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Indiana state form 56520

Indiana state form 56520: Fill out and sign online 2025

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The document is a vision screening form (State Form 56520) required by the Indiana Bureau of Motor Vehicles for credential applicants. It must be completed by both the applicant and a licensed Ophthalmologist or Optometrist, certifying the applicant's vision acuity. The form is valid for one year from the exam date and is necessary for license renewal or issuance, with specific conditions for applicants with certain vision impairments.

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How to use or fill out Indiana state form 56520: Fill out and sign online

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Click ‘Get Form’ to open it in the editor.
Begin with Section A, where you will enter your personal information. Fill in your name, date of birth, and driver's license number. Ensure all details are accurate.
Indicate whether you require glasses or contacts by selecting 'Yes' or 'No'.
Sign the authorization statement to allow the release of your information to the Indiana Bureau of Motor Vehicles.
In Section B, provide this form to your Ophthalmologist or Optometrist for completion. They will fill in the vision acuity readings for each eye and sign the document.
Ensure that both sections are completed before submitting the form at a local license branch during renewal or new issuance transactions.

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