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Kentucky Transportation Cabinet (KYTC) – Department of Vehicle Regulation, Medical Review Board fax number
(844) 503-4111
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Medical Review Board
Used for: Reporting a driver with a physical or mental impairment; medical review and potential appeals related to licensing (e.g., vision impairment cases).
Fax destination details
- Department
- Medical Review Board
- Purpose
- Reporting a driver with a physical or mental impairment; medical review and potential appeals related to licensing (e.g., vision impairment cases).
- Form
- TC 94-182 — Medical Review Affidavit
- Address
- 200 Mero Street, Frankfort, KY 40622
- Voice phone
- 502-564-1257
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
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Notarized; at least two citizens must attest that the driver is incapable of safely operating a motor vehicle under 601 KAR 13:090; document may be released to the driver or their representative upon request.
Official form instructions are published as a downloadable file on the organization's website.
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