When a Georgia driver can drive safely with adaptations, their healthcare provider uses this one-page form to tell DDS which devices or restrictions are needed. Options include hand controls, left accelerator, left and right exterior mirrors, automatic transmission, power brakes or steering, no highway, daylight only, corrective or bioptic lenses and prosthetic aids, with a reason for each.
The driver completes the Driver/Patient Section and signs. A healthcare provider, such as a physician or occupational therapist, selects the devices and restrictions, explains them, and adds name, license number or specialty, contact details and signature.
Download the current version from the source each time; forms change without notice.
Mechanical Aid Form
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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Yes. The form's instructions name the healthcare provider as, for example, a physician or occupational therapist. The provider selects the devices or restrictions, explains the reason, signs, and submits the form directly to the DDS Medical Review Unit by fax or email.
Once DDS receives a properly completed form, the driver gets a letter to take to a Customer Service Center of their choice so the devices or restrictions can be applied to the license. A driving evaluation by a certified driver rehabilitation specialist may inform the provider's recommendations.