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Delaware DMV MV 352: Driver Re-examination Request

Under Title 21, section 2714(c) of the Delaware Code, a licensed practitioner or an immediate family member can ask Delaware DMV to re-examine a person's ability to drive safely on the state's highways. The one-page form takes the driver's name, date of birth, address and license number, and a detailed account of the reason, and the DMV Medical Section handles the request.

Who completes it

The reporting person, who must be a licensed practitioner or an immediate family member, completes the whole form, including name, signature, relationship to the driver and a contact phone number.

Submitting and payment

How to submit it
Mail, fax or email it to the DMV Medical Section, using the contact details on the form.
Who pays
No fee is listed.

Good to know

  • By law the reporter's information is confidential and will not be disclosed unless under court order.
  • Give detailed, specific information about why re-examination is needed rather than a general concern.
  • Delaware ended mandatory medical reporting in August 2024, so this is a voluntary route; clinical findings go on the MV-346 Physician's Findings Form.
  • The current edition is MV 352, revised 10/2024, a flat, non-fillable one-page PDF.

Get the official form

Download the current version from the source each time; forms change without notice.

Driver Re-examination Request - Licensed Practitioner or Immediate Family Member

Official pagePDF

Fill it with Vero

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.

See how Vero Documents works

How this list is checked

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.

Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.

Frequently asked questions

Will the driver find out who requested a Delaware re-examination?

The form states that, by law, the reporting person's information is confidential and will not be disclosed unless under court order. The reporter still has to print their name, sign, give their relationship to the driver and a phone number for follow-up.

Who can file Delaware form MV 352?

Only a licensed practitioner or an immediate family member of the driver, as the form requires. Other concerned people are not listed as eligible on this form. Practitioners who want to share medical findings use the MV-346 Physician's Findings Form.