Form TC 94-202, Driver Vision Testing Certification, is the Kentucky Transportation Cabinet (KYTC) form that records the result of a vision examination for a person applying for an initial instruction permit, an initial operator's license, renewal or reinstatement. A Vision Specialist or a KYTC Credentialed Medical Specialist completes the examination sections, and the applicant completes Section 1. On this page you can fill out the TC 94-202 form online on FillingPDF and download or print the completed PDF; the form itself is published by the KYTC Division of Driver Licensing at transportation.ky.gov.
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What is TC 94-202?
Driver Vision Testing Certification (Form TC 94-202) is the Kentucky Transportation Cabinet form used to report a vision examination conducted before a person applies for an initial instruction permit, an initial operator's license, renewal or reinstatement.
The form is issued by the Division of Driver Licensing, Department of Vehicle Regulation. A Vision Specialist or a KYTC Credentialed Medical Specialist completes it after any examination requested under KRS 186.577 and 601 KAR 12:120.
It has four sections: Section 1, driver/applicant information and the applicant's attestation; Section 2, the results of the examination, marked PASS or FAIL; Section 3, the examiner's certification and reporting details; and Section 4, the applicant's appeal of a denial of renewal or reinstatement.
The standard it records is stated on the form. A person whose better eye has visual acuity of 20/40 or better, a horizontal visual field of at least thirty (30) degrees to the left and right of fixation and a vertical visual field of at least twenty-five (25) degrees above and below fixation is eligible to test. A person referred to a Vision Specialist after a failed initial screening is eligible with visual acuity of 20/60 or better in the better eye, if the visual field standard is met. Anyone who meets the standards only with corrective lenses has driving privileges restricted to require them.
The form is an alternative to a vision screening: the applicant may instead be screened at a Driver Licensing Regional Office (renewal or reinstatement) or by the Kentucky State Police (initial operator's license or initial instruction permit).
Who needs to file TC 94-202?
The main users are Vision Specialists and KYTC Credentialed Medical Specialists, who complete Sections 2 and 3 after examining an applicant. The applicant completes Section 1 and receives the original form.
- Vision Specialist: an optometrist licensed under KRS Chapter 320 or its out-of-state equivalent, or an ophthalmologist who is a medical or osteopathic physician specializing in eye and vision care and licensed under KRS Chapter 311 or its out-of-state equivalent.
- KYTC Credentialed Medical Specialist: an osteopath, physician or advanced practice registered nurse credentialed by the Division of Driver Licensing to perform vision testing under KRS 186.577 and 601 KAR 12:120. This examiner who does not pass an applicant refers the applicant to a Vision Specialist.
- Applicants: persons applying for an initial instruction permit, an initial operator's license, renewal or reinstatement who choose to document their vision with an examination. A completed copy from a passing examination makes the applicant eligible.
The form says an applicant may complete a vision screening at a Driver Licensing Regional Office or with the Kentucky State Police instead. An applicant denied eligibility by a Vision Specialist may use Section 4 to appeal.
When to file TC 94-202
The form is completed after the vision examination, and the examiner's Section 3 records the date of the examination. It is valid only if signed and completed less than twelve (12) months before the date of application or renewal, so an older form cannot be used.
A Vision Specialist or Credentialed Medical Specialist who finds that the applicant's visual acuity or visual field does not meet the standards must submit the form directly to the Division of Driver Licensing. An applicant who passes keeps the original and may submit a copy to be eligible.
An applicant who wants to appeal a denial made by a Vision Specialist must deliver a copy of the completed form within twenty (20) days of the date of the examination. The form prints no other deadline.
How to fill out TC 94-202
Enter the applicant's name
In Section 1, print or type the applicant's name in the LAST, FIRST and MIDDLE spaces.
Add license or SSN and birthdate
Enter the DRIVER LICENSE NO. or SSN and the applicant's BIRTHDATE.
Enter the applicant's address
Complete the ADDRESS, CITY, STATE and ZIP spaces in Section 1.
Sign the applicant attestation
The applicant signs and dates the statement that the information is accurate and that the examining professionals may release the form and results to the Kentucky Transportation Cabinet.
Mark PASS or FAIL
In Section 2, the examiner marks PASS if the applicant meets or exceeds the visual acuity and visual field standards, or FAIL if not.
