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This version of the form is not currently in use and is provided for reference only. Download this version of
Form DOT-H2058
for the current year.
Form DOT-H2058 Medical Report - Hawaii
What Is Form DOT-H2058?
This is a legal form that was released by the Hawaii Department of Transportation - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form DOT-H2058?
A: Form DOT-H2058 is a medical report specifically used in the state of Hawaii.
Q: Who needs to complete Form DOT-H2058?
A: Form DOT-H2058 needs to be completed by a licensed medical professional.
Q: What is the purpose of Form DOT-H2058?
A: The purpose of Form DOT-H2058 is to provide a medical assessment of an individual's fitness to operate a motor vehicle.
Q: What information is required on Form DOT-H2058?
A: Form DOT-H2058 requires the medical professional to provide the patient's personal information, medical history, and any relevant diagnoses or conditions.
Form Details:
- Released on September 30, 2019;
- The latest edition provided by the Hawaii Department of Transportation;
- 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 fillable version of Form DOT-H2058 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Transportation.
Download Form DOT-H2058 Medical Report - Hawaii
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