Ohio Bmv Medical Restriction Form

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BMV Forms and Manuals Digest of Motor Vehicle Laws. The BMV's most downloaded document is only available in Adobe Acrobat Portable Document Format (PDF). Click HERE to download the PDF Reader, or if you already have Adobe Acrobat Reader, use the menu. Exemption from Providing Proof of Completed IRS Form 2290 - State Form 56500 Municipal License Plate Forms Application for New and/or Transferred License Plates for Municipal Corporations and Law Enforcement – State Form 53565. For added security, you may contact your local OH BMV office to flag their record for any suspicious fraudulent activity. You can contact the Ohio Bureau of Motor Vehicles directly at 844-644-6268. Their hours of operation are Monday through Friday 7 a.m. And Saturdays 8 a.m. Chapter 4501:1-1 Driver Licenses. 4501:1-1-01 Examination of license holders competency. The registrar of motor vehicles, upon determination that any person has twelve or more points charged against him or her under section 4510.037 of the Revised Code, and is not subject to the provisions of section 4510.038 of the Revised Code, or, having good cause to believe that the holder of a driver's.

Ohio Forms Library

The Ohio Bureau of Motor Vehicles (BMV) allows you to access a majority of useful forms online, which you can download from the library below.

If you don't see the form you need OR have questions about a specific form, call the OH BMV at (844) 644-6268 OR visit your local BMV office branch.

Looking for a manual? Check out our pages on Ohio driver's handbooks and motorcycle manuals.


Most Requested Forms

BMV 3774
Application for Certificate of Title to a Motor Vehicle
Request an original, duplicate, replacement, memorandum, OR salvage Ohio Certificate of Title for your vehicle.
BMV 4809
Application for Duplicate Registration Card, Transfer, Replacement Plates / Validation Sticker
Request registration transfer, duplicate registration card, OR replacement Ohio license plates.
BMV 4625
Application for Out-of-State Registration by Mail
Mail this form to the Ohio BMV to register your vehicle AND request custom license plates from out-of-state.
BMV 2159
CDL Self-Certification Authorization
Self-certification form for Ohio CDL applicants.
BMV 4834
Health Care Provider Certification of Eligibility for Disability License Plates
Submit this form to the OH Bureau of Motor Vehicles to confirm your eligibility for disability license plates. To be completed by your healthcare provider.
BMV 3724
Odometer Disclosure Statement
Fill out this form to report the amount of miles on a vehicle you plan to transfer the ownership of.
BMV 3346
Organ Donor Register Enrollment
Register to become an OH organ donor.
BMV 3771
Power of Attorney Form
BMV 1173
Record Request
Submit this form to the BMV to request Ohio driver and vehicle records. You may request your own OR someone else's for purposes accepted by law.
BMV 5756
Request for Change of Address
Notify the OH Bureau of Motor Vehicles of a permanent OR temporary change of address.
BMV 4705
Request for Special License Plates
Submit to the BMV to apply for customized OR special Ohio license plates.

Driver's License & ID Forms

Form
BMV 2438
Eligible Adult in Loco Parentis Affidavit
Complete this form if an Ohio instruction permit holder will practice driving with an adult supervisor OTHER than their legal guardian.
BMV 2825
Employer Approval for Probationary Driver License Holders Driving Within Restricted Hours
Submit this form to the Ohio Bureau of Motor Vehicles to drive with a probationary driver license OUTSIDE of restricted hours. For work purposes ONLY.
BMV 5791
Fifty Hour Affidavit
Fill out this form when you have completed 50 hours of supervised driving as part of earning your Ohio drive's license.

Ohio Driver's License Medical Restriction

BMV 2437
Next of Kin/Emergency Contact Enrollment
Add a next of kin/emergency contact to your OH driver's license OR identification card.

Title & Registration Forms

BMV 4806
Application and Affidavit Historic License Plate
Complete this form to register and request license plates for a historical vehicle in OH.
BMV 4826
Application for Disability Placards
Submit this form with the Ohio Bureau of Motor Vehicles to order disability placards. May be used by individuals with disabilities OR organizations transporting disabled persons.
DNR 8460R
Certified Watercraft Registration Application
Use this form to request an original, renewal, OR transferral of Ohio watercraft registration.
BMV 4311
Customer Request to Cancel Vehicle Registration
Submit this form to cancel your vehicle registration with the Ohio BMV.
DNR 8456
Duplicate Registration or Decals Application
Request duplicate OH registration card and/or decals for your boat. Cannot be used on expired registrations.
EPA 3451
E-Check Exemption/Extension Application
Submit this form to request an extension OR exemption from the Ohio vehicle emissions E-Check program
BMV 5736
Registration Information and Authorization to Register
Use this form to grant someone else power of attorney to register your vehicle in OH. Typically used for registering a leased car.

