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In New Jersey, the integration of sun-screening materials on vehicle windows for medical reasons is subject to strict regulations and procedures as detailed in the New Jersey Motor Vehicle Commission's MR-15 form. This requisite procedure is designed to accommodate individuals with specific medical conditions that necessitate the application of sun-screening material to their vehicle's windows. Conditions such as lupus erythematosus, solar urticaria, and several others are recognized as valid grounds for such an application. The MR-15 form serves as a crucial step in this process, requiring detailed information from both the applicant and a certified physician to verify the medical necessity of sun-screening. It outlines the strict guidelines for the application of these materials, which include limitations on the amount of light transmittance allowed and specifies which portions of the vehicle's windows can be treated. Moreover, it emphasizes the temporality of the approval by mandating the removal of sun-screening materials upon the sale or transfer of the vehicle and underscores the importance of adhering to New Jersey's tint regulation. Applicants are also guided to utilize only licensed tinting facilities, ensuring compliance with state laws and regulations. This comprehensive approach underscores New Jersey's commitment to public safety while providing accommodations for those with legitimate medical needs.

Sample - New Jersey Mr 15 Form

New Jersey

Motor Vehicle Commission

STATE OF NEW JERSEY

Dear Applicant:

West Deptford Service Center

215 Crown Point Road

Suite100

West Deptford, New Jersey 08086

Information enclosed references legislation that allows sun-screening material for explicit medical reasons such as poly morphous eruption, persistent light reactivity, actinic reticuloid, porphyrins, solar urticaria, and lupus erythematosus.

To apply for sun-screening material, please complete the enclosed application and return to the Motor Vehicle Commission (MVC). The application is to be fully completed by you and your physician. Incomplete or missing information will be cause for rejection. This application does not grant you permission to have sun- screening material applied to your vehicle. All unauthorized sun-screening materials installed are subject to removal, fines and failure to pass New Jersey inspection. Upon sale of vehicle or transfer of license plates, you must return your Medical Exemption for Sun-Screening Certificate to the MVC.

Upon review and approval by MVC you will be issued a “Medical Exemption for Vehicle Sun-Screening Certificate”. This certificate will reflect the type of sun- screening material to be applied to a specific vehicle and windows. Applicants approved for sun-screening materials are responsible for removal of this material prior to the sale or transfer of the exempted vehicle.

You must adhere to the New Jersey tint regulation (N.J.A.C. 13:20-1.1-1.8) requirements listed below:

All medical sun-screening materials must be applied to the portion of the windshield above the AS-1 line. To reduce the transmittance of normally incident light reflection below 70%.

The sun-screening materials could be applied to the upper most portion of the front side window. To reduce visible light below 35%.

The sun-screening materials applied to the windshield or front side windows shall not exceed 8%.

All sun-screening materials applied must be of clear film.

Please visit the MVC Website www.state.nj.us/mvc/Licenses/sunscreening.htm for a list of licensed tinting facilities.

On the Road to Excellence

Visit us at www.njmvc.gov

New Jersey is an Equal Opportunity Employer

NEW JERSEY

MOTOR VEHICLE COMMISSION

West Deptford Regional Service Center

215 Crown Point Road, Suite 100

West Deptford, NJ 08086

REQUEST FOR MEDICAL EXEMPTION TO APPLY VEHICLE SUN-SCREENING

The following information is to be completed by the applicant. (Please print or type.)

Name:

 

 

 

 

Phone number: ________________________

Driver License No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

 

 

 

 

 

 

 

 

 

Street

City

 

 

State

Zip Code

Vehicle

 

 

 

 

 

 

 

 

Make

Model

Year

Plate No.

Vehicle Identification No.

The following information is to be completed by your physician. (Please print or type.)

Check the medical condition that may require the application of sun-screening material:

poly morphous light eruption

persistent light reactivity

actinic rectuloid

porphyrins

solar urticaria

lupus erythematosus

Description of Patient's condition requiring sun-screening:

Recommended treatment:

If the condition is dermatological, has photo testing been done to identify the action spectra or wavelength eliciting a

photo-sensitive medical condition?

Yes

No

If "Yes," what is the wavelength eliciting photosensitivity:__________ nm or;

If "No," what is the action spectra (UVA, UVB, near UV, visible):_________________________________

Physician Information

Name:

Business Address:

 

Street or P.O Box

 

City

State

Zip Code

Medical License No.:

 

State

 

Date of Licensure

 

I certify, under penalty of law, that the above facts are true and correct to the best of my knowledge.

Physician's Signature:

 

Date:

 

(When complete, return to the address above.)

