Get Wy Fsdi-914 2019-2025

The WY FSDI-914 form is used for driver vision evaluations in Wyoming. This guide will assist you in understanding and completing the form accurately, ensuring that all necessary information is provided.

Follow the steps to fill out the WY FSDI-914 form online.

1. Click ‘Get Form’ button to access the WY FSDI-914 form and open it in your preferred editing environment.
2. Start by entering the applicant's information, including their full name, driver license number, mailing address, and date of birth. Ensure that all details are printed clearly and legibly.
3. Indicate how long the applicant has been a patient of the qualified vision specialist. This is a crucial detail to establish the relationship.
4. Fill in the required current visual acuity fields for both eyes, specifying the vision with and without correct lenses. Note if a bioptic telescope is applicable.
5. Answer the question regarding whether the applicant's horizontal visual field meets Wyoming vision standards by checking either 'Yes' or 'No'.
6. In the examination information section, check all applicable conditions for which the applicant is currently being treated. Do not use abbreviations.
7. Select the appropriate professional opinion statement regarding the applicant's visual capability to safely operate a motor vehicle. Ensure you check only one option.
8. Complete the additional comments section as needed, providing any further relevant information that may assist in the evaluation.
9. The qualified vision specialist must print their name, classification or specialty, medical or optometry license number, mailing address, contact phone number, contact fax number, authorize their signature, and date the form.
10. Once all fields are filled, users can save changes to the form. The form can be downloaded, printed, or shared according to their needs.

Complete your WY FSDI-914 form online today.