Ticket & Violations Forms

BMV 5008
Notarized Written Consent Release of Personal Information
Submit your written consent for the Ohio BMV to release your personal information to a separate entity (indicated on the form) for reasons allowed by law.

Insurance Forms

BMV 3303
Crash Report
Complete this form if you're in an accident with an uninsured driver in Ohio. Applicable ONLY to crashes involving personal injury and/or significant property damage.

Commercial Forms

BMV 2170
Application for Restricted CDL for Farm Related Service Industries
Apply for a seasonal, restricted Ohio CDL if you plan on driving farming and/or agricultural commercial vehicles for part of the year.

Military Forms

BMV 2070
Application for Skills Test Waiver Military Exception
Waives the Ohio CDL road test for military members who recently drove commercial vehicles during service.

This form is provided by your state's agency/department.

Please select one of the below to continue:

Email the link to this form

Endorsements and restrictions may be placed on a credential (driver's license, learner's permit, or identification card) to designate specific operational authority or restrictions on a driver's authority to operate a motor vehicle.

Endorsements

Endorsement B – Motor Driven Cycle – Class B

A Class – B endorsement is applied to an ID card for the purpose of operating a Motor Driven Cycle – Class B. You must be at least 15 years of age and pass the MDC – Class B knowledge exam to have this endorsement added to your ID card.

Endorsement L – Motorcycle Endorsement

To add a motorcycle endorsement to your Indiana driver's license, you must provide proof of successful completion of a Ride Safe Indiana motorcycle safety training course OR have passed both the motorcycle knowledge exam and the motorcycle skills exam.

Endorsement 2 – For Hire – Non-CMV Only

To add a for-hire endorsement to your Indiana driver's license, you must pass the for-hire knowledge exam or possess a chauffeur's or public passenger chauffeur's license that has not been expired for more than 180 days.

Base license endorsements have no impact on your commercial motor vehicle (CMV) operational authority. These endorsements only authorize additional operational authority on your base driving privileges.

Restrictions

Restriction A – Motor Driven Cycle - Class A

A Class – A restriction is applied to a driver's license with a motorcycle endorsement when the skills examiner indicates on the motorcycle skills exam results that the driver passed the skills exam on a Motor Driven Cycle – Class A.

To remove the restriction, the driver must pass a motorcycle skills exam on a standard motorcycle or complete an approved motorcycle safety course.

Restriction B – Glasses or contact lenses

The driver must wear glasses or contact lenses when driving.

Ohio Bmv Medical Restriction Form

Restriction C – Mechanical Aid (Adaptive Devices)

The restriction C is applied to a learner's permit or driver's license when the driver indicates they are using a mechanical aid (special brakes, hand controls, spinner/steering knob or other adaptive devices) when driving.

Restriction D – Prosthetic Aid

The restriction D is applied to a learner's permit or driver's license when the driver indicates they have a prosthetic aid and they wish to have it appear on their learner's permit or driver's license.

Restriction F – Outside Rearview Mirror

The driver must use an outside rearview mirror when driving.

Ohio bmv medical restriction forms
BMV 2438
Eligible Adult in Loco Parentis Affidavit
Complete this form if an Ohio instruction permit holder will practice driving with an adult supervisor OTHER than their legal guardian.
BMV 2825
Employer Approval for Probationary Driver License Holders Driving Within Restricted Hours
Submit this form to the Ohio Bureau of Motor Vehicles to drive with a probationary driver license OUTSIDE of restricted hours. For work purposes ONLY.
BMV 5791
Fifty Hour Affidavit
Fill out this form when you have completed 50 hours of supervised driving as part of earning your Ohio drive's license.

Ohio Driver's License Medical Restriction

BMV 2437
Next of Kin/Emergency Contact Enrollment
Add a next of kin/emergency contact to your OH driver's license OR identification card.

