DL 546 is the Health Questionnaire that the California DMV uses to collect an applicant's answers about vision, hearing, physical, medical and substance-related conditions that can affect driving. The applicant completes it, and it is not for commercial licensing requirements. On this page you can fill out the DL 546 form online on FillingPDF and download or print the completed PDF. The original form is published by the DMV on its forms page.
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What is DL 546?
Form DL 546, Health Questionnaire, is a California DMV form on which an applicant answers Yes or No to 14 health questions and explains any Yes answer, so the DMV can judge medical qualifications for a license.
The form has two sections. Section 1 collects the applicant's true full name, date of birth, driver license number, address and daytime phone. Section 2 asks about color recognition, side vision, hearing, vision correctable to 20/40, missing or impaired limbs, insulin-treated diabetes, heart and cardiovascular conditions, respiratory conditions, high blood pressure, rheumatic or other diseases, mental or psychiatric disorders, epilepsy or lapses of consciousness, controlled or habit-forming drugs, and a clinical diagnosis of alcoholism. Several questions carry follow-up questions about the last three years or about interference with safe driving.
Below the questions, the form has a space to explain Yes answers, a block for the physician's name, date of last visit, office address and phone, and a certification under penalty of perjury under the laws of the State of California. The same certification gives consent to release medical information by the named physician.
The form states that it must not be used for Commercial Licensing Requirements. The block marked DMV USE ONLY, including the DMV examiner's signature, ID number, office and date, is for the DMV.
Who needs to file DL 546?
The applicant completes Form DL 546 personally; the form states "The applicant completes this form." You answer for yourself, using your own true full name and driver license number, and you sign the certification as the driver.
You are asked to submit a completed health questionnaire every two years.
Do not use this form for Commercial Licensing Requirements. The form says so at the top.
If you are not sure how to answer a specific question, the instructions tell you to contact your physician for assistance. Where you answer Yes to a question, you name your physician in the lower section and consent to the release of medical information by that physician, because a Yes answer to any question may require the DMV to contact your physician about your medical qualifications before it can issue you a license.
The form does not describe any representative signing for the applicant; the signature line reads "Driver's Signature".
When to file DL 546
Submit a completed health questionnaire every two years, as the instructions on Form DL 546 state. The form prints no separate due date and no list of license transactions that trigger it.
Answer honestly before you sign: a Yes answer to any question may require the DMV to contact your physician about your medical qualifications before the DMV can issue you a license. For that reason, have your physician's name, date of last visit, office address and phone number ready when you begin.
How to fill out DL 546
Enter your personal details
In Section 1, enter your true full name, date of birth and driver license number. Then add your address, city, state, ZIP code and daytime phone.
Answer the vision and hearing questions
Check Yes or No for questions 1 through 4: color recognition of traffic signals, side vision under 70° in either eye, hearing a forced whispered voice at five feet, and vision not correctable to 20/40 or better.
Answer the limb questions
For question 5, answer 5a (missing foot, leg, hand, finger or arm), 5b (impairment of a hand or finger) and 5c (other impairment of an arm, foot, leg or other limitation).
Answer the diabetes and heart questions
Question 6 asks about diabetes requiring insulin; if Yes, answer 6a and 6b about the last three years. Question 7 asks about heart and cardiovascular conditions, with a follow-up about symptoms in the last three years.
Answer the respiratory and blood pressure questions
Question 8 covers respiratory conditions and asks whether yours is likely to interfere with safe driving. Question 9 covers high blood pressure and asks whether it is usually 140/90 or higher.
Answer the disease and mental health questions
Questions 10 and 11 cover rheumatic, arthritic, orthopedic, muscular, neuromuscular or vascular disease, and mental, nervous, organic or functional disease or psychiatric disorder. Answer each follow-up about interference with driving.
Answer the epilepsy, drug and alcohol questions
Question 12 covers epilepsy and lapses of consciousness. Question 13 covers controlled or habit-forming drugs, with 13a on prescription and 13b on a doctor's advice not to drive. Question 14 asks about a clinical diagnosis of alcoholism and, if Yes, the date of your last drink.
Explain every Yes answer
Use the EXPLAIN ANY "YES" ANSWERS HERE space, or another piece of paper, to explain each Yes answer.
Add your physician's information
Print your physician's name, date of last visit, office address and phone number in the physician block.
Sign, date and download the PDF
Sign and date the certification as the driver; it is made under penalty of perjury and consents to the release of medical information by your physician. Leave the DMV examiner block blank, check your answers, then download or print the completed PDF from FillingPDF.
How to submit DL 546
Form DL 546 prints no mailing address, online portal or appointment rule of its own. It is a DMV form: the lower right block, marked DMV USE ONLY, is for the DMV examiner's signature, ID number, office and date, so the DMV staff complete that part.
Before you hand in or send the form, check that Section 1 is filled in, every question is marked Yes or No, any Yes answer is explained, and you have signed and dated the certification. For where and how the DMV accepts the completed questionnaire, check the DMV forms page at https://www.dmv.ca.gov/portal/forms/ or ask the DMV office handling your license.
FillingPDF lets you fill out and download the PDF; submission follows the DMV's channels.
Common mistakes to avoid
- Using Form DL 546 for Commercial Licensing Requirements; the form says not to.
- Checking Yes to a question and leaving the EXPLAIN ANY "YES" ANSWERS HERE space empty. Yes answers must be explained on the form or on another piece of paper.
- Skipping the follow-up questions, such as 6a and 6b on diabetes, 13a and 13b on drugs, or the "If yes" questions under 7 through 12 and 14.
- Leaving the physician's name, date of last visit, office address and phone blank after a Yes answer, when the DMV may need to contact your physician.
- Guessing at an answer instead of contacting your physician when you are not sure how to answer a question.
- Submitting the form without the driver's signature and date under the penalty-of-perjury certification.
- Writing in the DMV USE ONLY or DMV examiner block, which is for the DMV.
- Forgetting that a completed health questionnaire is to be submitted every two years.
Frequently asked questions
What is DL 546?
DL 546 is the California DMV Health Questionnaire. The applicant checks Yes or No to 14 health questions, explains any Yes answer, names a physician and signs a certification under penalty of perjury.
Can I use DL 546 for a commercial license?
No. The form states at the top that it must not be used for Commercial Licensing Requirements. Use it only for the non-commercial purpose the DMV directs you to, and ask the DMV which form applies to a commercial license.
How often do I need to submit a health questionnaire?
Every two years. The instructions on Form DL 546 say you must submit a completed health questionnaire every two years. The form prints no other schedule or due date.
What happens if I answer Yes to a question on DL 546?
You explain each Yes answer on the form or on another piece of paper. A Yes answer to any question may require the DMV to contact your physician about your medical qualifications before the DMV can issue you a license.
Can I fill out the DL 546 form online?
You can fill out the DL 546 PDF online on FillingPDF and download or print it. FillingPDF is independent of the DMV and does not submit the form; you hand it in through the DMV's own channels.
Who signs Form DL 546?
The driver signs and dates the certification at the bottom, which is made under penalty of perjury under California law. The DMV examiner's signature, ID number, office and date are in a separate DMV USE block.
What if I am not sure how to answer a question?
Contact your physician for assistance, as the form's instructions say. Your physician's name, date of last visit, office address and phone number also go in the physician block.
Where do I turn in Form DL 546?
The form prints no address or portal. It includes a DMV examiner block for DMV staff, so check the DMV forms page or ask the DMV office handling your license how it accepts the completed questionnaire.
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