MR-15 (R 6/09)

Document Specifications

Fact Detail
Form Designation MR-15 Form
Purpose Application for Medical Exemption to Apply Vehicle Sun-Screening
Applicable State New Jersey
Governing Law New Jersey tint regulation (N.J.A.C. 13:20-1.1-1.8)
Issuing Authority New Jersey Motor Vehicle Commission (MVC)
Application Submission Address West Deptford Service Center, 215 Crown Point Road, Suite 100, West Deptford, NJ 08086
Website for Information www.state.nj.us/mvc/Licenses/sunscreening.htm
Key Requirements for Application Complete application by applicant and physician; certification under penalty of law by physician; specified medical conditions.
Medical Conditions Covered Poly morphous light eruption, persistent light reactivity, actinic reticuloid, porphyrins, solar urticaria, lupus erythematosus
Certificate Validity Upon approval, issuance of a “Medical Exemption for Vehicle Sun-Screening Certificate” that specifies allowed material and windows.

Detailed Steps for Using New Jersey Mr 15

Filling out the New Jersey MR-15 form is a structured process that allows sun-sensitive individuals to legally have sun-screening material applied to their vehicle windows. This form must be carefully completed both by the person applying for the exemption and their physician to ensure it meets the criteria set by the New Jersey Motor Vehicle Commission (MVC). A properly filled-out application facilitates the smooth processing of your exemption request, leading to the issuance of a "Medical Exemption for Vehicle Sun-Screening Certificate." This certificate is crucial as it officially allows the application of specific sun-screening materials to a vehicle, in compliance with New Jersey’s stringent tint regulations.

  1. Start by filling out the applicant section of the MR-15 form. Write your name, phone number, driver license number, and complete address, including street, city, state, and zip code.
  2. Enter the details of your vehicle, including its make, model, year, plate number, and vehicle identification number (VIN).
  3. Next, move to the section of the form that your physician must complete. This section requires a professional medical opinion, so ensure your doctor is available and willing to fill out this part.
  4. Your physician will then need to check the box next to the medical condition that necessitates the application of sun-screening material to your vehicle. Conditions listed include poly morphous light eruption, persistent light reactivity, actinic reticuloid, porphyrins, solar urticaria, and lupus erythematosus.
  5. The physician must provide a description of the condition requiring sun-screening and the recommended treatment. If the condition is of a dermatological nature, they need to specify whether photo testing has been done to identify the wavelength eliciting a photo-sensitive reaction. If so, the wavelength should be documented; if not, the action spectra need to be described.
  6. Make sure your physician fills out their information section, including their name, business address, medical license number, the state of licensure, and the date of licensure.
  7. The form must be signed by the physician, certifying under penalty of law that the provided information is true and correct. Check the date the form is signed.
  8. Lastly, review the form to ensure all sections are correctly filled out and that no required information is missing. Incomplete or inaccurately filled forms can result in rejection.
  9. Return the completed form to the address provided by the MVC, located at the top of the MR-15 form.

After submitting the MR-15 form, the MVC will review your application. If approved, you will be issued a Medical Exemption for Vehicle Sun-Screening Certificate. This certificate indicates the approved type of sun-screening material and the specific vehicle windows to which it can be applied. Remember, you are responsible for adhering to New Jersey's tint regulations and for the removal of the sun-screening material should you sell the vehicle or transfer its plates. Following these steps ensures compliance with New Jersey's laws and can significantly facilitate your access to necessary sun protection for your medical condition.

Learn More on New Jersey Mr 15

What is the New Jersey MR-15 form?

This form is used by residents of New Jersey to apply for a medical exemption to install sun-screening material on their vehicle's windows. It's necessary for individuals with certain medical conditions that are exacerbated by sunlight, such as lupus erythematosus or solar urticaria. The form requires details from both the applicant and their physician to verify the medical necessity for tinted windows beyond the state's standard regulations.

Who needs to complete the MR-15 form?

Any resident of New Jersey who suffers from a medical condition that makes them sensitive to sunlight and requires the installation of sun-screening material on their vehicle for protection needs to complete this form. Both the applicant and their physician must provide information on the form, including the specific medical condition and the necessity of the sun-screening material.

What information is required on the MR-15 form?

  1. Applicant's details: Name, phone number, driver's license number, address, and details about the vehicle including make, model, year, plate number, and VIN.
  2. Physician's confirmation: The medical condition necessitating sun-screening, whether photo-testing has been performed, and the specific wavelengths or spectrums triggering the photosensitivity. The physician must also provide their name, business address, medical license number, and the date of licensure.

