CHAPTER
Saf-C 8500 BLUE ENVELOPE Program
Statutory Authority: RSA 265:3-c, V
PART
Saf-C 8501 PURPOSE AND SCOPE
Saf-C
8501.01 Purpose. The purpose of this chapter is to set forth
the following:
(a) The administrative requirements to implement
the blue envelope program. The blue
envelope program provides law enforcement
officers documentation to facilitate communication during an interaction with
licensed drivers diagnosed with autism spectrum or trauma and stressor-related
disorders or both;
(b) The procedure for requesting a blue
envelope;
(c) The acceptable forms of proof of an autism
spectrum or trauma and stressor-related disorders to obtain a blue envelope;
(d) The handling of
confidential medical information;
(e) The content and
format of the blue envelope; and
(f) The requirement to attach the blue
envelope to the visor;
Source. #14643, INTERIM, eff 7-3-26,
EXPIRES: 12-30-26
Saf-C
8501.02 Scope. The rules shall apply to all participating persons, guardians, and law enforcement agencies relative to the blue envelope program.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
PART
Saf-C 8502 Definitions
Saf-C
8502.01 “Autism spectrum or trauma and
stressor-related disorder” means “autism spectrum or trauma and
stressor-related disorder” diagnosed by
a licensed medical professional.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C 8502.02 “Blue envelope program” or “program” means “blue
envelope program” or “program” as established in RSA 265:3-c.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8502.03 “Director” means “director” as
defined in RSA 259:20.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8502.04 “Law enforcement agency” or
“LEA” means any government agency responsible for the enforcement of law.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8502.05 “Law enforcement officer” means “law
enforcement officer” as defined in RSA 106-B:35, II.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8502.06 “Parent”
means “parent” as defined in RSA 169-C:3, XXI of a minor.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8502.07 “Participating person” means a driver licensed in New
Hampshire and diagnosed with autism spectrum disorder or trauma and stressor
related disorder.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8502.08 “Requestor” means a person who
completes and submits a Blue Envelope Request Form.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
PART
Saf-C 8503 Procedure to OBTAIN BLUE ENVELOPE
Saf-C
8503.01 Obtaining a Blue Envelope.
(a) The following people
may apply to the blue envelope program:
(1) A driver licensed in New
Hampshire and diagnosed with autism spectrum disorder or trauma and stressor
related disorder;
(2)
A parent applying on
behalf of a minor
driver licensed in New Hampshire and diagnosed with autism spectrum disorder or
trauma and stressor related disorder; or
(3)
A guardian applying on
behalf of a driver
licensed in New Hampshire and diagnosed with autism spectrum disorder or trauma
and stressor related disorder.
(b) The DMSV 653 “Blue Envelope Request Form” (rev
07/26) may be obtained from www.dmv.nh.gov/forms; or in person, during
business hours, from the DMV locations listed at www.dmv.nh.gov/hours-and-locations.
(c) To receive a blue envelope a person can
submit a completed DSMV 653 “Blue Envelope Request Form” (rev 7/26) signed by a
doctor. But if they have already
completed and submitted a DSMV 643 “Medically Recognized Disorder Indication”
(rev 07/26) form which was signed by a doctor and is on file with the DMV, then
they just need to request in person, orally, to be issued a blue envelope and
they will be given on based on the DSMV 643 (rev 07/26) complying with this
part.
(d) A parent or legal guardian requestor applying
on behalf of a participating person, shall submit a completed form DMSV 653 “Blue
Envelope Request Form” (rev 07/26); and
(1)
To receive a
blue envelope a person can submit a completed DSMV 653 “Blue Envelope Request
Form” (rev 07/26) signed by a doctor.
