Report of Vision Examination (DL 62) - California

REPORT OF VISION EXAMINATION SECTION 1 — APPLICANT COMPLETES THIS SECTION INSTRUCTIONS: Please complete the driver license number, date of birth, telephone number, name, and address areas of this form. You must sign and date the authorization line. All medical information received by the Department of Motor Vehicles (DMV) is confidential under


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Report of Vision Examination (DL 62) - California
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