Motor Vehicle Administration 6601 Ritchie Highway, N.E. Glen Burnie, Maryland 21062DL043A (1213)Vision Screening Form This form may be used to record: MVAs vision screening results, if the screening.
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How to fill out the MD DL-043A online
The MD DL-043A is a vital vision screening form required for individuals seeking to obtain or renew their driver's license in Maryland. This guide provides comprehensive, step-by-step instructions on how to fill out the form accurately and efficiently online.
Follow the steps to complete the MD DL-043A form online.
- Click ‘Get Form’ button to obtain the form and open it in the online editor.
- Begin by entering the individual's full name and Maryland driver’s license number in the specified fields.
- Provide the vision specialist’s examination results for both the right and left eyes, ensuring to include acuity both with and without lenses as required.
- Fill out the exam date in the designated area to indicate when the vision examination took place.
- Complete the field of vision section by entering the degrees as specified, ensuring the numbers correlate with the vision specialist's report.
- Respond to the three questions regarding corrective lenses, continuous field of vision requirements, and any optical or medical reasons that could prevent granting a license. Select 'Yes' or 'No' as appropriate.
- Have the ophthalmologist or optometrist sign the form, providing their printed name, date, address, phone number, and license state/number.
- Once all sections are completed, review the form for accuracy. You can then save any changes, download a copy, print the form for submission, or share it as needed.
Complete the MD DL-043A form online today for a smooth licensing process.
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