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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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