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Form HSMV72419 Medical / Re-exam Referral Form - Florida
What Is Form HSMV72419?
This is a legal form that was released by the Florida Department of Highway Safety and Motor Vehicles - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form HSMV72419?
A: The Form HSMV72419 is a Medical/Re-exam Referral Form in Florida.
Q: What is the purpose of Form HSMV72419?
A: The purpose of Form HSMV72419 is to refer an individual for a medical or re-exam in Florida.
Q: Who needs to use Form HSMV72419?
A: Form HSMV72419 is used by the Florida Department of Highway Safety and Motor Vehicles to refer individuals who may require a medical or re-exam.
Q: What information is required on Form HSMV72419?
A: Form HSMV72419 requires the individual's personal information, driver license number, and the reason for the referral.
Q: What happens after submitting Form HSMV72419?
A: After submitting Form HSMV72419, the individual may be required to undergo a medical examination or a re-examination of their driving skills, depending on the reason for the referral.
Q: Is there a fee for submitting Form HSMV72419?
A: There may be a fee associated with the medical or re-exam that is required after submitting Form HSMV72419. The fee will vary depending on the type of exam.
Q: Is the information on Form HSMV72419 confidential?
A: Yes, the information provided on Form HSMV72419 is confidential and will only be used for the purpose of the medical or re-exam referral.
Q: Can I appeal a referral made on Form HSMV72419?
A: Yes, individuals have the right to appeal a referral made on Form HSMV72419. Instructions for the appeal process will be provided by the Florida Department of Highway Safety and Motor Vehicles.
Form Details:
- Released on July 1, 2018;
- The latest edition provided by the Florida Department of Highway Safety and Motor Vehicles;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form HSMV72419 by clicking the link below or browse more documents and templates provided by the Florida Department of Highway Safety and Motor Vehicles.
