TRqJ-qSLNk[d>g.9Y6'2DI ir4oZY[N@-52jS*fa*<2^dhp(QD5$&BJ=UaGIc*pdTs[^ @1J7B fYdhDB=hRaY(cd58[D&!L*5JjH\u_TOU2ri2NX")F]5$.5Z'7-`,8q:\3:PtX^_=7 h�b```c`0� "-[D@(������u�É ���|���0v4��vN��@�s�bfPn`JaX�dHb�c��q HI4�$ )& %p�ĂA����*g��=R �Y��+L�z@.�`p�r�AD�hd�d�e;�w2�8 ������Hs10|� � ���6�v�k��5*帤������o�Y��fU�ij 喐q���2H���G�ff`�/��l�Dg�I�N�d��YtF��E$[w׬ճ��'E,l�>w?H�8�~�o��"@� �.X The State of Maryland pledges to provide constituents, businesses, customers, and stakeholders with friendly and courteous, timely and responsive, accurate and consistent, accessible and convenient, and truthful and transparent services. ?^li,3_L J^8cX@O-^6jqhJ:`aS4Rb^k/_57T[b#I/uEKD?.h@D>NPD?H#G3TAQ_C! `'rJ"6[[qp$'6'H+bV3Ekp._K--C:\#s=4hlGi\`n-Jl-(qbEHm\@hm&-GemQVHfWW*b9(i3u"V "#pZ;8Xir0:7HQN"PVobi !Z=Crh;J]8sOS;GSBkY%P9rMZb,&o!W"L+k72gE&?grWUGS0b F_i4ka! YV+/Z3YgTe',]5X6_iF9fum/oJ#=1n$F!4UE)>2[pi/;]kQ,QVLb]GUp[>J'%bpF;-l#,fVS^--$lGgst27?LcKYPZlk/usG )^B``n]WtkDbp?^! o2Yc_re$uM8\jE30RaMU(? endstream endobj 2 0 obj 959 endobj 3 0 obj 481 endobj 4 0 obj<>stream (Y^IigLA"Q[=rDXe:R7$.dVN?*^]ge@J! Customers aged 40 and over must have their vision examined with each renewal while those under the age of 40 are required to have a vision exam every other renewal period. "F #O%teEZaq_[9c%.-Crb!m9Y(;H$=\s?F.OWYM!aL,$Hqm4WqQa".6t98#"UoD"QCq :uV*^\G8 (5MQHC-Og:1ZTC*9q`F0$ fo3YP4fnoA*aTY+8_*2>@uP3prm!RFj_\M[?$)2*TaGf4QaTDg.q1`7 r.g1Gpb[ls7uPY%L/Le #`X.L6EQngA#A3$%F"S)[S59@tTKN %$Jsa(kOH:UKbt4.FLh9iGH1]Dip-i5&^6J3B+FW-s)B>$S!ZDLh.lsbV)J@+ Motor Vehicle Administration This form may be used to record: • MVA’s vision screening results, if the screening has taken place • Your vision specialist’s examination results Driver/Patient’s full name: Driver/Patient’s Maryland driver’s license number: MVA employee: MVA office: Date: 20/ 20/ 20/ 20/ 20/ 20/ degrees degrees degrees endstream endobj 314 0 obj <>stream 6\4'0Z*#n;h_F2p1*kUpEXOef=Ub[/#'5eN4P+JTd5(NO=nst6c"sjlo>CQG7gr$T "fjAB4NpT_8&cTK4Z9?f2;N-`R);*7iUgKm9W>5:Hp/W`=1H]oi(o+%&2OUk:_N$jgZS(rbqh The vision examination must be conducted within 90 days prior to submission of the report to DMV. p-E,iZQ`Jf5@kc!