Form DLD-98 "Application for Approval to Drive With Bioptic Lenses" - Nevada

What Is Form DLD-98?

This is a legal form that was released by the Nevada Department of Motor Vehicles - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2001;
  • The latest edition provided by the Nevada Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DLD-98 by clicking the link below or browse more documents and templates provided by the Nevada Department of Motor Vehicles.

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Download Form DLD-98 "Application for Approval to Drive With Bioptic Lenses" - Nevada

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555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
Website: www.dmvnv.com
Application For Approval To Drive With Bioptic Lenses
Driver
Name ____________________________________________________________________________
Date of Birth ________________________
Social Security Number ________________________
Mailing Address ______________________________________________________________________
Have you ever been licensed in a state other than Nevada?
Yes
No
If Yes, State? _____________
DL No. ______________________
Exp. Date _____________
Applicant Signature _______________________________________
Date _________________
Licensed Vision Specialist
Static acuity through the telescopic portion of the devise _____________________________________
Right
Left
Both
Best corrected vision through the carrier lens
20 /
20 /
20 /
Field of vision __________ degrees
Is the condition stable or progressive
(circle one)
The following license restrictions are required for drivers who wear bioptic lenses:
Corrective Lenses
Outside mirrors on both sides of vehicle
Daylight driving only
Speed not to exceed 45 m.p.h.
Yearly vision examination
Yearly driving examination
Bioptic telescopic lenses
Do you recommend any additional driving restriction? ________________________________________
Physician’s Signature __________________________________________
Date ____________
For Department Use Only
Yes
No
___________________________
Drive history record checked. State _________
Comments
Vision meets standards
Comments ____________________________________________________
Approved to continue with licensing process
Comments ____________________________________
DMV Representative Signature ________________________________________________
Date ____________
DLD-98 (Revised 12/01)
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada (877) 368-7828
Website: www.dmvnv.com
Application For Approval To Drive With Bioptic Lenses
Driver
Name ____________________________________________________________________________
Date of Birth ________________________
Social Security Number ________________________
Mailing Address ______________________________________________________________________
Have you ever been licensed in a state other than Nevada?
Yes
No
If Yes, State? _____________
DL No. ______________________
Exp. Date _____________
Applicant Signature _______________________________________
Date _________________
Licensed Vision Specialist
Static acuity through the telescopic portion of the devise _____________________________________
Right
Left
Both
Best corrected vision through the carrier lens
20 /
20 /
20 /
Field of vision __________ degrees
Is the condition stable or progressive
(circle one)
The following license restrictions are required for drivers who wear bioptic lenses:
Corrective Lenses
Outside mirrors on both sides of vehicle
Daylight driving only
Speed not to exceed 45 m.p.h.
Yearly vision examination
Yearly driving examination
Bioptic telescopic lenses
Do you recommend any additional driving restriction? ________________________________________
Physician’s Signature __________________________________________
Date ____________
For Department Use Only
Yes
No
___________________________
Drive history record checked. State _________
Comments
Vision meets standards
Comments ____________________________________________________
Approved to continue with licensing process
Comments ____________________________________
DMV Representative Signature ________________________________________________
Date ____________
DLD-98 (Revised 12/01)