Get Ny 619 2020-2025

Completing the NY 619 form is an essential step for users renewing their driver license in New York. This comprehensive guide will walk you through the necessary steps to ensure accurate and efficient submission of the form online.

Follow the steps to successfully complete the NY 619 form.

1. Press the ‘Get Form’ button to access the NY 619 form and open it for editing.
2. Enter the patient’s name exactly as it appears on their driver license. Include the last name, first name, and middle initial.
3. Provide the patient's date of birth in the format MM/DD/YY.
4. Indicate the patient’s sex by selecting either 'Male' or 'Female'.
5. Fill in the patient’s street address, including city, state, and zip code. If applicable, include the apartment number.
6. Record the date of examination in the specified MM/DD/YY format.
7. Answer whether the patient achieved a Snellen Test score of 20/40 or better with one or both eyes by selecting 'YES' or 'NO'.
8. Indicate if corrective lenses were worn during the test by selecting 'YES' or 'NO'. If 'NO', be sure to complete form MV-80L.
9. Input the name and title of the provider conducting the examination.
10. Provide the provider’s street address, including city, state, and zip code.
11. Select the validity period of the report, either '12 months' or '6 months' from the date of examination.
12. The provider must sign the report to confirm they have accurately reported the examination findings.
13. Finally, include the provider’s professional license number.
14. Once all fields are complete, save changes, download, or print the NY 619 form as needed.

Begin completing your NY 619 form online today to streamline your license renewal process.