Title & Registration Forms

BMV 4806
Application and Affidavit Historic License Plate
Complete this form to register and request license plates for a historical vehicle in OH.
BMV 4826
Application for Disability Placards
Submit this form with the Ohio Bureau of Motor Vehicles to order disability placards. May be used by individuals with disabilities OR organizations transporting disabled persons.
DNR 8460R
Certified Watercraft Registration Application
Use this form to request an original, renewal, OR transferral of Ohio watercraft registration.
BMV 4311
Customer Request to Cancel Vehicle Registration
Submit this form to cancel your vehicle registration with the Ohio BMV.
DNR 8456
Duplicate Registration or Decals Application
Request duplicate OH registration card and/or decals for your boat. Cannot be used on expired registrations.
EPA 3451
E-Check Exemption/Extension Application
Submit this form to request an extension OR exemption from the Ohio vehicle emissions E-Check program
BMV 5736
Registration Information and Authorization to Register
Use this form to grant someone else power of attorney to register your vehicle in OH. Typically used for registering a leased car.

Ticket & Violations Forms

BMV 5008
Notarized Written Consent Release of Personal Information
Submit your written consent for the Ohio BMV to release your personal information to a separate entity (indicated on the form) for reasons allowed by law.

Insurance Forms

BMV 3303
Crash Report
Complete this form if you're in an accident with an uninsured driver in Ohio. Applicable ONLY to crashes involving personal injury and/or significant property damage.

Commercial Forms

BMV 2170
Application for Restricted CDL for Farm Related Service Industries
Apply for a seasonal, restricted Ohio CDL if you plan on driving farming and/or agricultural commercial vehicles for part of the year.

Military Forms

BMV 2070
Application for Skills Test Waiver Military Exception
Waives the Ohio CDL road test for military members who recently drove commercial vehicles during service.

This form is provided by your state's agency/department.

Please select one of the below to continue:

Email the link to this form

Endorsements and restrictions may be placed on a credential (driver's license, learner's permit, or identification card) to designate specific operational authority or restrictions on a driver's authority to operate a motor vehicle.

Endorsements

Endorsement B – Motor Driven Cycle – Class B

A Class – B endorsement is applied to an ID card for the purpose of operating a Motor Driven Cycle – Class B. You must be at least 15 years of age and pass the MDC – Class B knowledge exam to have this endorsement added to your ID card.

Endorsement L – Motorcycle Endorsement

To add a motorcycle endorsement to your Indiana driver's license, you must provide proof of successful completion of a Ride Safe Indiana motorcycle safety training course OR have passed both the motorcycle knowledge exam and the motorcycle skills exam.

Endorsement 2 – For Hire – Non-CMV Only

To add a for-hire endorsement to your Indiana driver's license, you must pass the for-hire knowledge exam or possess a chauffeur's or public passenger chauffeur's license that has not been expired for more than 180 days.

Base license endorsements have no impact on your commercial motor vehicle (CMV) operational authority. These endorsements only authorize additional operational authority on your base driving privileges.

Restrictions

Restriction A – Motor Driven Cycle - Class A

A Class – A restriction is applied to a driver's license with a motorcycle endorsement when the skills examiner indicates on the motorcycle skills exam results that the driver passed the skills exam on a Motor Driven Cycle – Class A.

To remove the restriction, the driver must pass a motorcycle skills exam on a standard motorcycle or complete an approved motorcycle safety course.

Restriction B – Glasses or contact lenses

The driver must wear glasses or contact lenses when driving.

Restriction C – Mechanical Aid (Adaptive Devices)

The restriction C is applied to a learner's permit or driver's license when the driver indicates they are using a mechanical aid (special brakes, hand controls, spinner/steering knob or other adaptive devices) when driving.

Restriction D – Prosthetic Aid

The restriction D is applied to a learner's permit or driver's license when the driver indicates they have a prosthetic aid and they wish to have it appear on their learner's permit or driver's license.

Restriction F – Outside Rearview Mirror

The driver must use an outside rearview mirror when driving.

This restriction may only be applied to and removed from learner's permits and driver's licenses based on the results of the vision screening at the time of application.

Restriction G – Daylight Driving Only

The driver may only drive during daylight hours.

This restriction may only be applied to and removed from learner's permits and driver's licenses based on the results of the vision screening at the time of application.

Restriction H – M/C Three Wheel Bike Only

The restriction H is applied to a driver's license with a motorcycle endorsement when the motorcycle skills examiner indicates on the motorcycle skills exam results that the examination was passed on a three wheel motorcycle.

To remove the restriction, the driver must pass a motorcycle skills exam or complete an approved motorcycle safety course on a standard motorcycle.

