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Do not mail this form back to DMV unless directed to do so by a DMV employee.

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If you have problems with Acrobat Reader or our PDF form, select PDF Troubleshooting.The applicant takes this form to an opthamologist or optometrist.The vision specialist will perform a vision examination to determine the applicant's ability to safely operate a motor vehicle.The applicant must complete the top portion of the DL 62 report form, including signing and dating the authorization line.The applicant may complete the top portion of the DL 62 on-line and print the form for the vision specialist who will provide applicable information in the remaining sections of the form.It is the applicant's responsibility to return the completed form to DMV.