PA DOT Form DL-131 DS. Cognitive Impairment Form

Form DL-131 DS is a cognitive impairment form used by the Pennsylvania Department of Transportation (PennDOT) to assess an individual's cognitive abilities related to safe driving. This form is typically used when there are concerns about an individual's cognitive function and its impact on their ability to drive safely.

The form consists of sections where relevant parties, such as healthcare professionals or family members, can provide their observations and assessments of the individual's cognitive abilities. It may include questions or prompts related to memory, attention, judgment, problem-solving, and other cognitive functions essential for safe driving.

The completed form is submitted to PennDOT for evaluation, and the information provided helps determine whether the individual meets the cognitive requirements for maintaining their driver's license. Depending on the assessment results, further actions, such as license restrictions or medical evaluations, may be recommended.

Application Example: Healthcare professionals or concerned individuals who suspect that an individual may have cognitive impairments that affect their driving ability can use this form to provide relevant observations and assessments. The completed form is submitted to PennDOT for evaluation and assists in determining the individual's fitness to drive safely.

Related Forms: There may not be direct alternatives to Form DL-131 DS, as it specifically addresses cognitive impairment assessment for driving in Pennsylvania. However, other forms related to medical evaluations, driver's license renewals, or restrictions due to medical conditions may exist within the Pennsylvania Department of Transportation.