Consent for the Release of Confidential Information (Form #DC-088) This form is used to provide the MVA with the names of all doctors, hospitals, alcohol/drugs clinics and other programs where you have received treatment.
Treatment Provider's Report (Form #DC-118) This form is to be completed by your treatment provider (hospital, alcohol or drug clinic) and is used as an aid in determining your qualifications to drive.
Physician/Health Care Provider Report (Form #DC-119) This form is to be completed by your physician/health care provider and is used as an aid in determining the qualifications of an individual to drive.
Health Questionnaire (Form #DC-001) This form is used to provide a comprehensive medical history regarding your medical status as it related to driving.
Alcohol & Drug Use Questionnaire (Form #DC-001A) This form is used to provide a detailed alcohol/drug use history.
Physician Referral – (Form #DC-220) This form is to be completed by a physician/health care provider to report concerns about medical fitness to drive.
Business Services Forms | Commercial Driver Licensing Forms | Driver Licensing Forms | Driver Record Forms | Insurance Compliance Forms | Miscellaneous Forms | Motorcycle Safety Forms | Vehicle Registration Forms | Formularios en Español