Loading
Get Ut Dld 134 2010
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the UT DLD 134 online
The UT DLD 134 form is essential for individuals applying for or renewing their driving privileges in Utah, requiring detailed health information. This guide will assist you in completing the form accurately to ensure a smooth submission process.
Follow the steps to successfully complete the UT DLD 134 form online.
- Click the ‘Get Form’ button to access the UT DLD 134 form and open it in the online editor.
- Complete the applicant section at the top portion of the form using black ink. Fill in your last name, first name, middle or maiden name, date of birth, and driver license or driving privilege card number.
- Provide your street address, ensuring to include city, state, and zip code. Additionally, enter your Social Security number or ITIN.
- If your residential or mailing address has changed, check the box and enter the new address above, affirming the accuracy of this information.
- Detail any health concerns that may affect your driving abilities in the designated section. This includes mentioning conditions such as heart attacks, psychiatric conditions, or use of medications.
- Read and sign the authorization statement, allowing healthcare professionals to disclose your health information regarding your ability to drive. Make sure to date your signature, as the form will not be processed without it.
- The healthcare professional will complete their section by indicating the functional ability profile. They will check relevant categories and provide their comments based on your medical evaluation.
- Once all sections are completed, verify the accuracy of your information, and save any changes made in the online editor before final submission.
- Download and print the completed UT DLD 134 form for your records or share it as required.
Complete your UT DLD 134 form online today to ensure your driving privileges are properly maintained.
Get form
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
In Utah, you can take the permit test as many times as needed until you pass, following the UT DLD 134 guidelines. However, it’s wise to prepare thoroughly before retaking the test. Continuous study and practice can lead to better outcomes. Consider utilizing the resources from US Legal Forms to maximize your chances of success on the next attempt.
Get This Form Now!
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.