Form 449 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the DRIVER/CARRIER INFORMATION section. Enter your first and last name, date of birth, address, and client/license ID number. Ensure all fields are completed accurately.
  3. Proceed to the HEALTH HISTORY section. Carefully review each question regarding your medical history and select 'Yes' or 'No' as applicable. If you answer 'Yes' to any question, provide additional details in the space provided.
  4. List all medications you are currently taking in the designated area. If more space is needed, attach a separate document using our platform's attachment feature.
  5. Complete the TESTING sections (3 through 8) as required by the medical examiner. This includes vision, blood pressure, hearing tests, and other evaluations.
  6. Finally, ensure that both you and the medical examiner sign where indicated before submitting the form.

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2019 4.8 Satisfied (113 Votes)
2015 4.2 Satisfied (64 Votes)
2011 4.9 Satisfied (29 Votes)
2010 4.8 Satisfied (35 Votes)
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Related Documents MV-82TON: Application for Title (PDF) English. MV-82.1: Instructions for Vehicle Registration/Title Application (PDF) English. MV-82: Vehicle Registration/Title Application (PDF) English.
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During your DUI evaluation, you can expect to go through interviews and assessments to ensure that you dont have any addictions or come up with a solution if it is found that you do. Feel free to contact us with any inquiries about our substance abuse counseling and treatment programs.

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