Reference: Ref-01747

Reference Name: DR-416
Agency: 12 Department of Revenue
12D Property Tax Oversight Program

Modified Document(s):
9/21/2017 Removed a duplication of language. Under the signature and address lines, the description for the license number was ...
Original Document(s):
10/5/2012 Form Title: Physician's Certification of Total and Permanent Disability
Description: Form Title: Physician's Certification of Total and Permanent Disability
Rules/Notices using this Reference Material
Notice /
Adopted
Section Description ID Publish
Date
View Text Final
12D-16.002
Index to Forms 22042782 Effective:
07/09/2019
View Text Final
12D-16.002
Index to Forms 20858024 Effective:
09/17/2018
View Text Final
12D-16.002
Index to Forms 20226263 Effective:
04/10/2018
View Text Final
12D-16.002
Index to Forms 19912856 Effective:
01/17/2018
View Text Final
12D-16.002
Index to Forms 19373924 Effective:
09/19/2017
View Text Final
12D-16.002
Index to Forms 18421869 Effective:
01/09/2017
View Text Final
12D-16.002
Index to Forms 17598824 Effective:
06/14/2016
View Text Final
12D-16.002
Index to Forms 17319949 Effective:
04/05/2016
View Text Final
12D-16.002
Index to Forms 16382250 Effective:
09/10/2015
View Text Final
12D-16.002
Index to Forms 12159646 Effective:
11/01/2012