
-locator. If one of these providers completes your required vision test, you do not need this form to renew your driver license. b. If your provider is not enrolled in DMV s Vision Registry, this report must be completed and used when renewing your license at dmv.ny.gov or by mail. Renewal at a DMV office: a. For no additional charge, your vision test can be completed at a DMV office. b. DMV staff are trained to administer the eye test. PROVIDER INSTRUCTIONS: a. This form should be used only.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the NY MV-619 online
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
- Press the ‘Get Form’ button to access the form and open it in your preferred editor.
- 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.
- Input the patient’s date of birth in the format MM/DD/YY.
- Select the patient's sex by marking the appropriate box.
- Enter the patient’s street address, including apartment number (if applicable), city, state, country, and zip code.
- Record the date of the examination in the format MM/DD/YY.
- Answer whether the patient achieved a Snellen Test score of 20/40 or better with one or both eyes by selecting 'YES' or 'NO'.
- Indicate whether the patient wore corrective lenses during the test by checking 'YES' or 'NO'. If 'NO', refer them to complete form MV-80L.
- Provide the name and title of the provider completing the form.
- Enter the provider’s street address, city, state, and zip code.
- Indicate the validity period of the report by marking either '12 months' or '6 months' from the date of examination.
- The provider must sign the form, printing their name in full.
- Lastly, enter the provider's professional license number.
Complete your NY MV-619 form online today for a smooth license renewal.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
ophthalmologist, or supervised staff of any of these providers can complete the MV-619. If...
A Vision Test Report (MV-619) completed by your eye care professional. A TOP ... New York...
619. 624. 649. 672. 705. 753. 828. 9L11ZTA312AS. 312. 245. 770. 623. 629. 654. 676. 710...
Get answers to your most pressing questions about US Legal Forms API.
What documents do I need to renew my NYS drivers license?
the renewal notice we mailed you (MV-2) or if you don't have it, use the Application for Permit, Driver License, or Non-driver ID (PDF) (MV-44) a Vision Test Report (PDF) (MV-619) completed by an eye care professional. a check or money order payable to 'Commissioner of Motor Vehicles'
Do I need an eye exam to renew my license NY?
You must pass a vision test when you apply for a driver license or to renew your license. The test must show that you have visual acuity of at least 20/40 (based on the Snellen Visual Acuity Scale) in either or both eyes, with or without corrective lenses.
Can you make an appointment at the NY DMV?
Schedule a New York DMV Appointment To schedule a reservation with the Department of Motor Vehicles (DMV), use the online system. There, you must: Choose your county and location*. Select the service you need assistance with.
How long do you have to renew your license after it expires in NY?
If you have a valid New York license, you can renew it up to a year before it expires and up to two years after it expires. If it's been more than two years since you had a valid license, you'll need to apply for a New York State license, which includes a written test, a vision test, a road test, and a required course.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.