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  • Il Dsd X 20.14 2022

Get Il Dsd X 20.14 2022-2025

Nse Number Street Address Birth Date Month City County Gender Day Year M F ZIP Code Telescopic Readings On Reverse I authorize release of the report of this examination to the Secretary of State, Driver Services Department, Springfield, IL, for confidential use on my driving record. This report is valid for six (6) months from the examination date below.

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How to fill out the IL DSD X 20.14 online

The IL DSD X 20.14 is an essential form used for documenting vision examinations for individuals seeking to maintain or obtain a driver's license in Illinois. This guide provides clear and supportive steps to assist users in filling out the form accurately and efficiently online.

Follow the steps to fill out the IL DSD X 20.14 online.

  1. Press the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
  2. Begin by filling out the applicant information section. Include your last name, first name, and middle name as requested. Provide your driver's facility control number, driver's license number, street address, birth date, city, county, gender, and ZIP code.
  3. Provide your telephone number as necessary, and indicate your approval for the report’s release to the Secretary of State.
  4. In the acuity section, complete the readings for both eyes with and without correction, ensuring to follow the guidelines for acceptable vision readings.
  5. Move on to the peripheral section and fill in the necessary readings for both eyes as specified. If total peripheral vision is less than 140°, record the additional readings as instructed.
  6. In the follow-up requirements section, check the applicable items regarding your visual health and provide your opinion if required.
  7. Complete the medical provider section, which includes the date of examination, the provider's signature, and their professional license information.
  8. If you are a prescription-mounted telescopic lens wearer, ensure to fill out sections VI through IX as required, providing specific readings and assessments.
  9. Review all entries for accuracy and completeness before finalizing the form.
  10. Once completed, you can save changes, download, print, or share the filled form as needed.

Complete your documents online today to ensure a smooth filing process.

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© Copyright 1997-2025
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
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
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
airSlate WorkFlow
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 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232