Static Visual Field Defect Exceptional Cases Checklist

Download the DVA checklist used when a Northern Ireland licence applicant has a static visual field defect.

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Form explained

What is the Visual Field Checklist form?

This checklist is used where DVA considers whether an applicant with a static visual field defect may meet exceptional-case criteria.

Who needs it?

When is Visual Field Checklist used?

It is intended for relevant licence applicants and requires information from a doctor or optician.

Completing the form

How to complete Visual Field Checklist.

The applicant completes personal details and the doctor or optician completes the medical criteria section.

Before you start

What should you prepare?

Take the form to the appropriate eye-care or medical professional if DVA has asked you to use it.

Important

Before submitting the form.

The form does not guarantee licence entitlement; it supplies information for DVA to consider.

Check the instructions contained within the PDF before submitting an application, particularly where fees, supporting evidence or postal details are involved.

Download Visual Field Checklist PDF

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