Webthe applicant or licensed driver may be required to take a re-examination or submit by the Medical Advisory Board. In some cases, the driver may be required to provide a report from a medical specialist. The medical report must be returned to the department within 45 days or the individual’s driving privilege will be revoked. WebDriver’s License Assessment Team 555 Wright Way Carson City, NV 89711 Las Vegas (702) 486-4368 Option 1, 2 Reno/Carson City (775) 684-4364 Option 2 Fax: (775) 684-4829 dmv.nv.gov REQUEST FOR RE-EVALUATION This form must be accompanied by an affidavit from a physician indicating that the physician agrees the driver
DBPR COSMO 3 - Reexamination Application
Webthat the offense was of such a careless, reckless or indifferent nature as to require reexamination. I have reason to believe that this driver should submit to a reexamination and/or medical evaluation because of the information on the reverse side of this form. Signature Badge Number/Court Code Title (please print or type) Full Name WebSecretary of State. Request for Driver Reexamination. This government document is issued by Secretary of State for use in Michigan. Add to Favorites. File Details: PDF. Downloads: 44. houzz black and white dresser
Forms for Older Drivers - Florida Department of Highway …
WebRequest 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. ... Mail this form to: DMV Medical Review Program, 3112 Mail Service Center, Raleigh, NC 27697 or fax it to: (919) 733 ... WebIndividuals who have been flagged for ‘priority reexamination’ are required to get in touch with Driver Safety within a five-day period or driver privileges will be suspended indefinitely. And again, the DMV may require medical records, and testing of driving law knowledge, vision tests, and of course actual physical driving tests. WebSometimes, a driver’s declining mental or physical state means that they can no longer drive safely. If you know someone who may no longer drive safely, you may submit a Request for Driver Reexamination (DS 699) to DMV to review their driving qualifications (see a sample DS 699).If you prefer, you may write a letter to your local Driver Safety … houzz black chest of drawers