Form DLD134 Functional Ability Evaluation Medical Report - Utah

What Is Form DLD134?

This is a legal form that was released by the Utah Department of Public Safety - a government authority operating within Utah. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Form DLD134?
A: Form DLD134 is a Functional Ability Evaluation Medical Report used in Utah.

Q: What is the purpose of the Form DLD134?
A: The purpose of the Form DLD134 is to assess a person's functional abilities for driving.

Q: Who uses the Form DLD134?
A: The Form DLD134 is used by medical professionals and the Utah Department of Motor Vehicles.

Q: What information does the Form DLD134 collect?
A: The Form DLD134 collects information about a person's physical and mental health, medications, and any limitations they may have.

Q: Why is the Form DLD134 important for driving?
A: The Form DLD134 helps determine if a person's physical or mental health condition may affect their ability to drive safely.

Q: How can I obtain a Form DLD134?
A: You can obtain a Form DLD134 from a medical professional or the Utah Department of Motor Vehicles.

Q: Are there any fees associated with the Form DLD134?
A: The fees associated with the Form DLD134 may vary, so it is best to check with the Utah Department of Motor Vehicles for the most up-to-date information.

Q: What should I do if I have concerns about my ability to drive?
A: If you have concerns about your ability to drive, it is important to consult with a medical professional who can assess your functional abilities and provide guidance.

Q: Can my driving privileges be affected based on the Form DLD134?
A: Yes, the information provided on the Form DLD134 can be used by the Utah Department of Motor Vehicles to determine the status of your driving privileges.

Q: How often should the Form DLD134 be completed?
A: The frequency of completing the Form DLD134 may vary depending on individual circumstances. It is best to consult with a medical professional or the Utah Department of Motor Vehicles for guidance.

Q: Can I appeal a decision made based on the Form DLD134?
A: Yes, if you disagree with a decision made based on the Form DLD134, you have the right to appeal and request a re-evaluation of your driving abilities.

Q: Does the Form DLD134 guarantee the renewal or issuance of a driver's license?
A: No, the Form DLD134 does not guarantee the renewal or issuance of a driver's license. It is used as part of the assessment process to determine if a person meets the necessary criteria for safe driving.

Q: Can I provide additional documentation along with the Form DLD134?
A: Yes, you can provide additional documentation from medical professionals or specialists that support your functional abilities and overall fitness to drive.

Q: What should I do if my health condition changes after submitting the Form DLD134?
A: If your health condition changes after submitting the Form DLD134, it is important to notify the Utah Department of Motor Vehicles and consult with a medical professional for an updated assessment.

Q: Is the information on the Form DLD134 confidential?
A: Yes, the information on the Form DLD134 is confidential and protected by privacy laws.

Q: Can I request a copy of the Form DLD134?
A: Yes, you can request a copy of the Form DLD134 from the Utah Department of Motor Vehicles.

Q: How long is the Form DLD134 valid for?
A: The validity of the Form DLD134 may vary depending on individual circumstances. It is best to consult with the Utah Department of Motor Vehicles for specific information.

Q: Are there any consequences for providing false information on the Form DLD134?
A: Yes, providing false information on the Form DLD134 may result in legal consequences.

Q: What if I need accommodations for completing the Form DLD134?
A: If you need accommodations for completing the Form DLD134, you should contact the Utah Department of Motor Vehicles to discuss your needs.

Q: Can I update or amend the information on the Form DLD134?
A: Yes, if there are changes or updates to your medical information, you should notify the Utah Department of Motor Vehicles and provide the necessary documentation.

Q: What if I disagree with the findings on the Form DLD134?
A: If you disagree with the findings on the Form DLD134, it is best to consult with a medical professional and consider seeking a second opinion.

Q: Can I use the Form DLD134 for disability or insurance purposes?
A: The Form DLD134 is primarily used for assessing driving abilities. For disability or insurance purposes, you may need additional forms or evaluations.

Q: Is the Form DLD134 specific to Utah?
A: Yes, the Form DLD134 is specific to Utah. Other states may have their own forms and processes for assessing driving abilities.