WisDOT requires this vision report when a driver's eyesight needs review for licensing, sometimes on a regular schedule. The specialist records Snellen acuity with and without correction, temporal field in degrees, progressive eye conditions and color recognition, then recommends restrictions and a possible DMV driving evaluation. The report is advisory; the Secretary of Transportation makes the licensing decision.
The applicant fills in identifying details and the license applied for. An MD, DO, OD, PA-C or APNP completes the specialist section and signs, noting whether they reviewed an attached Driver Condition or Behavior Report (MV3141).
Download the current version from the source each time; forms change without notice.
Certificate of Vision Examination by Competent Authority
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Under Wisconsin statutes and Trans 112.02, the certificate must be signed by an MD, DO, optometrist (OD), PA-C or APNP. The specialist checks their credential, gives a license number and patient exam date, and signs. Recommendations are advisory to WisDOT's licensing decision.
It depends on the driver. The form tells applicants they may be required to file vision reports on a regular basis and that WisDOT will send the form when one is due. The specialist also notes any progressive eye condition by eye (OD, OS or OU).