Peace Officer Vision Verification Form for Surgery - California ... - cdcr ca 2026

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The document is a vision verification form for candidates applying for Peace Officer positions with the California Department of Corrections and Rehabilitation (CDCR). It outlines the requirements for visual acuity, including uncorrected and corrected vision standards, and provides authorization for medical information release. The form also includes instructions for optometrists or ophthalmologists to evaluate the candidate's vision and details on corrective measures if necessary. Additionally, it addresses color vision testing and emphasizes the candidate's responsibility for associated costs.

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Click ‘Get Form’ to open the Peace Officer Vision Verification Form in the editor.
Begin by entering your personal information in the designated fields, including your name, address, and Social Security Number (SSN). Ensure accuracy as this information is crucial for processing.
Select your classification by circling one of the options provided (CO, YCO, YCC, MTA, or OTHER). This helps categorize your application correctly.
In the 'Authorization to Release Information' section, read carefully and provide your signature and date. This authorizes medical professionals to share your vision records with CDCR.
If you are an optometrist or ophthalmologist filling out the form, complete the visual acuity assessment sections accurately. Indicate both uncorrected and corrected vision levels as required.
Finally, ensure that all sections are filled out completely before saving and sending the form. Use our platform’s features to easily export or share the completed document with CDCR.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What will disqualify you from being a correctional officer in California?

Per Government Code Section 1029, any person convicted of a felony is disqualified from being employed as a peace officer if: (1) You have been convicted of a felony in California or any other state; (2) you have been convicted of any offense in any other state which would have been a felony if committed in California;

Can I be a corrections officer with one eye?

Vision correctable to at least 20/30, glasses/hard lenses minimum 20/100 uncorrected - No minimum uncorrected visual acuity for soft lenses (subject to State of California P.O.S.T. requirements). Valid California Drivers License. Valid photo ID to take the written exam.

What is the minimum vision to pass the vision test?

DMV Visual Acuity (Vision) Screening Standard required for a DL: 20/40 with both eyes together. 20/40 in one eye and at least 20/70 in the other eye.

What is the score on a vision test that is required to pass?

With correction, about 75% of adults have 20/20 vision. In most states, you need 20/40 vision or better for an unrestricted drivers license. People are legally blind if their vision with glasses or contacts is 20/200 or worse.

What is the 20 40 row vision test?

In this case, the first number (20) represents the distance in feet at which the individuals vision was tested, and the second number (40) represents the distance at which a person with clear vision can read the same line on an eye chart.

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What is the vision test for CDCR?

Minimum Visual Acuity Requirements Correctional Officer Correctional Counselor I Parole Agent I Must be 20/20 in each eye or corrected to 20/20 in each eye. If you are 20/60 uncorrected in each eye or better, you are permitted to use glasses and/or contact lenses to correct your vision.

Are CDCR officers peace officers?

Vision: Must have at least 20/30 vision with or without correction. If only one eye is present or functional, the examining health care practitioner shall determine if an applicant can safely perform the physical ability test, the firearms component, and the self-defense component at the training center.