Visual Examination Report – Fillable PDF for Washington State Drivers

The Visual Examination Report is a mandatory medical form used by the Washington State Department of Licensing (DOL) to verify that a driver meets the vision standards required for a valid driver’s license. Historically, drivers had to print, fill out by hand, and mail the form, but with Formize’s fillable PDF you can complete it online in minutes.

What Is the Visual Examination Report?

This form collects essential information about a driver’s visual acuity, field of vision, and any corrective lenses required. A licensed physician, optometrist, or ophthalmologist must sign the report, confirming that the driver meets the state’s vision requirements.

Why Use a Fillable PDF Form?

• Fast & secure: No printing or scanning required.
• Auto‑save: Your progress is saved as you type.
• Built‑in validation: Prevents missing or incorrect entries.
• Direct submission: Download the completed PDF and upload it to the DOL portal or attach it to an email.

Step‑by‑Step Guide to Completing the Report

Follow the simple steps below to finish the Visual Examination Report using Formize’s PDF filler.

Common Mistakes to Avoid

• Leaving the physician’s signature section blank.
• Entering vision numbers without the required units (e.g., 20/40 instead of 20/40).
• Submitting an outdated form version – always use the latest PDF provided below.

Where to Submit Your Completed Form

After you download the filled PDF, you can:

• Upload it directly to the Washington DOL online portal.
• Mail it to the address listed on the form.
• Bring a printed copy to your nearest licensing office.

Need help? Review the FAQs below or contact your eye‑care professional for clarification.