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How to use or fill out Medical Assessment Certificate - Fitness to Drive (Form M107A)

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Applicant details' section. Enter your family name, given names, date of birth, and residential address. Ensure all information is accurate.
In the 'Licence details' section, circle the classes of vehicles you are currently authorized to drive or wish to apply for. Include your driver's licence/permit number and its expiry date.
Provide information regarding any medical conditions or medications in the 'Applicant has declared that' section. This is crucial for assessing your fitness to drive.
The health professional will complete the 'Assessment of Fitness to Drive' section. Ensure they answer all questions thoroughly, including clinical findings and recommendations.
Review all sections for completeness and accuracy before submitting the form via email or post as instructed.

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See more Medical Assessment Certificate - Fitness to Drive (Form M107A). Medical Assessment Certificate - Fitness to Drive (Form M107A) versions

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Versions	Form popularity	Fillable & printable
2020	4.2 Satisfied (33 Votes)
2016	4.9 Satisfied (55 Votes)
2014	4 Satisfied (45 Votes)

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Why does my license say disqualified?

A denied status is a result of the driver not meeting the requirements during the application. Drivers are disqualified if they do not maintain their license requirements. Medical issues are often the reason for losing commercial status.

How to get license back after suspension in Washington?

How to Reinstate Your Drivers License. Once your license suspension period is up, you can reinstate your license by supplying the court with a SR-22 Financial Responsibility Form and paying a $75 fee. There may be additional licensing fees youll need to pay as well.

How do I get my licence back after disqualification WA?

Cancellation of licence means that your licence is no longer valid, even once a disqualification has finished. In order to be able to drive again, you need to apply for a new licence. You can find our more about the process of applying for a new licence from the Department of Transport website.

Is disqualification the same as suspension?

Disqualification of your licence is different to suspension. Disqualification is imposed by the court, and you need to reapply for a driver licence at the end of the disqualification period.

What happens after you get disqualified?

A court can disqualify you from driving and your licence will be cancelled. If a court disqualifies you from driving, you cannot drive until the period of disqualification ends. If your licence is cancelled youll need to apply for a new licence.

m106a form

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