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Department of Public Safety Driver Compliance Division Request for Driver Reviewareas must be completed.Please print or typeI request that the below named individual be reviewed in connection to retaining.

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How to fill out the Areas Must Be Completed online

Completing the Areas Must Be Completed form is essential for initiating a review of an individual's driving privileges. This guide will provide clear and step-by-step instructions to help you accurately fill out this online form.

Follow the steps to successfully complete the form.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the driver's name in the designated fields for 'Last,' 'First,' and 'Middle' names.
  3. Input the driver's license number in the specified field.
  4. Fill in the mailing street address, ensuring it is clear and complete.
  5. Provide the city name in the appropriate box.
  6. Indicate the state by selecting it from the dropdown or entering it manually.
  7. Record the zip code in the given space.
  8. Select the necessary evaluations by checking the boxes for 'Medical Examination,' 'Vision Examination,' 'Driver License Written Exam,' and 'Driving Skills Exam' as needed.
  9. In the detailed description section, articulate (1) the circumstances that prompted this request, (2) your observations concerning the individual's medical or visual condition, and (3) reasons the individual may not be safe to operate a vehicle. If additional space is needed, utilize the back of the form or attach extra pages.
  10. If applicable, indicate the diagnosed medical conditions by checking the appropriate boxes like 'Amputation(s),' 'Visual Loss,' or 'Seizures.'
  11. Fill in your name and title in the section labeled 'Name of Person requesting Review / Title.'
  12. Input your address, ensuring it matches official records.
  13. Provide your signature and date it accurately.
  14. Finally, indicate your city, state, and zip code in the designated fields.
  15. Specify the source of information by selecting the appropriate option from the list provided.
  16. Once completed, users can save changes, download, print, or share the form as needed for submission.

Complete your Driver Review request online today for a seamless process.

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© Copyright 1997-2026
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
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
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
altaFlow
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 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232