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For faster service please go online at www. dmv.ca.gov or call 1-800-777-0133 for an appointment. REG 195 REV. 4/2018 WWW Mail To DMV Placard P. O. Box 932345 M/S D238 Sacramento CA 94232-3450 1 of 3 Print Clear Form Please read all the information on page one before completing this form. Only original signatures will be accepted no photocopies or faxes. The medical provider s signature may be compared to documentation filed with the appropriate regulatory agency and the medical provider may...
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