Get Utahgov Re Examination Request Form - Publicsafety Utah

Navigating the Utahgov Re Examination Request Form is essential for reporting concerns about a driver's safety. This guide provides a clear, step-by-step approach to completing the form online, ensuring that users can effectively communicate their observations.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it in the respective editor.
2. In the first section, enter the name of the subject in the designated field. Make sure to provide the correct spelling to avoid delays.
3. Next, input the date of birth of the person you are reporting. This information is critical for identifying the individual.
4. Provide the Utah license number or driving privilege card number in the following field. Confirm that the number is accurate to ensure proper processing.
5. In the 'Relationship (if any)' section, specify your relationship with the subject, if applicable. If there is no relationship, you may leave this field blank.
6. In the summary section, describe the actions or known impairments that prompted this report. Be specific and factual in your observations to assist in the review process.
7. Acknowledge the statement confirming the accuracy of your report by signing in the specified area. This signature affirms that you understand the legal implications of falsely reporting.
8. Provide your own information in the 'Requester Information' section, including your name, phone number, and address.
9. Lastly, if a notary public is required, complete the 'Notarial Certificate' section by having your identity verified and officially signed.
10. Review all the information to ensure its accuracy, then save changes, and download or print the completed form for submission.

Complete your documentation today and ensure safety on the roads!