But if they have already completed and submitted a DSMV 643 “Medically
Recognized Disorder Indication” (rev 07/26) form which was signed by a doctor
and is on file with the DMV, then they just need to request in person, orally,
to be issued a blue envelope and they will be given on based on the DSMV 643
(rev 07/26) complying with this part. ;
(2) Sign the form under penalty of unsworn
falsification pursuant to RSA 641:3; and
(3)
Include the following documentation where applicable:
a.
If the applicant is a parent of a minor, include a
copy of one of the following:
1. The
minor’s birth certificate;
2. Certificate
of adoption; or
3. Adoption
decree; or
b.
If the applicant is a legal guardian,
include a copy of the order appointing the guardianship identifying the powers
granted to the legal guardian.
(e)
Participants shall submit completed
requests by:
(1)
Mailing to:
Division of Motor Vehicles
Attn: Blue Envelope
27 Hazen Drive
Concord, NH 03305;
(2)
Hand delivering
during business hours to:
Division of Motor Vehicles
27 Hazen Drive
Concord, NH 03305; or
a.
Any DMV location at www.dmv.nh.gov/hours-and-locations.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
PART
Saf-C 8504 Agency Procedure and Requirements
Saf-C
8504.01 Processing Request.
(a)
A request shall be granted and a blue envelope
as set forth in Saf-C 8505.01
will be provided to the requestor if the director determines that the requirements set forth in Saf-C 8503.01(b)-(e)
have been satisfied.
(b)
A request shall be denied if the
director determines that any of the requirements set forth in Saf-C 8503.01(b)-(e)
are not met. If a request is denied, the director shall state in writing the
reason(s) for the denial and return Form DMSV 653 “Blue Envelope Request Form” (rev 07/26) to the requestor.
(c)
An individual whose request is denied
may submit a written request to the director setting forth a detailed
explanation as to the reasons the submitted DMSV 653 “Blue Envelope Request Form” (rev 07/26) should be issued. The director’s
decision shall be based on the criteria in (b) above and shall be final.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C
8504.02 Maintaining Information.
(a) All
information provided on Form DMSV 653 “Blue Envelope Request Form” (rev 07/26)
shall be handled in accordance with applicable privacy laws.
(b) The director shall maintain From DMSV 653
“Blue Envelope Request Form” (rev 07/26) within the participant’s driving
records to support the issuance of a Blue Envelope.
(c) The director shall not create or maintain a
database identifying all blue envelope program participants or containing
medical information.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C 8504.03 Replacement Envelopes.
(a) Participants shall receive one blue envelope.
(b) If an issued Blue Envelope is lost or stolen,
the director may issue
a replacement envelope to participants with a valid DMSV 653“Blue Envelope
Request Form” (rev 07/26) or a valid DSMV 643 “Medically Recognized Disorder
Indication” (rev 07/26) form on file.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
PART
Saf-C 8505 Blue Envelope SpecIFICATIONS
& UsE
Saf-C
8505.01 Blue Envelope Design.
(a) The blue envelope shall be:
(1) Blue color for easy identification; and
(2) Sized appropriately to hold a driver’s
license, vehicle registration, insurance card, and any medical information.
(b) The exterior of the blue envelope shall
include instructions for:
(1) The driver; and
(2) The law enforcement officer.
(3) Emergency contact information;
(4) Sensory considerations; and
(5) Verbal and visual communication.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
Saf-C 8505.02 Blue
Envelope Usage. The
participant shall attach the blue envelope to the driver’s side visor, facing
the participant when in the down position.
Source.
#14643, INTERIM, eff 7-3-26, EXPIRES: 12-30-26
APPENDIX
|
Rule |
Specific State Statute the Rule
Implements |
|
Saf-C 8500 |
RSA 265:3-c |
|
Saf-C 8502.02 |
RSA 265:3-c |
|
Saf-C 8502.03 |
RSA 259:20 |
|
Saf-C 8502.05 |
RSA 106-B:35, II |
|
Saf-C 8502.06 |
RSA 169-C:3, XXI |
|
Saf-C 8503.01 |
RSA 641:3 |