What happens if you don’t fully complete the MR-15 form?

Incomplete or improperly filled-out forms will be rejected by the Motor Vehicle Commission (MVC). It's crucial to make sure that all the required sections are completed accurately to avoid delays in processing your application.

Can you install sun-screening materials before receiving approval?

No, you must wait for your application to be reviewed and approved by the MVC. Installing sun-screening material without approval could result in fines, the need to remove the tint, and failure to pass New Jersey vehicle inspection.

What happens to the exemption when you sell the vehicle or transfer the plates?

Upon the sale of the vehicle or transfer of license plates, the Medical Exemption for Vehicle Sun-Screening Certificate must be returned to the MVC. Approved applicants are responsible for removing the sun-screening material prior to the sale or transfer of the vehicle.

Where can you find licensed tinting facilities?

The New Jersey Motor Vehicle Commission provides a list of licensed tinting facilities on their website. It's important to use only these licensed facilities to ensure the sun-screening material is applied correctly and in compliance with state regulations.

Common mistakes

Filling out legal forms can sometimes feel like navigating through a maze. The New Jersey MR-15 form, required for applicants seeking a medical exemption for vehicle sun-screening, is no exception. Mistakes can lead to delays or rejections, making it essential to complete this form correctly. Below are seven common mistakes made when filling out the MR-15 form:

  1. Not checking the specific medical condition that requires sun-screening material. The form lists conditions like solar urticaria and lupus erythematosus, and it's crucial to accurately indicate which condition applies to the applicant.
  2. Leaving the physician’s section incomplete. This section is vital, as it provides the medical justification for the sun-screening exemption. It needs to be filled out fully and accurately by a licensed physician.
  3. Forgetting to include the wavelength eliciting photosensitivity if photo testing has been done. This detail is critical in supporting the need for sun-screening material based on the applicant’s medical condition.
  4. Failing to provide clear vehicle information, including the make, model, year, plate number, and vehicle identification number (VIN). This information ensures that the exemption is correctly linked to the right vehicle.
  5. Omitting the applicant’s or physician’s signature. Both signatures are required to certify that the information provided is accurate and truthful.
  6. Not adhering to the New Jersey tint regulation specifications listed in the form, such as the allowed percentages for visible light transmission and the specific windows that can be tinted. This oversight can result in legal issues or the need to remove the sun-screening material later.
  7. Skipping the step to return the Medical Exemption for Sun-Screening Certificate to the MVC upon sale or transfer of the exempted vehicle. This step is crucial to remain compliant with New Jersey MVC regulations.

Additionally, here are some recommendations to avoid these mistakes:

  • Before filling out the form, thoroughly read all instructions and requirements provided by the New Jersey Motor Vehicle Commission (MVC).
  • Consult with a physician familiar with the applicant's condition and ensure they understand the importance of their section in the application process.
  • Double-check the vehicle information with the vehicle's registration documents to avoid inaccuracies.
  • Review the completed form before submission to ensure all sections are filled out completely and accurately.

By avoiding these common mistakes and following the recommendations, applicants can navigate the MR-15 form process more smoothly, leading to a swifter approval of their sun-screening exemption request.

Documents used along the form

When applying for a medical exemption for vehicle sun-screening in New Jersey using the MR-15 form, applicants often need to submit additional documents to ensure their request is processed smoothly. These documents vary depending on individual circumstances, but they serve as crucial supplements providing evidence and clarity to one's application.

  • Proof of Residency: This document confirms the applicant's residence within New Jersey. It can be a utility bill, a bank statement, or a lease agreement, showing the applicant's name and current address.
  • Vehicle Registration: A copy of the current vehicle registration provides the MVC with information about the vehicle for which the tint exemption is being requested.
  • Driver’s License: A copy of the applicant's valid New Jersey driver's license verifies their identity and legal permission to drive.
  • Medical Certificate: This additional medical certificate may be required for further clarification of the applicant's condition, beyond what is described in the MR-15 form.
  • Photo Testing Results: If applicable, detailed results from photo testing help support the medical necessity for sun-screening material, especially if the initial documentation is not deemed sufficient.
  • Consent Form for Information Release: Signed by the applicant, this form allows the MVC to discuss the application with the physician or tinting facilities if clarification is needed.
  • Vehicle Inspection Report: If the vehicle was previously equipped with sun-screening materials not approved for medical reasons, a recent vehicle inspection report might be required to verify compliance.
  • Letter of Explanation: In some cases, a letter from the applicant explaining the circumstances or specifics of their situation can provide additional context to their application.
  • Receipts for Sun-Screening Materials Purchased: Applicants may be asked to provide receipts for the sun-screening materials to ensure they comply with New Jersey’s specifications for medical exemptions.
  • Photographs of the Vehicle: Photos showing the current state of the vehicle's windows can be useful for demonstrating compliance or need for the exemption prior to the application of the sun-screening material.