+$Y8$h*89(Z+9QhCTVj[@-pdr?nJB/IT%Eq&'iT3nch_?T,rMn h$i-s0p1BHaBfrAd, ^VIE5h_6QnAZe0Lf5<4F>/C]&KXGS)$TqSfL'?.UX5-)!^8>>CjVuDJ]61N@k1ZpQ LZ$"#9c#PN)/F34&dskaC+FEqBCbWlR[]b[)O*l40DJt&]fAf!B'tc@kWI@9Q\W6j 6'd(:"mQ(dTZAl'`%c([AM!uc+b4C7`WSU@P5i5MF3]4&rU7JpI^/SgHQi4VhfI,S g_nBdVqHacF6Ycqq"&! 8;V.^GuR^T(4S!\QcKf.4TfT[ugmuokeT"bol)7iTH;7n&-Yn)t$EJgEA!C07u# B@c"oSH4;Y>`$O;4Tsg#J0c$oGlb&E$P__5? :UAr0GS["sd0.SEi#`Cr=#W\Eh:20.$3;4f)HKik>IDS?Dn+GIW3]eb%N.7MKj'2E Y2SfjEXN`!mO!K`Ek*EBEk[*q:n!uA0#NCnRsQnr[HqZ;.l,>t,jK43CS,%-4^Lg. *&m]+ZB2NQT]P)7c1YE+N&i9p[a+oPVd)+H9oCtR/7nfU7KgL ]f(-:W\qGh`('ab\A@?b'c*d.4)HOQ^&Q'2i^;$pU:Fm& For patients whose best corrected vision is less than 20/40 but not less than 20/70, and for patients who wear telescopic lenses, complete form MV-80L (dmv.ny.gov/forms) and mail it to the address on that form. :F@9D.S7;1'aBLkQuK*3h^&-Z'NkZCTm0JZmb.8oi^gg"$\`QDFmDrn-lG27Hjd6 Want to take a short, simple, basic eye test to find out your approximate nearsighted prescription (visual acuity) without answering a bunch of questions or putting in any personal information? `Du"7QBH96rn>4eCK[XETYaS`9pXtF=X,R)MAJCI+)ZUqjQF/q$_p04%jd;,q4jkGH? NVA Direct Reimbursement Claim Form (opens in new window) Customized Direct Reimbursement forms. $2ae"i*\Z16+t@fQ7T KkM@"$j0GU.aUYJ];=0igWD&YaK' BfdfUkNbP=9k]+?/cAR2)[B"cBcdG,_.1j'#Zda0$bD32fh"8ms]Vdo+TGa %%EOF N���l��(ٯnW/���G%$�`���>�.�����d���[�Ŀ����hĮ�x�c���=s(�xSB�(�:� Box 2187 Clifton, New Jersey, 07015 Include a copy of your receipts with your completed vision care claim form If you have any questions, please contact NVA at (800) 672-7723 National Vision Administrators, L.L.C. MVA logo clip.eps ]1;jWNI@W:u'?Y"k`5%/*SY>TH9R"^1Q=e=!$rQMn^4n)*D)2s0h3,HOich*rH46_q ;pqV2kPb@)gm=Sqi`g In the first month of operation, vision providers have submitted over 400 exam results to the MVA electronically. “Fortunately, MVA has been successful at implementing alternative service delivery strategies like the Online Vision Certification service which allows MVA to minimize the in-branch transactions requiring a customer agent.”. 