Get Vision Acuity Form

Filling out the Vision Acuity Form online is a straightforward process that ensures your vision requirements are met for certification. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Vision Acuity Form online

1. Press the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by filling in your member number, order number, site code, and the date at the top of the form. This information helps link your application with the correct records.
3. In the applicant section, provide your last name, first name, and middle initial. Ensure that all names are correctly spelled as they appear on your identification.
4. Next, complete the eye examination section. Have an authorized examiner fill out the required information about your vision acuity, selecting the appropriate options for each eye. Follow the instructions closely regarding the Jaeger J2 specifications.
5. The examiner must then document whether you are colorblind by selecting the correct option for each eye.
6. Fill in the examiner's contact information clearly, including the examiner's name, phone number, and address. This information is vital for follow-up or verifications.
7. Lastly, the examiner must indicate their professional status by checking the relevant box (Ophthalmologist, Optometrist, etc.) and then provide their signature along with their state or province license number.
8. Once all sections are completed, review the form for accuracy. You can then save your changes, download, print, or share the completed form as necessary.

Start completing your Vision Acuity Form online to ensure your certification process is seamless.