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Get CO DoR DR 2401 2020-2022

Of this patient and information relayed to me by this individual, I, reasonably and in good faith, believe that is: Patient Name Recommended license restriction(s): Daylight Driving Only No Highway/Freeway Driving Hand Control Mile Radius Only Restricted MPH Steering Device Specialty Cushion Foot Device Automatic Transmission Only Must Choose One Specialty (Required) Fit to operate a motor vehic.

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