Iowa DOT asks for this vision report when a driver fails vision screening or must file a vision report at renewal. A vision specialist reports the driver's visual acuity and conditions under Iowa Administrative Code 761-604.6, and Driver & Identification Services uses it in licensing decisions. It is hosted as an online form that can be filled in, then printed or e-signed.
A vision specialist, an optometrist or ophthalmologist, completes the vision findings and signs. The online form supports typed, drawn or uploaded e-signatures.
Download the current version from the source each time; forms change without notice.
Drivers Visual Acuity Report
This form is completed online with Iowa Department of Transportation, Driver & Identification Services, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
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 and their requirements change without notice, so check the official page for the current version before you complete one.
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Open the Drivers Visual Acuity Report on Iowa DOT's GovOS forms site, enter the findings, and either print the populated document or sign it electronically using a typed, drawn or uploaded signature. The completed report goes back to Iowa DOT Driver & Identification Services.
When the driver fails vision screening, or when DOT has placed a medical or vision report requirement on the license. That requirement appears as a restriction on the back of the license, and DOT mails the form about a month before the completed report is due.