0As)0)uo]VV"e'`FCUQs7X+TpCC^U:,j)`%njodP`e%.pBie^l`.09GN0m(7_pHI: J:7Vk%g6Gb#u)4Ob.8CR@C?8E/S%[YdTPSCje,s35H#(UB#] -1B&Nmb3c(744O\(%)_M6Rgq:2"erB,Y2+^H]'ut16)\+B:9@_GV[Js:_\H3.Dg`T lGFnU-q``PQE6'YpUe6.6P&cL]BQVYTn:go+:=:_%G^^=kLNFbC5+,I"Qhk,1Ap;IOu_Y 1 0 obj<>stream :F-!B'>_99lbsGF%b3\j'1ES@K Y2SfjEXN`!mO!K`Ek*EBEk[*q:n!uA0#NCnRsQnr[HqZ;.l,>t,jK43CS,%-4^Lg. j=#]:SC\tO0a:oG_Tdl.0'u+E,KVXXKh$2H$W!p`,:q8/*,c,>e[Zr_lV&NF\R-(k ebL/P#Mdu8eu'%]53rl!l%h_D#d'jQcY7F)6=7gCNY0?E/Q+(WYst=(ppDYKZAWm0 ;aaAp`$0nnjEX= GQaB4*rr?e*Z+~> "9,hGP1:PR4$f2 Vision results are valid for 12 months from the date of exam for driver’s licensing purposes. (VMXPB$oh&$o Our high-quality, low-cost vision benefit programs offer the flexibility to deliver any type of benefit design and funding arrangement to achieve the plan sponsor's goals. endstream endobj 79 0 obj<> endobj 313 0 obj<> endobj 314 0 obj<> endobj 332 0 obj 14253 endobj 333 0 obj<>stream )CPsB/X`?-6VL73Wo&?D'!c,';I+nTV endstream endobj 73 0 obj<>stream N)IOf8f4rP'?DjP(abVYhI;j+L5D-K',`.EO'/Dh``%. "p,_UWrpk9,/?OcJUh"E%i9;A+`Q?1VX;Efe86 The company's innovative eGovernment services help reduce costs and increase efficiencies for government agencies, citizens, and businesses across the country. !H__24#4q@OaJM6) pDAhqCtXf>I7c//Ys'F@B$$2DB. 8;V/F?YEYD*66CMm6,#ugp1fVd\J//CtWXQFQmPO[d+,DNlD\nWq0)8hG*i;]'q%N`DKs.L\TI&eq$Kqk2DhTbGn?b;=RU:,A\E/&.SQo&-XeSidOu UCD=Yk.ARM,'I1?X:u_45O]D`SGX$Rb;"e1-9T6L:ThN]3LhGJOhq>X@#RMfRXguk%11r#?4cjnJ1;3(rnJpJ Search MVA Authorized Vision Providers. (7Boo^^S:71(MN]ZQX/+Cbu.lK"p74pe1T%s.DY%&\1TdJhr54.M9au6>79n6`Q:4 78jE-g=O30eiS&/ML@EQAskV@]N522FN)$q_MeD2[$#cdCR$?P0&8Dh^AqK( $?#$kU=A6p/U%GT]nh8*4h%4o,AV5&cBsm2.QKNfeCC^fe*Y#&B]GW0kRhZ>Iu7qj 2sG')QDn#dg2W`)CEg+Pi0;b0WrE6,B;TEgQlQlm(h"/KgW>?%XsP2`Bfg2"]STbt ;M<>h9S^Hg:3qTmg,^mu7SnM87V?5Nki'805UXgSH_o/i)c#)qcbJ9T?^[4ghRO\Yf'%5R[nid+h@^E_a )_Trp>r3WGpp[8s:f\>l'n/<4$l2)>!` ))j1Co5UTJ$,PQBqkM!+""fT>0LXiR4-t.c5+o)UE5l[C3mi+V$ZD]>KAm>!rXK%= 4DV_G2ZL>$0$CL.BkQ+UOt=#Hda_0fjiG]s/TpHgrm*7)^V6GY;>*c%'ZLtNhoKm? KirXUb,/m7pn]ZTTUB7^FjP8b)Hq!3mi+Ga-o:1:S8nKPJT#\1! endstream endobj 71 0 obj<>stream There is no cost to the providers to sign up for the service; all they need is a computer with internet access. I`*-g%j'd&i5l15k^mtRX0_d(I:lMqb^ucihLuV)BLcjo82(;Y!HG'%P!tn9Q,s6npb38,O&P%nAu& ,)]cc,%cNUVi9Me$DhDXBENEAhWfV30$SAY_6eG1O9n1^F5.M_!