Dmv request for driver reexamination form

Request for Driver Re-Examination This request must provide specific information regarding the medical/visual condition and/or driving ability of the person in question and must be made only in the interest of public safety. Advanced age alone cannot be considered the sole reason for a re-examination request. Skip to form. Driver Identification Services. www.doorway.rues@www.doorway.ru Print Document. When you click Print below we will prepare a printable document for you. It will automatically download when it's ready. Did you know? You can fill in the document online and then click the print icon and all of your information will be populated in the. Complete this form to request that DMV re-evaluate a driver’s ability to drive safely. Sign this request in the signature block provided. Anonymous requests will not be honored. Mail or fax completed request to: DMV, Driver Safety Unit, Lana Avenue NE, Salem Oregon ; FAX: ()

In accordance with AS and 2 AAC , DMV may only require re-examination when there is good cause to believe that the driver is incompetent or not qualified to be licensed. For DMV to properly consider your request, you must describe in the space below. Re-Examination P.O. Box Helena, MT Phone () Fax () In accordance with MCA and ARM , an individual may recommend a driver for re-examination. The individual making the recommendation for re-exam must complete all required portions of this form. DS , Request for Driver Reexamination Author: CA DMV Subject: Index-ready. This form is to request for the Department to review the driving qualifications of a person who may have dementia or qualify as an unsafe driver. Confidentiality may be requested. Created Date: 10/31/ AM.

revocation of a person's license, the driver can: request a DMV hearing, and. Instructions for submitting form: Scan and email to Driver Name (first, middle, last, suffix) Driver Condition/Behavior – check all that apply. The Alaska DMV is responsible for gathering and evaluating the medical To request a Recommendation for Reexamination (Form number ) please contact.