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TED BY DRIVER LICENSE EXAMINER OR A PROVIDER VISION SCREENING CHECK (3 ) YES NO COMPLETE ALL ITEMS 20/40 vision or less in better eye with correction. Parent Person in Loco Parentis Report of Eye Examination (attached)........ Qualified Without Restrictions Qualified With Restrictions Corrective Lenses Uncorrected Corrected 20/ Right Eye 20/ 20/ Left Eye 20/ 20/ Both Eyes 20/ R L Fields R L Other: COMP.

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