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Get Vision Specialist Statement Of Examination Form

MC-029 5/2010 MICHIGAN STATE POLICE Traffic Safety Division VISION SPECIALIST S STATEMENT OF EXAMINATION INSTRUCTIONS FOR DRIVER/APPLICANT Please have your vision specialist complete this statement. It is the applicant s responsibility to return the completed form to the address below. Failure to have this form completed and returned may result in your medical waiver application being delayed until we have received and evaluated this statement. M.

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