Get Ut Dld 134 2015-2026
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How to fill out the UT DLD 134 online
The UT DLD 134 form is essential for individuals who need to provide a medical assessment related to their ability to safely operate a motor vehicle. This guide will help you navigate the process of completing the form online with clear, step-by-step instructions.
Follow the steps to complete your UT DLD 134 form online.
- Click 'Get Form' button to access the UT DLD 134 and open it in the digital editor. This will allow you to fill out the necessary fields electronically.
- In the top portion of the form, input your last name, first name, and middle or maiden name. Then, enter your date of birth and your driver license or DPC number.
- Read the authorization statement carefully and ensure you understand it. By signing the form, you allow your healthcare professionals to disclose relevant health information to the Utah Driver License Division.
- Provide your signature in the designated area and add the date of signing. It is important to sign the form, as it will not be processed without your signature.
- Move to the bottom portion of the form, where a healthcare professional will complete an assessment of your medical condition. They will indicate the safety assessment level by marking the appropriate box and providing their initials.
- The healthcare professional should complete any relevant categories related to your health conditions. They must also provide recommended restrictions, if applicable.
- Once the healthcare professional has filled out their section, they must sign the form, provide their printed name, degree, state license number, and contact details.
- After the form is fully completed, you can save changes, download a copy, print it, or share it as needed. Ensure that the form is submitted within the required timeframe.
Complete your UT DLD 134 form online today to ensure your driving privileges are accurately assessed.
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When visiting the Utah Driver's License Division (UT DLD 134), you will need to bring several key documents. These include proof of your identity, proof of residency, and your Social Security number. Acceptable forms of ID may include a birth certificate or passport, along with utility bills or bank statements to confirm your address. Bringing all necessary documents will ensure a smooth process.
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