Get Visual Acuity Examination Form

Filling out the Visual Acuity Examination Form online is an essential step for individuals applying for or renewing their welder license. This guide will walk you through each section of the form, ensuring you provide all necessary information accurately for a smooth application process.

Follow the steps to complete your Visual Acuity Examination Form successfully.

1. Click ‘Get Form’ button to obtain the Visual Acuity Examination Form and open it for editing.
2. Begin by providing your applicant/licensee information. Indicate the application type by selecting either 'Original Welder License' or 'Renewal Welder License.' Next, fill in your first and last name, along with your license number.
3. The next sections must be completed by the eye examiner. Ensure the examiner verifies your near vision acuity according to Jaeger J2 specifications at a distance of 12 inches or greater. The examiner will check one of the options: 'Both eyes require corrected vision to J2,' 'Only one eye needs corrected vision to J2,' or 'No correction is required.'
4. Provide the date of your eye examination and fill in the examiner's details, including their name, telephone number, address, city, state, and zip code. The examiner should also specify their professional status by selecting one of the options: Ophthalmologist, Optometrist, Medical Doctor, Registered Nurse, or Certified Physician's Assistant.
5. Lastly, ensure the examiner signs and stamps the form if a stamp is available, and indicates the date of the examination. Confirm that the completed form does not have any missing information before submission.
6. Once the form is fully filled out, you can save any changes made, download a copy for your records, print the completed form, or share it if needed.

Complete your Visual Acuity Examination Form online today for a seamless application process!