Form Dpssp 1061 PDF Details

In the State of Louisiana, the balance between privacy and safety takes a tangible form through the DPSSP 1061 form, a crucial document for vehicle owners seeking sun screening exemptions due to security reasons. Governed by the specific legal framework outlined in LRS 32:361.1, the form outlines the legally permitted limits for window tinting on passenger cars, ensuring that modifications comply with statewide safety standards. Applicants come forward with personal and vehicle details, declaring their case for needing a window tint beyond the regular legal limits. The form, moreover, plays a critical role as it requires the owner to declare that they haven't been convicted of drug offenses or violent crimes, adding a layer of safety by preventing misuse. A notary public then validates this declaration, embedding a sense of official oversight. The DPSSP 1061 carries significant weight as it must be authorized by the Louisiana State Police, ensuring that any exemptions to window tint laws are thoroughly vetted and justified, thus maintaining the delicate balance between individual security needs and public safety regulations. Additionally, it's important to note that the exemption is both non-transferable and comes with an expiration, emphasizing the document's importance in regular legal and safety verifications.

QuestionAnswer
Form NameForm Dpssp 1061
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesWindowTintExemp tion Security authorization form for medical window tint exemption louisiana

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STATE OF LOUISIANA

PARISH OF ______________________________

NOTE: LRS 32:361.1 provides that the legal limits for a sun screening device (window tint) on passenger car are light transmissions of 40% for the front side windows, 25% for the rear side windows and 12% for the rear windshield.

BEFORE ME, the undersigned Notary, personally came and appeared:

NAME & DRIVER’S LICENSE NUMBER

ADDRESS

CITY, STATE, ZIP, (AREA CODE) PHONE NUMBER

Declaring that he/she is the registered owner of the following described vehicle registered in the State of Louisiana.

YEAR

MAKE

MODEL

VEHICLE IDENTIFICATION NO.

LICENSE PLATE

__________

________________

________________

____________________________________

_____________________

Affiant further declares that, pursuant to L.R.S. 32:361.3, valid security reasons (indicated below) exist which make it necessary to safely equip the above-described vehicle with sun-screening material which would be of a light transmission or luminous reflectance in violation of L.R.S. 32:361.1 and the affiant further declares that he has not been convicted of a drug offense or a violent crime and authorizes the Department of Public Safety, Office of State Police to perform a criminal history inquiry.

REASON FOR SECURITY EXEMPTION / ATTACH SUPPORTING DOCUMENTATION

I certify and attest under penalty of law, the information provided herein is true and accurate.

________________________________

____________________

SIGNATURE OF AFFIANT

DATE

SWORN TO AND SUBSCRIBED BEFORE ME THIS _________DAY OF ________________________, 20_________

_________________________________

_____________________

NOTARY PUBLIC AND SEAL

DATE

THIS SECURITY EXEMPTION IS NON-TRANSFERABLE AND EXPIRES THREE (3) YEARS FROM DATE OF ISSUANCE. THE ORIGINAL AFFIDAVIT MUST BE CARRIED IN THE VEHICLE AT ALL TIMES AND SHALL BE VOID IF THE REASON FOR THE EXEMPTION CHANGES OR NO LONGER EXISTS OR THE AFFIDAVIT IS ALTERED, FORGED OR FALSIFIED.

BELOW THIS LINE FOR STATE POLICE USE ONLY

NOT VALID UNLESS AUTHORIZED BY LOUISIANA STATE POLICE

Approved & Authorized

Disapproved

 

 

_______________________________

___________

_________

TESS-Towing & Recovery/MVI

For the Deputy Secretary, Public Safety Services

Data Number

Date

Section

DPSSP 1061 (REV 8/05)