Get Ny Mv-619 2020-2026

The NY MV-619 is an essential form required for reporting vision test results for individuals renewing their driver license. This guide offers clear, step-by-step instructions on how to complete the form online, ensuring a seamless renewal process.

Follow the steps to complete the NY MV-619 online

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin filling out the form by entering the patient’s name as it appears on their driver license, including the last name, first name, and middle initial.
3. Input the patient’s date of birth in the format MM/DD/YY.
4. Select the patient's sex by marking the appropriate box.
5. Enter the patient’s street address, including apartment number (if applicable), city, state, country, and zip code.
6. Record the date of the examination in the format MM/DD/YY.
7. Answer whether the patient achieved a Snellen Test score of 20/40 or better with one or both eyes by selecting 'YES' or 'NO'.
8. Indicate whether the patient wore corrective lenses during the test by checking 'YES' or 'NO'. If 'NO', refer them to complete form MV-80L.
9. Provide the name and title of the provider completing the form.
10. Enter the provider’s street address, city, state, and zip code.
11. Indicate the validity period of the report by marking either '12 months' or '6 months' from the date of examination.
12. The provider must sign the form, printing their name in full.
13. Lastly, enter the provider's professional license number.

Complete your NY MV-619 form online today for a smooth license renewal.