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Get Missouri Driver Condition Report

174 WEB SITE: www.dor.mo.gov DRIVER CONDITION REPORT 4319 (REV 04-2010) Please complete the Driver Condition Report if you have personal knowledge about a driver you believe is no longer able to safely operate a motor vehicle. You should report only your firsthand knowledge of the driver. You should complete the entire form and sign your name on the reverse side. After reviewing this report, the Director of Revenue may require the driver to take certain tests such as a medical, vision or driv.

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