Odessa Texas online Form 5020 2025

Odessa Texas online Form 5020: What You Should Know

Medical diagnosis. 29. Name and address of physician (number, street, city, zip). 30. Physician's name and address. 31. Date of birth, age of party, relationship to patient. 32. Physician's letter of authorization. 33. Physician's affidavit. 34. Patient's response to letters of authorization. 35. Physicians' names at time of application. 36. Physicians' signatures. 37. Additional medical information, if any. 38. Payment, if any. 39. Date of operation/event. 40. Occupation, if any. 41. Date of last operation. 42. Emergency medical information (yes/no). 43. Emergency medical services performed (yes/no). 44. Emergency medical services requested (yes/no). 45. Emergency medical services received: (yes/no). 46. Emergency medical services required (yes/no). 47. Current medical insurance. 48. Other: (yes/no). 49. Current address. 50. Emergency contact telephone number. 51. Previous addresses. 52. Any other information that the applicant wishes to request. Inspection Required The application must be received: 10 days prior to the actual operation of the vehicle by the person or lessee in control of the vehicle. The inspection may be conducted at any Department of Motor Vehicles or any other inspection station authorized to issue an inspection certificate under s. 327.1933 or s. 327.1935. (1) If an applicant holds a current motorcycle operator's license, except for a period of less than 1 year, the permit, if issued, must be presented for inspection prior to the issuance of the registration certificate. (a) If the permit is not in the applicant's possession, the applicant is required to have it delivered to a Department of Motor Vehicles office, or provide the permit to a Department of Motor Vehicles representative within 10 days after the application was submitted. (b) If the permit is not delivered, the permit may be inspected upon production of the permit and applicant identification document. A valid and current operator's license is required to be presented at the time of inspection and must be in the applicant's possession to be photographed or otherwise documented. (2) If the applicant holds a current motorcycle operator's license, except for a period of less than 1 year, the inspection of the permit requires that the applicant present a valid driver's license issued in the applicant's name and issued within 12 months prior to the month of the inspection.

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