Form Ps 18 PDF Details

Attorney Advertising is governed by rules set forth in the Code of Professional Responsibility (the “Code”), as well as state law. The principal rule pertaining to advertising is Rule 7.1, which generally prohibits lawyers from making false or misleading statements about themselves or their services. In Form Ps 18, the Committee on Advertising of the American Bar Association (the "Committee") summarized key principles attorneys should consider when formulating an advertising campaign. This article summarizes some of those key principles. Please note that this is a general overview and not legal advice. If you have specific questions about your advertising, you should consult with an attorney licensed in your jurisdiction.

QuestionAnswer
Form NameForm Ps 18
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesDX form maine application for disability placard reissue 2011 form

Form Preview Example

APPLICATION FOR DISABILITY PLATES/PLACARD

BMV ENTERED

Disability Placard or Disability Plate(s)

Permanent Re-Issue

BMV Use Only

For Plates, please attach a copy of your current registration

 

 

 

 

 

 

 

Placard#_________________

 

Applicant

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

_______________________

 

 

Mailing

 

 

 

_______________________

 

 

Address:

 

 

 

Plate #___________________

 

 

 

 

 

 

 

 

 

 

Issue Date: ________________

 

DOB:

Driver’s License or ID # and Expiration Date:

Exp. Date: ________________

 

 

 

 

 

 

 

 

 

 

Returned#: ________________

 

Phone:

 

 

 

 

 

State of Issue:

Replaced#: ________________

 

Contact Name:

 

 

 

Issued by: ________________

 

 

 

 

 

 

 

 

Applicant’s Signature:

Date:

 

 

 

 

 

 

Completed forms may be

 

 

 

 

 

 

 

 

 

 

processed at any BMV branch

 

 

 

 

 

office or mailed/faxed to:

 

Veterans, please visit the Bureau of Veterans’ Services website at

 

 

 

 

 

http://www.maine.gov/dvem/bvs for information on state and federal benefits your military

Bureau of Motor Vehicles

 

service may have earned you.

 

 

 

 

 

 

 

Disability Clerk

 

 

 

 

 

 

APPLICANT’S STATEMENT OF UNDERSTANDING

29 State House Station

 

Augusta, ME 04333-0029

 

 

 

 

 

 

I may park in a disability parking space when the vehicle is occupied by the disabled

 

 

 

 

person and the vehicle is properly displaying disability plates or a placard. I understand

TTY Users call Maine Relay 711

 

permanent disability applications are valid until my current driver’s license or state ID card

FAX:

(207) 624-9204

 

 

expires; if I want to continue my permanent disability parking credentials beyond that

Phone:

(207) 624-9000

 

 

expiration, I must complete the top portion of an application, mark it as Permanent Re-

 

Ext. 52149

 

Issue and visit a BMV branch office or mail/fax it to the BMV main office.

 

 

 

 

 

MEDICAL PROVIDER’S STATEMENT

 

 

 

 

 

 

 

 

 

 

 

 

Condition is:

 

 

 

 

 

 

 

Permanent

Temporary for a period of _______ months (6 months maximum)

Please check one of the following conditions:

Cannot walk two hundred feet without stopping to rest.

Cannot walk without the use of, or assistance from another person or the use of a brace, cane, crutch, prosthetic device, wheelchair, or other assistive device.

Is restricted by lung disease to such an extent that the person’s forced expiratory volume for one second, when measured by spirometry, is less than one liter, or the arterial oxygen tension is less than sixty m/hg on room air at rest.

Uses portable oxygen.

Has a cardiac condition to the extent that the person’s functional limitations are classified in severity as Class III or Class IV according to the standards set by the American Heart Association.

Is severely limited in their ability to walk due to an arthritic, neurological, or orthopedic condition. Is recovering from childbirth: TEMPORARY PLACARD ONLY - check appropriate box below

Cesarean delivery – valid for 1 week following receipt of application;

For the birth of a preterm infant, valid for ____________ (specify length of time, not to exceed 6 months)

Medical Provider: Physician Physician’s Assistant

Nurse Practitioner

Registered Nurse

 

 

 

Printed Name:

Date:

Medical Lic #:

 

 

 

Signature:

Phone:

Fax #:

 

 

 

Address:

21-Day Temp # Issued:

 

 

 

 

PS-18 (Rev 08-14)

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1. The Form Ps 18 requires particular information to be typed in. Be sure that the subsequent blank fields are completed:

Completing part 1 of Form Ps 18

2. The subsequent step is usually to fill in the following fields: MEDICAL PROVIDERS STATEMENT, Condition is Permanent Temporary, Date, Medical Provider Physician, Day Temp Issued, Medical Lic, Phone, and Fax.

Best ways to complete Form Ps 18 part 2

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