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CERTIFICATE OF VISION - oregon.gov

CERTIFICATE OF VISION . (ORS ). The medical information in this report is confidential and will be used by the Driver and Motor Vehicle Services (DMV). only to determine the qualifications of the person to operate motor vehicles. INSTRUCTIONS TO APPLICANT: 1. Take this CERTIFICATE to the licensed VISION specialist (optometrist or ophthalmologist) of your choice and have a VISION examination. 2. After the VISION specialist conducts the examination, dispenses new prescription lenses if necessary, and completes the CERTIFICATE : z Return completed form to a local DMV office, or z FAX (503) 945-5329 or mail completed form to DMV Driver Safety Unit, 1905 Lana Ave NE, Salem, OR 97314. z For Valid With Previous Photo License, return completed VISION form along with your application in the enclosed envelope.

Applicant's vision meets the eyesight standard stated in OAR 735-062-0050 (Refer to standards on Page 2): without corrective lenses with corrective lenses CERTIFICATE OF VISION (ORS 807.090) 735-24 (7-17) STK# 300007 INSTRUCTIONS TO APPLICANT: 1. Take this certificate to the licensed vision specialist (optometrist or ophthalmologist) of your choice and have a vision

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