Form MV351 template
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Re-Examination Request Form
A request form is submitted to the Division of Motor Vehicles for a driver re-examination. The individual named in the form, along with their date of birth, address, license number, city, state, and zip code are provided. The reason for the request states that the individual's ability to safely operate a motor vehicle on the highways of Delaware is being questioned. Detailed specific information regarding this reason is requested. An optional field asks if the individual has been treated at a medical facility and if so, where. The form is requested to be signed by both the reporting officer and troop commander or police chief.
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