Get Va Med 3 2019-2025

The VA MED 3 form is essential for requesting a medical review of a licensed driver by the Department of Motor Vehicles. This guide will provide you with a clear, step-by-step process for completing the form online to ensure that your submission is accurate and complete.

Follow the steps to effectively fill out the VA MED 3 form online

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin by filling in the driver information section. Include the driver's name (last, first, middle), birthdate in the format mm/dd/yyyy, DMV customer number, vehicle plate number, sex (select either male or female), and their telephone number.
3. Provide the driver's residence/home address, including the city, state, and zip code. If the mailing address differs, fill in the mailing address details as well.
4. In the requester information section, indicate the tests you believe the driver should undergo, such as medical examination, vision examination, knowledge examination, or road skills test.
5. Describe in detail the circumstances leading to the request. Include any observations about the driver's mental, physical, or visual impairments. You can use an additional sheet if necessary.
6. Fill in the requester name (print), badge number (if applicable), organization or law enforcement agency name, and provide a contact telephone number and fax number.
7. Enter the business street address, city, state, and zip code for the requester. Ensure that all information is accurate.
8. Include the requester signature and the date of signing in the format mm/dd/yyyy.
9. Review all filled sections to ensure completeness and accuracy. Save all changes, and then download, print, or share the completed form as needed.

Complete the VA MED 3 form online today to facilitate the medical review process.