PA DOT Form DL-102. Report of Eye Examination

The Form DL-102, also known as the Report of Eye Examination, is a document provided by the Pennsylvania Department of Transportation (PennDOT) for individuals who are applying for or renewing their driver's license. This form serves as a record of the eye examination conducted by a licensed optometrist or ophthalmologist.

The purpose of the Form DL-102 is to ensure that drivers meet the required vision standards for safe driving. It is used to assess an individual's visual acuity, depth perception, color recognition, and peripheral vision. By completing this form, the medical professional provides valuable information about the applicant's visual capabilities.

The Form DL-102 consists of several important fields that need to be accurately filled out. These include personal information such as the applicant's name, date of birth, and driver's license number. Additionally, the form requires specific details regarding the eye examination, such as the testing methods employed and the results obtained. The medical professional must also provide their contact information, certification credentials, and signature to verify the accuracy of the report.

It is crucial for applicants to ensure the accuracy and completeness of the information provided on Form DL-102. Inaccurate or incomplete information may result in delays or rejection of the driver's license application. Applicants should carefully review the form before submission to avoid any errors.

Application Example: An individual who is applying for a driver's license renewal in Pennsylvania must obtain an eye examination from a licensed optometrist or ophthalmologist. The completed Form DL-102 serves as proof that the necessary examination has been conducted and the applicant meets the vision requirements.

Related and Alternative Forms: An alternative form related to the Form DL-102 is the Form DL-102 DS, which stands for "Report of Eye Examination - Click Here to Submit Online." This digital version of the form provides applicants with the convenience of submitting their eye examination report electronically. The content and purpose of both forms are the same, but the method of submission differs.