vehicle must be listed correctly to ensure the exemption applies to the right one.
Additionally, some applicants overlook the requirement for supporting documentation. The form must be accompanied by either a letter from a physician or an original prescription. Failing to include these documents can result in an outright denial of the application.
Another mistake is not ensuring that the supporting documents are dated within one year of the exemption request. Submitting outdated letters or prescriptions can lead to complications and further delays in processing.
Applicants may also forget to sign the certification section of the form. This signature confirms that the information provided is true and correct. Without a signature, the application cannot be processed.
In some cases, individuals submit the application without providing complete contact information. Missing phone numbers or email addresses can hinder communication between the applicant and the Texas Department of Public Safety, leading to unnecessary delays.
Lastly, not following the submission guidelines can create issues. Whether submitting online, by fax, or by mail, applicants must adhere to the specified methods to ensure their application is received and processed correctly. Each method has its own requirements, and overlooking these can lead to complications.
By being aware of these common mistakes, applicants can improve their chances of a smooth application process for the Texas VI-4 form. Taking the time to carefully review each section and ensuring all requirements are met can make a significant difference.
Only individuals who meet specific medical criteria can apply for a window tint exemption using this form.
The form must be typed to ensure clarity and legibility. Handwritten submissions will not be accepted.
A physician, optometrist, or ophthalmologist must provide a letter or prescription that clearly states the medical reason for the exemption.
The letter must be signed by a licensed physician, optometrist, or ophthalmologist to be valid.
Documentation must be dated within one year of the exemption request. Older documents will not be accepted.
Approval is not guaranteed. Each application is reviewed, and a decision is made based on the provided documentation.
The form can be submitted online, by fax, or by mail, but not through other channels.
The form requires detailed personal information, including your name, contact details, and vehicle information.
Each vehicle requires its own section on the form, and additional vehicles may need separate submissions.
Processing may take up to 15 working days. Patience is necessary while waiting for approval and the certificate.
Key Takeaways for Using the Texas Vi 4 Form
Filling out the Texas Vi 4 form is an important step for those seeking a medical exemption for window tint on their vehicles. Once you have completed the form, you'll need to submit it along with the required documentation to the Texas Department of Public Safety. Below are the steps to help you accurately fill out the form.
After completing the form, remember to gather the necessary documentation, such as a letter from your physician or an original prescription. Submit your application online, via fax, or by mail, and be prepared to wait up to 15 working days for processing. Good luck!