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  • Il Dsd X 20.14 2020

Get Il Dsd X 20.14 2020

Ecretary of State State of Illinois Birth Date Month ZIP Code Day Year Gender M F Telescopic Readings On Reverse I authorize release of the report of this examination to the Secretary of State, Driver Services Department, Springfield, IL, for confidential use on my driving record. This report is valid for six (6) months from the examination date below. App.

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How to fill out the IL DSD X 20.14 online

Filling out the IL DSD X 20.14 form is an important step for individuals seeking to have their vision evaluated for driving purposes in Illinois. This guide provides clear, step-by-step instructions to help users complete the form accurately and effectively.

Follow the steps to fill out the IL DSD X 20.14 form online.

  1. Click the ‘Get Form’ button to access the IL DSD X 20.14 form online and open it in your preferred editor.
  2. In Section I, fill in your personal information, including your name, driver facility control number, driver's license number, address, date of birth, gender, and telephone number. Make sure to print the information clearly.
  3. For the acuity section, provide your visual acuity readings for both eyes, both with and without correction. Ensure to follow the acceptable formats for reporting your readings.
  4. Proceed to the peripheral section to record your temporal readings for both eyes. Ensure that your total field of vision is recorded, and check if you meet the minimum visual screening standards.
  5. In the follow-up requirements section, indicate whether the applicant is visually fit to operate a motor vehicle and check all applicable items. Provide any necessary details about corrective lenses or monitoring needs.
  6. Section V is for the medical provider to certify the examination. Make sure the provider completes this section with their signature, professional license number, and any additional notes.
  7. If applicable, complete the telescopic acuity and peripheral sections, including the specific requirements for prescription spectacle-mounted telescopic lens wearers.
  8. Finally, review all completed sections for accuracy before saving the changes, downloading, printing, or sharing the form as needed.

Complete your IL DSD X 20.14 form online today to ensure your vision assessment is processed smoothly.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
IL DSD X 20.14
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