NYS DMV Vision Test Form
Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
NYS Driver License#
*Test can be performed only with NY state driver license
Eye Glasses or Contact Lenses
Please Select
YES
NO
Can't perform test if you wear dark colored eye glasses (corrective lenses)
Submit
Should be Empty: