Form Mv-664.1i - Application For A Parking Permit Or License Plates, For People With Severe Disabilities (Italian) Page 4

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NOTA PER GLI UTENTI E I MEDICI PROFESSIONISTI
In base alla Legge su traffico e veicoli dello Stato di New York e al Codice di diritto penale,
produrre dichiarazioni false o fornire informazioni false in una richiesta di permesso di
parcheggio o targhe per persone con disabilità gravi è considerato un reato (minore o grave),
punibile con sanzioni pecuniarie, detentive o entrambe. Se il reato riguarda una domanda relativa
al permesso di parcheggio può inoltre comportare la responsabilità una sanzione civile con
valore compreso tra 250 e 1.000 USD.
Per gli utenti che richiedono targhe o permesso di parcheggio per persone con disabilità:
Apponendo la firma alla Parte 1 della presente domanda, l’utente certifica che:
le informazioni fornite nella domanda sono veritiere;
l
ha letto e compreso le condizioni relative a “Utilizzo delle targhe e dei permessi di parcheggio” indicate a
l
pagina 2; e
accetta di rispettare le suddette condizioni.
l
Per i medici professionisti che forniscono le informazioni di supporto relative a una richiesta
di targhe o permesso di parcheggio per persone con disabilità:
Apponendo la firma alla Parte 2 della presente domanda, il medico certifica che:
le informazioni mediche fornite nella domanda sono veritiere e complete; e
l
che, a suo parere, la persona indicata nella Parte 1 della domanda è qualificata dal punto di vista medico
l
per ricevere targhe o permessi di parcheggio per persone con disabilità, in base ai criteri medici
specificati nella Parte 2.
MV-664.1I (2/17)
dmv.ny.gov
PAGINA 4 DI 4

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