Get Certificate Of Visual Examination Utah Driver License Division Top Portion Must Be Completed By

Filling out the Certificate of Visual Examination is an important step for individuals seeking to obtain their driver license in Utah. This guide provides detailed instructions on completing the top portion of the form online, ensuring users can easily navigate through the required fields.

Follow the steps to complete the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in the editing interface.
2. Begin by filling in your last name, first name, and middle or maiden name in the designated fields to properly identify yourself.
3. Enter your date of birth in the appropriate format, ensuring that this information is accurate as it confirms your identity.
4. Provide your driver license or driving privilege card number in the specified field, which is crucial for your application process.
5. Read the authorization statement carefully. By signing the form, you give permission for your healthcare professionals to share relevant health information with the Utah Driver License Division.
6. Sign the form in the designated area labeled 'Applicant’s Signature' and ensure you include the date of your signature. This step is essential for processing your form.
7. Review the completed top portion of the form for any errors or omissions before final submission.
8. Once all information is correctly filled and reviewed, save your changes. You may then have options to download, print, or share the completed form according to your needs.

Complete your documents online today to ensure a smooth application process.