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Vision Report To The Registrar Of Motor Vehicles Form Zip
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North Carolina Department of Motor Vehicles Vision Specialist . Zip Code. Area Code and Number. Name of the Driver. Date of Birth. License Number . (paper or electronic) completed Medical Examination Report Form must be retained on.
APPLICANT: You may be required to file vision reports on a regular basis. . Incomplete forms will be returned for completion. . Non-Commercial Vehicle . ZIP Code. Email Address. (Area Code) Telephone Number. Yes MV3141 Driver.
I understand the Department of Licensing will use this information to arrive at a decision regarding my ability to safely operate a motor vehicle. Driver signature.
Find state-specific DMV forms for licensing, registration, titling and more. . Please enter your ZIP Code to access DMV Forms specific to your state: ZIP Code Go.
Take this certificate to the licensed vision specialist (optometrist or . FAX (503) 945-5329 or mail completed form to DMV Driver Safety Unit, 1905 Lana Ave NE,.
//vision report to the registrar of motor vehicles form//
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