The process for obtaining a medical exemption for vehicle sun-screening in New Jersey requires careful attention to detail and thorough documentation. By gathering and submitting the appropriate forms and documents, applicants can help ensure their application is processed in a timely and efficient manner.

Similar forms

The New Jersey Motor Vehicle Commission's MR-15 Form, designed for those seeking an exemption to apply sun-screening material to their vehicles for medical reasons, shares similarities with various other documents that facilitate legal or medical exemptions or permissions. Each of these documents serves a unique purpose, yet their procedures echo the structure and intent found within the MR-15 Form, illustrating a broad spectrum of applications in both legal and health-related contexts.

Similar to the MR-15 Form, the Americans with Disabilities Act (ADA) accommodation request forms are used by individuals needing special accommodations in the workplace due to a disability. Both forms require a detailed description of the person’s condition and how it affects their daily activities, underscoring the need for modifications (in the workplace or the vehicle) to improve their quality of life. Where the MR-15 Form focuses on vehicular modifications for health reasons, ADA forms broadly ensure accessibility and accommodation in employment.

Handicap parking permits, issued by state DMVs, bear resemblance to the MR-15 Form in that they require documentation of a medical condition or disability, allowing individuals to park in designated spaces closer to building entrances. Both forms necessitate a healthcare provider’s certification, establishing the medical necessity of the requested accommodation, whether for parking or sun-screening exemptions.

Special Dietary Needs Forms used in educational settings, to ensure students with allergies or other dietary restrictions receive appropriate meals, also parallel the MR-15 Form. These forms, while centered on nutrition rather than vehicular modifications, require detailed medical information and physician verification, ensuring individual needs are met responsibly and according to health guidelines.

Service Animal Registration forms, necessary for individuals who require a service animal to assist with disabilities, share a similar validation process with the MR-15 Form. Both necessitate proof of a condition that justifies an exemption from standard regulations, aiming to accommodate health-related needs through external means, whether via an animal or vehicle modifications.

Therapeutic Use Exemptions (TUEs) for athletes, designed to allow the use of otherwise prohibited substances for medical reasons, undergo a rigorous application process that mirrors the MR-15 Form. Each requires detailed medical justifications for the exemption, emphasizing the importance of health and well-being over general rules or expectations.

Prescription for Medical Equipment requests, another document aligned with the MR-15 Form, involves detailing a patient's need for specific medical devices. Similar to sun-screening material exemptions, these requests require physician certification to ensure the equipment is necessary for the patient's health, demonstrating a parallel in how medical needs are documented and approved.

Federal and state gun permit applications for individuals with disabilities also follow a process similar to the MR-15 Form. While focusing on right-to-carry permits, these applications may require disclosure of medical conditions that affect the applicant's use of firearms, paralleling the need for medical documentation in sun-screening exemptions.

Travelers requiring special medical equipment on flights submit forms akin to the MR-15, as both involve obtaining approval for exceptions based on health reasons. These travel forms, much like the MR-15, require detailed descriptions of the medical condition and justification for the exemption, ensuring that health needs are met safely and effectively during travel.

Lastly, applications for medical marijuana cards are reminiscent of the MR-15 Form process, where individuals must provide detailed medical records and physician certification to obtain an exemption allowing them to possess and use marijuana for medicinal purposes. Though the end goals differ, both processes share a foundation in evaluating and granting requests based on documented medical needs.

Each of these documents, while serving different purposes and catering to various aspects of health and legal exemptions, illustrates a common theme of balancing individual medical needs with regulatory standards. The MR-15 Form, in concert with these other documents, underscores a broader societal commitment to accommodating and supporting individuals with specific health-related requirements, ensuring that necessary modifications or exemptions are provided in a consistent, regulated manner.

Dos and Don'ts

When filling out the New Jersey MR-15 form, there are certain practices you should follow to ensure your application is processed smoothly and efficiently. Here are things you should and shouldn't do:

Do:

  • Ensure all information is complete and accurate. Double-check that all required fields on the form have been filled out. This includes personal information, medical conditions, and the specific vehicle details.
  • Verify the medical condition with proper documentation. Make sure the medical condition requiring sun-screening material is documented and supported by the physician's diagnosis and signature.
  • Consult with a licensed physician. The form must be completed by a licensed physician who can attest to the necessity of sun-screening material due to a medical condition.
  • Use a licensed tinting facility. For the application of sun-screening materials, ensure the chosen facility is licensed in New Jersey, as listed on the MVC Website.
  • Comply with New Jersey tint regulations. Make sure the sun-screening material applied adheres to the requirements regarding the percentage of visible light transmission.
  • Keep a copy of the completed form for your records. Having a copy will be helpful for future reference, especially upon sale or transfer of the vehicle.

