Loading
Form preview picture

Get Illinois Fishing License Age 2018-2024

) APPLICATION As a Physician / APRN / PA licensed by the State of West Virginia, I do hereby certify that the following individual has a developmental disability, pursuant to the criteria specified below: The term Developmentally Disabled as used in W. Va. Code 20-2-28(j) refers to a person with a severe, chronic disability as described below (check all statements that apply to the applicant): (1) He/she has a mental or physical impairment, or a combination of mental and physical impair.

How It Works

developmentally rating
4.8Satisfied
45 votes
Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

CR FAQ

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

Keywords relevant to WV DNR-CR-DDFL1

  • ddfl1
  • ddfl
  • developmentally
  • SUFFICIENCY
  • Attn
  • impairment
  • CR
  • developmental
  • Pursuant
  • expressive
  • certify
  • MANIFESTED
  • Applicant
  • mobility
  • specified
If you believe that this page should be taken down, please follow our DMCA take down processhere.
Ensure the security of your data and transactions

USLegal fulfills industry-leading security and compliance standards.

  • 
                            VeriSign logo picture

    VeriSign secured

    #1 Internet-trusted security seal. Ensures that a website is free of malware attacks.

  • Accredited Business

    Guarantees that a business meets BBB accreditation standards in the US and Canada.

  • 
                            TopTenReviews logo picture

    TopTen Reviews

    Highest customer reviews on one of the most highly-trusted product review platforms.