(c), the department shall independently validate the
information and immediately update the department's records
to reflect the elected designation on the person's vehicle
registration, driver's license or identification card.
(2) There shall be no fee for the designation.
(3) The designation shall not be visible on a vehicle
registration, driver's license or identification card.
(4) The department shall maintain records of the
approved designations and the associated emergency contact
information.
(c) Form.--The department shall develop a form to apply for
the designation with the department. The form shall require the
following information:
(1) Emergency contact information for the person that
has a communication impairment.
(2) A certificate that meets all of the following:
(i) Is signed by a physician, physician assistant,
certified nurse practitioner, psychologist, non-physical
mental health professional or physical therapist who is
licensed to practice in this Commonwealth.
(ii) Identifies the person for whom the
communication impairment designation is being elected.
(iii) Attests to the nature of the communication
impairment.
(3) Signature certification by the person that has a
communication impairment that the person:
(i) is voluntarily informing the department and law
enforcement that the person has a health condition or
disability that may impede effective communication with a
law enforcement officer; and
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