Don't:

  • Leave sections incomplete. Missing information can cause delays in processing your application or lead to a rejection.
  • Apply sun-screening material before receiving approval. The MR-15 form is an application for permission, not an immediate granting of rights to modify your vehicle.
  • Use unauthorized materials. Only clear film sun-screening materials are approved by New Jersey regulations. Using unauthorized materials could result in fines and the need to remove the material.
  • Forget to return the certificate upon sale or transfer of the vehicle. The Medical Exemption for Vehicle Sun-Screening Certificate must be returned to the MVC if the vehicle is sold or the license plates are transferred.
  • Ignore the specifics of the approved sun-screening locations and percentages. There are specific regulations regarding where on the vehicle the sun-screening can be applied and how much light transmission is allowed.
  • Assume approval for one vehicle applies to another. Each exemption certificate is issued for a specific vehicle and its windows. Approval is not transferable to another vehicle.

Misconceptions

Understanding the New Jersey MR-15 form and the regulations surrounding the application of sun-screening materials to vehicles can be complex. There are a number of misconceptions that can lead to confusion for applicants. Clarifying these misunderstandings is crucial for ensuring that the process is followed correctly and efficiently.

  • Any sun-screening material is allowed if you have medical authorization. This is not true. The MR-15 form clearly states that only certain types of sun-screening materials are permitted, even with medical justification. These materials must adhere to specific visibility standards, such as reducing light transmittance to below certain percentages and only applying materials to designated areas of the windshield and front side windows.

  • Submitting the MR-15 form grants immediate permission for sun-screening. Completing and submitting the MR-15 form does not grant immediate approval for the application of sun-screening material. The Motor Vehicle Commission (MVC) must review and approve the application before any material can be applied. Unauthorized materials are subject to removal and fines.

  • The medical exemption is permanent. The medical exemption for sun-screening is not permanent. If the vehicle is sold or if the license plates are transferred, the certificate must be returned to the MVC, and the sun-screening material must be removed unless the new owner reapplies and obtains their own certificate.

  • The application process is the same for all medical conditions. While the form requires information about the medical condition necessitating sun-screening, the approval process may vary depending on the specific condition and the documentation provided. For example, photo-testing results may need to be included for dermatological conditions.

  • Any physician can sign off on the MR-15 form. Only a physician who is knowledgeable about the applicant's medical condition and the necessity for sun-screening as a treatment should complete and sign the form. Additionally, the physician's information, including their medical license number and state of licensure, is required for the application to be considered valid.

  • You can apply sun-screening to all vehicle windows. The MR-15 application specifies the windshield and the front side windows as the allowable locations for medically exempt sun-screening material. Furthermore, the material applied must be of a clear film, and its coverage is subject to restrictions regarding how much of the window can be covered.

It's important for applicants to carefully read the instructions and requirements outlined in the MR-15 form and on the New Jersey MVC website. Understanding these details helps in ensuring that the application process is completed correctly and that all legal requirements are met for the use of sun-screening material on vehicles for medical reasons.

Key takeaways

When filling out and using the New Jersey MR-15 form for medical exemption to apply vehicle sun-screening material, there are several key points to consider:

  • The form must be fully completed by both the applicant and their physician. Any incomplete or missing information will result in the application being rejected.
  • This form does not automatically grant permission to install sun-screening materials on your vehicle. Before any installation, approval from the Motor Vehicle Commission (MVC) is required.
  • It is important to note that unauthorized sun-screening materials installed on a vehicle may lead to its removal, monetary fines, and the vehicle failing to pass New Jersey inspection.
  • Upon the sale of the vehicle or the transfer of license plates, the Medical Exemption for Sun-Screening Certificate must be returned to the MVC.
  • The certificate issued by the MVC will detail the specific type and placement of the sun-screening material allowed, which must strictly adhere to New Jersey's tint regulations.
  • Approved sun-screening materials must be clear film and can only be applied to certain portions of the windshield and front side windows as specified by the New Jersey tint regulation.

For detailed information regarding the application process, allowed materials, and placement, applicants are encouraged to visit the official MVC website. Following these guidelines ensures compliance with New Jersey laws while accommodating medical needs for sun protection.

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