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Printed Name of Health Care Professional and Degree Signature State License Number Telephone Fax Number Doctor s Comments DLD 134 Rev. 8-10 For overview see reverse side Stable for 6 months Class IV arrhythmia with loss of conscious uncontrolled Ht Class III unstable rhythm hypertension All Class I limits no symptoms on ordinary activity Class I rhythm stable with pacemaker for Symptoms with strenuous stable for 3 Diastolic under anticipated aggr.

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How to fill out the Dld 134 online

The Dld 134 is a crucial document for individuals applying for driving privileges in Utah. This guide provides comprehensive, user-friendly instructions for completing the form online, ensuring accuracy and compliance with the requirements set by the Utah Driver License Division.

Follow the steps to successfully complete the Dld 134 online.

  1. Press the ‘Get Form’ button to access the Dld 134 form and open it in the editor.
  2. Begin by completing the top portion of the form with your personal information, including your last name, first name, middle or maiden name, date of birth, and driver license or driving privilege card number. Make sure to use black ink if filling out a physical copy.
  3. Fill in your street address, city, state, zip code, and social security number or ITIN. If either your residential or mailing address has changed, mark the box provided and print the new address in the given section.
  4. Provide information about your physical, mental, and emotional health in the designated area. List any conditions that may affect your driving ability, including heart conditions, substance use, psychiatric conditions, visual impairments, and any seizures experienced, noting the date of the last occurrence.
  5. Authorize the disclosure of your health information by signing the form. This allows your healthcare professional to share necessary information with the Utah Driver License Division. Remember that without your signature, your application will not be processed.
  6. In the health care professional report section, your healthcare provider will complete the functional ability profile, marking the appropriate categories. They will indicate their findings regarding your medical conditions and any recommended restrictions relevant to your driving privileges.
  7. Ensure that your healthcare professional includes their signature, printed name, state license number, and date, verifying that the medical information is accurate and current.
  8. Review the entire form for completeness and accuracy before proceeding to save your changes. You can save, download, print, or share the form as required.

Complete your documents online to ensure a smooth application process.

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Applying for a Utah driver's license involves several steps. First, you must complete the application form, which includes providing personal information and proof of residency. Next, you can visit a local DMV office to submit your application and show your identification. Utilizing tools like DLD 134 can help you navigate the requirements, ensuring a smooth application process.

To fill out Declaration Form 1, start by gathering all necessary information, such as your name, address, and identification details. Make sure to review the instructions carefully to avoid mistakes. As you complete the form, remember to include any required signatures, and if needed, refer to resources like DLD 134 for guidance. This process ensures your form is complete and accurately submitted.

In order to qualify for a Utah driver's license, you must pass a vision test with a visual acuity of 20/40 or better. If you wear glasses or contact lenses, make sure you have them when you take the test. Understanding the vision requirements outlined in the DLD 134 form can help you prepare for a successful application.

Studying for your Utah driver's license involves reviewing the official Utah Driver Handbook, which includes crucial information on road rules and safety. Practice tests are also available online to help you gauge your readiness. By utilizing resources and tips from the DLD 134 guidelines, you can effectively prepare for the written exam.

To get a driver's permit in Utah, you must be at least 15 years old and complete a driver education program. After that, head to a local DMV office with the completed DLD 134 form, proof of identity, and residency documents. This straightforward process allows you to begin your journey towards full licensure.

You can obtain a Utah learner's permit by first enrolling in a driver education course if you are under 18. After completing the course, you must visit a DPS office to submit the DLD 134 form along with your identification and residency proof. This process ensures that you meet all requirements to safely learn to drive.

To transfer your out-of-state driver's license to Utah, you must visit a local Department of Public Safety office. Bring your current license, proof of identity, proof of Utah residency, and your Social Security number. Completing the DLD 134 form may be crucial, as it outlines your specific requirements for a smooth transition.

To obtain a permit in Utah, you need to be at least 15 years old and complete a driver education course. You'll also need to provide proof of identity, residency, and Social Security number. The DLD 134 form may be relevant in this process, as it helps track your eligibility and necessary documentation.

The most common requirement for people with epilepsy is that they be seizure free for a specific period of time and submit a physician's evaluation of their ability to drive safely....Driver Information By State. LawUtahSeizure-Free Period3 months, with exceptions3 more rows

How long do I have to be seizure free before I can drive again? NJAC 13:19-5.1 et. seq. requires that you be seizure free for six months before you may re-apply; however, all medical review cases are handled on an individual basis.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232