Restriction J – Other

A restriction J is applied to a driver's license when the license holder has specific restrictions to their driving privileges based on driving ability or BMV recommendation. A driver may be required to meet one or more of the following restrictions:

  • Accompanying Driver
  • Annual Drive Skills Exam
  • Annual Medical Review
  • Automatic Transmission
  • Biennial Vision Screening
  • Bioptic Lenses/Annual Skills Exam or Annual Vision Screening
  • Fender Mount Spot Mirrors
  • For Training Purposes Only
  • Less Than 5, 10, or 20 Miles From Home
  • Must Stay Compliant With Medication
  • No Interstate or Highway Driving
  • Power Steering
  • Training Purposes/Night Evaluation

Learner's permit holders must follow all current state laws regarding the ages and number of vehicle occupants, when practice driving can begin, and time of day driving restrictions.

Restriction S – M/C with Side Car Only

The restriction S is applied to a driver's license with a motorcycle endorsement when the motorcycle skills examiner indicates on the motorcycle skills exam result that the examination was passed on a motorcycle with a side car.

Ohio Bmv Medical Restriction Form

To remove the restriction, the driver must pass a motorcycle skills exam or complete an approved motorcycle safety course on a standard motorcycle.

Restriction 2 – Habitual Traffic Violator (HTV) Conditional

A Restriction 2 indicates that the driver is subject to alcohol (chemical) testing if requested by a law enforcement officer, while operating a motor vehicle. In addition, the driver must not operate a motor vehicle with a blood alcohol content of .02 or more. At the time of the application for a credential, the driver will be required to sign an affidavit acknowledging his/her obligation to submit to blood alcohol testing.

Restriction 3 – Photo Exempt

This restriction may be placed on a driver's license or learner's permit when a customer requests a photo-exempt driver's license or learner's permit due to religious or medical reasons.

This restriction is placed on an identification card when a customer requests a photo-exempt identification card due to religious reasons only.

To remove the exemption, the driver must visit a BMV branch and have his or her photo taken for a new driver's license, learner's permit, or identification card.

Ohio Bmv Medical Suspension

Restriction 5 – Conditional

This restriction is applied to a driver's license when driving privileges are restricted to the parameters of a court order granting specialized driving privileges. If specialized driving privileges are granted by a court, an effective SR22 is required to be on file with the BMV for the duration of the specialized driving privileges. A copy of the court order granting specialized driving privileges must be carried in the vehicle being operated by the person with a Restriction 5. The driver must produce a copy of the court order granting specialized driving privileges upon request of a law enforcement officer. The driver must also carry a validly issued driver's license with a Restriction 5.

After the restriction expires, the driver may apply for an amended or renewed credential to have the restriction removed.

Restriction 6 – Ignition Interlock Device

A court can require an ignition interlock device for a driver convicted of operating a motor vehicle while intoxicated or in lieu of a suspension when there is probable cause to believe a driver was operating a vehicle while intoxicated prior to conviction. The restriction remains in place for the period determined by the court or Indiana law. After expiration, the restriction will automatically be removed from the driver's record when the driver applies for an amended or renewed driver's license.

Restriction 7 – Seat Belt Exempt

An individual must bring to a BMV branch a physician's statement indicating that he or she should be exempt from wearing a seat belt. The statement must be on the physician's office letterhead or prescription form. A new doctor's statement is required each time the credential is renewed.

To remove the restriction, the individual must visit a BMV branch and state that he or she is no longer exempt from wearing a seat belt. An amended credential will be issued without the restriction. If the individual is renewing a credential and does not provide a physician's statement indicating that he or she is seat belt exempt, the restriction will be removed.

Restriction 8 – Medical Condition

This restriction is added to a learner's permit or driver's license to indicate that a driver takes medication in order to control seizures or fainting spells, or that the driver has an existing medical condition which may cause him or her to appear intoxicated. The driver must present a Physician's Certificate of Medical Impairment – State Form 50018 at the time of application. The form must be completed by a licensed physician within 30 days prior to the learner's permit or driver's license application. The driver must carry a copy of the physician's certificate when driving any motor vehicle.

To remove the restriction, the driver must present a Physician's Certificate of Medical Impairment – State Form 50018, completed by a license physician, stating that the medical condition no longer exists.

** CDL holders with a restriction 8 also require an additional CDL Medical Exemption.

Ohio Bmv Medical Restriction Forms

Restriction 9 – Temporary Lawful Resident

Ohio Bmv U1 Medical Restriction

This restriction indicates that the holder of a credential has temporary lawful status in the United States. Before obtaining a secure credential, the individual must present documents proving his or her identity and lawful status.





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