
Medical Review PO Box 7918, Madison, WI 53707-7918 Telephone: (608) 266-2327 FAX: (608) 267-0518 Email: dmvmedical dot.wi.gov Applicant Name Operator License Number Street Address Birth Date (m/d/yy) City, State ZIP Code (Area Code) Telephone Number Date Issued (m/d/yy) Examiner Badge Number License Type Instruction Permit Operator CDLI CDL School Bus Passenger Bus Minimum standards for non-commercial drivers - 20/100 vision or bett.
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How to fill out the Content Form online
Filling out the Content Form online can seem daunting, but this guide will make it straightforward. By following these step-by-step instructions, you will be able to complete the form accurately and efficiently.
Follow the steps to fill out the Content Form online
- Press the ‘Get Form’ button to download the form and open it in your preferred online document editor.
- Begin by entering your applicant information. Fill in your full name, operator license number, street address, city, state, ZIP code, birth date (formatted as m/d/yy), and telephone number with area code.
- Next, indicate the date the form is issued (in m/d/yy format) and the examiner badge number associated with the vision specialist.
- Choose the appropriate license type by checking the corresponding box for instruction permit, operator, commercial driver license (CDL), school bus, or passenger bus.
- Provide visual acuity details. Enter the Snellen chart figures for your visual acuity without corrective lenses and with corrective lenses for both your right and left eye.
- Fill in the temporal field of vision in degrees for each eye and indicate whether the applicant has a progressive eye condition(s). If yes, provide details.
- Answer the questions regarding traffic signal color recognition and the applicant’s ability to operate various types of vehicles by selecting yes or no.
- If applicable, recommend any restrictions on the operation of a vehicle, such as the need for corrective lenses, daylight driving only, or other specific conditions.
- Finally, the vision specialist must print their name, office address, medical license number, and contact information, and provide their signature to validate the report.
- Once you have completed all fields, ensure that the form is saved with your changes. You can then download, print, or share the filled-out form as needed.
Get started on completing the Content Form online today!
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