One Vermont DMV medical form covers several purposes: a license or permit application, a new or updated medical condition, a Type II school bus endorsement, and disabled parking placard or plate eligibility. The medical examiner records conditions and the exam date, attests to disability for parking, gives an opinion on fitness to drive and progress reports, and signs the certificate. Incomplete evaluations are returned.
The applicant completes Section A. The medical examiner completes Sections B, D and E for licensing and school bus purposes, and every section including C for disabled parking placards or plates.
Download the current version from the source each time; forms change without notice.
Universal Medical Evaluation/Progress Report
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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It depends on the purpose. A licensed physician signs for general licensing, and a physician assistant may sign if co-signed by a physician. For school bus medicals, a physician, physician assistant or nurse practitioner may sign. For disabled parking placards or plates, a physician, certified physician assistant or licensed APRN may sign.
Section B requires the date of exam, and it must be within the last six months to be acceptable. The examiner also records how many years the patient has been under their care and checks conditions such as arthritis, diabetes, seizures, COPD, spinal injury, psychiatric disorder or amputation.
Yes, a placard application (VD-120) requires a VS-113 unless one is on file within 4 years, and the examiner completes every section including Section C. Section C attests that the applicant has an irreversible visual impairment or an irreversible ambulatory disability within the meaning of 23 VSA 304a.