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Get Pa Dl-102 2015-2025
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How to fill out the PA DL-102 online
The PA DL-102 form, officially known as the report of eye examination, is a required document to evaluate the vision capabilities of a driver. This guide provides a user-friendly approach to help you accurately complete the form online without any confusion.
Follow the steps to fill out the PA DL-102 effectively
- Click ‘Get Form’ button to obtain the form and open it in your browser.
- Begin by filling in the patient information, including the driver's license number, height, and date of birth. Ensure that the individual’s last name, first name, telephone number, and e-mail address (if applicable) are entered correctly. Include the full street address, ensuring that it cannot be solely a P.O. Box.
- Indicate if the individual is a Commercial Driver's License (CDL) driver by selecting 'Yes' or 'No'. This is essential for appropriate evaluation.
- Next, proceed to Section 1, where you will confirm the individual's visual acuity. Mark the appropriate box to reflect whether combined vision is 20/40 or better with or without correction, or poorer vision as specified in the options.
- Answer the following questions about the individual's vision capabilities, including whether their combined field of vision meets the necessary requirements and if corrective lenses are needed. Provide the uncorrected and corrected vision measurements for each eye as indicated on the form.
- Move to Section 2 if the individual is a school bus driver. Answer the specific questions related to distant visual acuity, combined field of vision, and color recognition capabilities. Ensure all required checkboxes are filled accurately.
- Complete the health care provider's information section at the bottom of the form by entering the provider's name, specialty, license number, and contact details. This is crucial for the verification of the examination results.
- Finally, the health care provider must sign and date the form, confirming that all information provided is true and accurate. This signature is important for the form's validity.
Complete your documents online today for a seamless experience!
Driving with one eye in Pennsylvania is permissible as long as you can demonstrate adequate vision in the remaining eye. You may need to complete a vision test and report your vision status using the PA DL-102 form to the DMV. It's important to stay informed on updated policies and be honest about your abilities to ensure safety for yourself and others.
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