All requests for driver ability review must be submitted on State Form 54750. The form must be completed in its entirety, then submitted to the Driver Ability Department via one of the following options:

In order to ensure timely processing, be sure to fill out the form completely and to include any payment or additional documentation necessary for processing. You may not need to submit any of the following forms to get a license, permit, or identification card. General License, Permit, and Identification Card Forms

Request for a driving ability review form for individuals needing evaluation of their driving skills.

BMV Home Driver's Record, Title & Lien and Registration Search License / ID ValIDate Parking Ticket / Tollway Vehicle Single Record PurchaseState of Indiana

If you do not find the form on the agency’s website, you can search the State Forms Online Catalog (http://forms.in.gov/) provided by the Indiana Archives and Records Administration (IARA). Instructions for using the Catalog can be found in the Forms Catalog How-To (https://www.in.gov/iara/files/Forms_Catalog_How-to.pdf).

State Form 42070, the Application for Disability Parking, must be signed by your physician, properly filled out, and turned in to the BMV. After obtaining your placard or permit, you will be able to park legally in any blue-marked parking spot …

You can fill out the form called “Request for Driving Ability Review” and send it to the BMV (click here for the form) at the address on the form. Indiana law (IC-9-24-10-7) requires the BMV to investigate the allegation and take appropriate action.

Forms.IN.gov provides citizens and employees of the State of Indiana a common access point to download electronic forms belonging to State Government agencies. To read/print PDF forms, you must have the free Adobe Acrobat Reader installed.

Should you have any questions regarding this form, please contact a Driver Review Representative at 307-777-4839. Mail to: Wyoming Department of Transportation (WYDOT) Driver Services - Driver Review Section 5300 Bishop Boulevard, Cheyenne, WY 82009-3340

The document is a Pre Employment Medical Questionnaire for applicants to Hampshire County Council. It collects personal and medical information to assess the applicant's fitness for the job, including questions about past illnesses, disabilities, and current health conditions.