Section 603 of Quebec's Highway Safety Code lets a health professional report to the SAAQ the name, address and state of health of a person aged 14 or older whom they consider unfit to drive. This one-page form is that report: it identifies the patient and the professional and describes the illness, impairment, limitations and severity behind the opinion. The SAAQ then decides whether to ask for more information or suspend the licence.
The reporting professional completes the whole form and checks their profession: physician, optometrist, psychologist, occupational therapist or nurse; there is no patient signature.
Download the current version from the source each time; forms change without notice.
Declaration of Unfitness to Drive a Motor Vehicle
Déclaration d'inaptitude à conduire un véhicule routier
If your copy of the form is a fillable PDF, upload it once and Vero Documents fills it from the visit note and the chart, ready for you to review and sign. Download, print, or email the finished form, with the patient’s consent.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms change without notice, so download the current version from the official page before you fill it in.
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Under section 603 of the Highway Safety Code, a health professional may, within their field of practice, report a person aged 14 or older whom they consider unfit to drive. The form lists physicians, optometrists, psychologists, occupational therapists and nurses, and the law authorizes them to disclose information learned in their practice.
Not always. The SAAQ's FAQ says the information received is often not enough to decide, so it asks for more details. Except where there is clear danger, it must give 20 days' notice before a suspension takes effect; a person who has had a seizure, for example, may be suspended immediately.
Section 605 of the Highway Safety Code, printed on the form, states that no action in damages may be brought against a health care professional for having used section 603. The SAAQ's FAQ describes this protection as covering reports made in good faith by the designated health professionals.