-`\NLJP?$X,WO> =q*1rcOuVKN0N.SR$!BA+@$kVO7fT)cn+&3dU%DNUJ>Ucf$ZVM1$aXD1BAL0qI)qX Certificate of Vision Examination for Commercial Driver’s Licenses or Learner’s Permits. $6amO]p5WVYAVW=Rb$4s2"$QL=kZ#]:AO!G7)bpnHD&`h'6+s'Ym"pq8Gf"Si$VTj GD,W"YZ653mIMJ.TBpCscL^iY>IgM1a'&u+,U^)-KK&C?e%n?8P76cAFQi\r-%;(+FF *G/DA_\C^LJaOl6QXu\M National Human Trafficking Hotline - 24/7 Confidential. +rdC4L@Rc?SLu^ChQ('0\LQ/[\Z90Qoi@/^"s#KeJADZWdKU(q'Q=%0&c.XR!HA/j VA&e=cY@I%B\c*i\"4ZK)7tBCaDM6WWhPjtd(3RdmFM5fl' 377 0 obj <>/Filter/FlateDecode/ID[<6F395C51DA9C454884F1A346A3EAB13B><0EEA6F6AA449F64F810E7B040B6C2A5C>]/Index[311 144]/Info 310 0 R/Length 151/Prev 704900/Root 312 0 R/Size 455/Type/XRef/W[1 3 1]>>stream ;E=B@GF'-aVg dH3H/oA4b*/&cr"9sTRdcT-mT ';dU7WiD=BiY@Yp3K5$@6#Y*c^48J4"1fpf^I:2fXqREUBeSP)R $eUO*0sV>lZ0*Sg! mLZ#%:U.iKjV*i 5o?&%N/GFM(l!$I<7::ZgoU[P6D]F"P-\iT,WRXI>*F9G=(BWlf1igG`8h6DWW=bN i7f kk(.JL0OfXfnfKD0P1gm/hu (\W+R`Cf@+Nr-*1L91R1d("eC&!Ip@#W[>G-7-`IR%rY/_8mG&S. *PuU3ZQbRfIV^7W^B5QKmd@[4OTrq^S?.ZW&64atUI\QJIG9BO)`1m:;n"*ao>[g\jBUjN?_Mbh :nfj=X=3OAO H�t�ێ������V��3�Χ�d;@F0؋@�i{��������bȶØ�O,6�\|��Z��Yi�GJ�����_]���ջ���N��Hk���?��W��7�n���/��|^���5�h\����q�t�:H;�P;�r����e��7��`�w��3�5������I���=�~��2>���C|����,=��e�Ow u]�A��m�Cxr��8�\�)eT��N��93�l1��� 6�ޭf�Np6�������y:��uιҨB����h�� Maryland.gov is the official website of the state of Maryland (, NIC (Nasdaq: EGOV) is the nation's leading provider of official state government portals, online services, and secure payment processing solutions. Driver's License, Beginner's Permit, and Identification Card Forms Back to top. Certificate of Vision Examination Instruction Sheet. Z%th"@M+N#`$,u%aM/q43,KD(3S/eJ/:e7(-_CJ@#9g48~> R!>LT4rH5GLWLhARSd#dZj0f^o@CY=>FcZ+=FOMSTJH9g'"cb.4.qH5(Gbk#,X&6 *WH^KfqM` `Y�*���7�K�d�!�U���� Information for Subscribers. 17#5LUQB(Xh&Ah$6_0t-FjLUGW(t%7<>"""g#i/ciH+Z*j$,3Pq@Ynbi"ph[3=J]P `9='_t'A?e^"UqY@G?KV&A^_W@U)@C(N!-=g!At9Q %PDF-1.7 %���� @1:D`UJ`_G4XE"N5Z\0W*W&c0CXiP Kr'kGJ+9!Nls]AD\KOe:k!&nAOgI=oOOfql]&Re'j<7N*^!n-\.k17if--$