Section Saf-C 1004.05 - Visual Acuity Failure(a) Each applicant who fails to meet the standards set forth in Saf-C 1004.02 shall be required to complete a visual examination conducted by an eye doctor of the applicant's choosing.(b) After conducting a visual examination pursuant to (a) above, the applicant's eye doctor shall complete form DSMV 61 (rev. 12/22), documenting the eye doctor's determination of the applicant's visual acuity.(c) The eye doctor shall sign Part B of the form and by signing shall certify the fact that the applicant was fitted with new corrective lenses and the date on which the fitting occurred.(d) The eye doctor shall sign Part C of the form and by signing shall certify: (1) "I hereby certify that I am familiar with the present medical condition of [applicant], who is an applicant for a New Hampshire driver license. I further certify that said applicant is both physically and mentally capable of safety operating a motor vehicle upon all public highways WITHOUT RESTRICTION, other than the use of corrective lenses. I have read the notice and reprinted segment of SAF-C 1004.08. I understand that this certification and recommendation will be used in determining the applicant's eligibility to receive a driver license. I have read the foregoing statement, and all of the information contained therein is, to the best of my knowledge, true and accurate. I recommend that the Director of Motor Vehicles issue an UNRESTRICTED driver license, other than the use of corrective lenses"; or(2) "I hereby certify that I am familiar with the present medical condition of [applicant], who is an applicant for a New Hampshire driver license. I further certify that said applicant is both physically and mentally capable of safely operating a motor vehicle upon all public highways. RESTRICTED TO OPERATION DURING DAYLIGHT HOURS ONLY (one half hour before sunrise to one half hour after sunset). The use of corrective lenses is required. I have read the notice and reprinted segment of SAF-C 1004.08. I understand that this certification and recommendation will be used in determining the applicant's eligibility to receive a driver license. I have read the foregoing statement, and all of the information contained therein is, to the best of my knowledge, true and accurate. I recommend that the Director of Motor Vehicles issue a driver license RESTRICTED TO OPERATION DURING DAYLIGHT HOURS ONLY (one half hour before sunrise to one half hour after sunset). The use of corrective lenses is required."(e) The applicant shall sign and submit the completed form DSMV 61, Parts A and B, to the division, within 30 days after it is completed by the eye doctor conducting the examination.(f) The applicant shall sign the form DSMV 61 to indicate consent to the release of all information contained in the form to the division.N.H. Admin. Code § Saf-C 1004.05
#2077, eff 7-4-82; ss #2801, eff 8-3-84; ss by #4647, eff 7-19-89, EXPIRED: 7-19-95
New. #6069, INTERIM, eff 7-28-95, EXPIRES: 11-25-95; ss by #6120, eff 11-22-95, EXPIRED: 11-22-03
New. #7995, INTERIM, eff 12-2-03, EXPIRED: 5-30-04
New. #8109, eff 6-24-04; ss by #10176, eff 8-23-12
Amended by Number 32, Filed August 10, 2023, Proposed by #13685, Effective 8/5/2023, Expires 8/5/2033 (see Revision Note at chapter heading for Saf-C 1000).