AGENCY: Department of Public Safety. Driver License Division

SERIES: 27306
TITLE: Medical and visual statement files
DATES: 1978-
ARRANGEMENT: Database, thereunder numerical by driver's license number.

DESCRIPTION: This series contains the Functional Ability Evaluation medical forms and the Certificates of Vision sent by health care professionals evaluating their patients' functional ability to drive. All driver license applicants must complete a health questionnaire as part of the licensing process. If significant health problems that have been known to affect driving safety are identified, applicants are required to take the medical and/or visual statement forms to their health care professionals. Based on the completed forms submitted by the driver's health care professional, the Driver License Division may issue a license with or without limitations or deny a license when acceptable medical or vision standards are not met. Information includes names, birth dates, addresses, contact numbers, health conditions, and health care providers' names and places of business.


Retain for 16 year(s)




Retention and disposition for this series is proposed and has not yet been approved.


Paper: Retain in Office until imaged and quality checked and then destroy.

Computer data files: Retain in Office for 16 years and then delete.


Administrative Legal

These records document the administration and management of the functional ability evaluation program. The records also have legal value as they are required by Utah Code 53-3-303 (2010).


Private. Utah Code 63G-2-302(1)(b,j) and (2)(d) (2022)