Get Wi Dot Mv3030v/t579 2017

Filling out the WI DoT MV3030V/T579 form is an essential step for those required to submit a vision examination report to the Wisconsin Department of Transportation. This guide will provide clear and user-friendly instructions to help you complete the form accurately.

Follow the steps to successfully complete the MV3030V/T579 form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your full name in the applicant name section, including your first name, middle initial, and last name. Then enter your driver license number.
3. Input your birth date, formatted as month, day, and year. Make sure to double-check the entries for accuracy.
4. Provide your street address, city, state, and ZIP code. This information is crucial for identification and communication purposes.
5. Fill in your email address and your telephone number, including the area code. This will ensure that the Department can contact you if needed.
6. Indicate if the MV3141 Driver Condition or Behavior Report is enclosed by checking the 'Yes' box.
7. Select the type of license you are applying for by checking the appropriate box: Class D, Class M, CDL, School Bus, or Passenger.
8. Consult the minimum standards for vision before proceeding. You can find this information at the provided link in the document.
9. As the vision specialist, complete the visual acuity section. Indicate the Snellen Chart figures for both right and left eyes, both with and without corrective lenses.
10. Answer the questions regarding the applicant's vision condition and any recommendations for driving limitations, such as corrective lenses or restricted driving.
11. Fill out the comments section and ensure all questions regarding safety to operate different types of vehicles are addressed.
12. The vision specialist must print their name, address, check their qualifications, and provide their medical license number. Additionally, include the office telephone number and the patient exam date.
13. Ensure the vision specialist signs and dates the report. This validation is crucial for the form's acceptance.
14. Once all the necessary fields are filled out accurately, you may save changes, download, print, or share the completed form as needed.

Complete your WI DoT MV3030V/T579 form online today to ensure your submission is timely and accurate.