Mass RMV - License Surrender Affidavit for Medical Reasons

Form License Surrender Affidavit for Medical Reasons serves as an affidavit to voluntarily surrender a driver's license due to medical reasons. This form is used when a person's medical condition prevents them from safely operating a motor vehicle, and they choose to surrender their license for safety reasons.

This form is important for individuals who have a medical condition that affects their ability to drive safely and who want to formally surrender their license to ensure their safety and the safety of others on the road.

Form Structure

This affidavit involves the individual surrendering the license, a medical professional (such as a doctor or medical specialist), and the Massachusetts RMV. The form typically includes sections for personal information, medical information, and the signature of both the individual and the medical professional.

How to Fill Out and Submit the Form

Filling out this affidavit requires providing accurate personal and medical information, as well as the signatures of both the individual and the medical professional. The completed affidavit is typically submitted to the Massachusetts RMV for processing. Accuracy in providing medical details and ensuring proper signatures is crucial for proper processing.

An analogous form could be the "Medical Evaluation Request Form," which is used to request a medical evaluation of a person's fitness to drive based on medical conditions.