Get Wi Mv3644 2018-2026

The Wisconsin MV3644 form is a crucial document for individuals undergoing a medical examination related to their driving eligibility. Completing this form accurately ensures that the Department of Transportation has the necessary information to assess your medical fitness to drive.

Follow the steps to complete the WI MV3644 online.

1. Press the 'Get Form' button to access the online version of the MV3644 form.
2. Begin by entering your personal information in the 'Applicant Name', 'Driver License Number', 'Street Address', 'City, State ZIP Code', and 'Date Report Issued' fields. Make sure to double-check for accuracy to avoid any processing delays.
3. In the 'Telephone Number' and 'WisDOT Examiner Badge #' sections, provide the required contact details. This information may be used for follow-up questions regarding your application.
4. Specify your 'License Type' by selecting from the available options, such as 'CDL' or 'Operator'. If applicable, indicate other types of licenses relevant to your situation.
5. In the 'Reason for Referral' section, provide a thorough narrative summary of your medical condition. This should include relevant details that will assist the medical review process.
6. For the 'HEALTH CARE PROFESSIONAL' section, ensure that your healthcare provider completes all pertinent sections related to your health, as this information is critical for the licensing decision.
7. Complete Sections A to G, making sure all required Yes/No questions are answered truthfully and thoroughly. Provide any necessary explanations where prompted.
8. Review the entire form for completeness and accuracy. Ensure all signatures and professional license numbers are correctly entered before submitting.
9. Once finalized, save your changes, download a copy of the completed form, and print it if necessary. You can then share, email, or fax it to the appropriate department.

Complete your documents online to streamline your medical examination process.