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Customer Medical Report

Use this form to request medical information from your physician, physician assistant or nurse practitioner.

MED 2 English Driver

Sun-Shading Medical Authorization Application

Use this form to apply for a sun-shading medical authorization or to add additional vehicle(s) to an existing sun-shading medical authorization.
MED 20 English Driver

Sun-Shading Removal Certification

Use this form to report the removal of sun-shading from a vehicle and request a new registration card without the sun-shading notation.
MED 21 English Driver

Medical Review Request

Use this form to request the Department of Motor Vehicles (DMV) to conduct a medical review of a licensed driver.

MED 3 English Driver

CDL Disability Waiver or Hazardous Materials Variance Application

This form is also used to renew intrastate waivers or variances for disability types 1,2, 3 and 10 as listed in Federal Motor Carrier Safety Regulations FMCSA 49 C.F.R. Section (b) 391.41.
MED 30 English Driver

Vision Screening Report

Use this form to provide DMV with vision screening information from an ophthalmologist or optometrist. Vision screening is required as part of the driver's license application process.
MED 4 English Driver

Vision Examination Form for Wearers of Bioptic Telescopic Lens

Eye-care practitioners complete this form to provide DMV with an applicant's vision information.

MED 40 English Driver

Certification for Use of Bioptic Telescopic Lens

Medical Professionals use this form to certify that a patient is eligible to wear bioptic telescopic lenses.
MED 41 English Driver

Driver Licensing Information for Bioptic Telescopic Lens Wearers

This publication provides driver licensing information for bioptic telescopic lens wearers.
MED 44 English Driver

Missing Or Impaired Limb Assessment For Non-commercial Drivers

Use this form to request medical information from your physician, physician assistant or nurse practitioner.
MED 8 English Driver