Note lenses or referral
If the applicant passes only with corrective lenses, mark the restriction box. A KYTC Credentialed Medical Specialist who has referred the applicant to a Vision Specialist marks the referral statement.
Identify the examiner in Section 3
Mark whether you are a Vision Specialist or a KYTC Credentialed Medical Specialist, then enter the Medical/Optometry Lic. No. and State, or the KYTC Credential No.
Enter the date of examination
Write the Date of Examination. The form is valid only if signed and completed less than twelve (12) months before the application or renewal date.
Complete the examiner's details
Enter the examiner's name, title, address, phone, city, state and ZIP.
Sign and date the certification
The examiner signs and dates to certify that a vision examination was performed and that Sections 2 and 3 are accurate.
Complete the appeal section if needed
Section 4 is used only to appeal a Vision Specialist's finding that the applicant is ineligible for renewal or reinstatement. Deliver a copy within twenty days of the examination.
Review, save and download the PDF
Check that every section is complete and signed. Download or print the completed PDF from FillingPDF and send it through the channels described under How to submit.
How to submit TC 94-202
The form is handed to the applicant, mailed or emailed to the Division of Driver Licensing in case of failure, and mailed, emailed or faxed to the Medical Review Board for an appeal.
- Passing result: the examiner provides the original completed form to the applicant. The applicant may submit a completed copy from the passing examination to be eligible for the permit or license.
- Failing result: the examiner gives the original to the applicant and mails or emails a copy to the Division of Driver Licensing, Kentucky Transportation Cabinet, 200 Mero Street, Frankfort, KY 40601-1920; email [email protected]; phone (502) 564-1257.
- Appeal (Section 4): within twenty days of the examination, deliver a copy of the completed form to the Medical Review Board, 200 Mero Street, Frankfort, KY 40601-1920; email [email protected]; fax (844) 503-4111; phone (502) 564-1257.
FillingPDF lets you fill out and download the PDF; submission follows the channels above.
Common mistakes to avoid
- Using a form signed and completed twelve (12) months or more before the date of application or renewal; it is valid only if less than twelve months old.
- Failing to give the original completed form to the applicant, which the form requires after both a PASS and a FAIL result.
- Not mailing or emailing a copy to the Division of Driver Licensing after marking FAIL.
- Leaving out the corrective lenses box when the applicant meets the standards only with corrective lenses; driving privileges are then restricted.
- Omitting the Medical/Optometry license number and state, or the KYTC credential number, in Section 3.
- Leaving out the examination date in Section 3, on which the 12-month validity depends.
- Missing the twenty-day appeal window, counted from the date of the examination, or sending the Section 4 copy to the wrong office.
- Filling in Section 4 when the denial was not made by a Vision Specialist; the appeal applies to a Vision Specialist's determination.
Frequently asked questions
What is Form TC 94-202?
TC 94-202 is the Kentucky Transportation Cabinet's Driver Vision Testing Certification. It reports a vision examination for a person applying for an initial instruction permit, an initial operator's license, renewal or reinstatement, with a PASS or FAIL result.
Who fills out the TC 94-202 form?
The applicant completes Section 1. A Vision Specialist or a KYTC Credentialed Medical Specialist completes Sections 2 and 3 after the examination. An applicant appealing a Vision Specialist's finding uses Section 4.
How long is Form TC 94-202 valid?
It is valid only if it was signed and completed less than twelve (12) months before the date of application or renewal. A form older than that cannot be used for a new application or renewal.
What vision standard does TC 94-202 use?
Visual acuity of 20/40 or better in the better eye, with a visual field of at least 30 degrees left and right and 25 degrees above and below fixation. After referral to a Vision Specialist, 20/60 or better in the better eye is enough if the field standard is met.
Where do I send a failed vision test result?
The examiner gives the original to the applicant and mails or emails a copy to the Division of Driver Licensing, 200 Mero Street, Frankfort, KY 40601-1920, or [email protected]. The Division's phone number is (502) 564-1257.
How do I appeal a vision test denial?
Complete Section 4 and deliver a copy of the form within twenty days of the examination to the Medical Review Board, by mail to 200 Mero Street, Frankfort, KY 40601-1920, by email to [email protected] or by fax to (844) 503-4111.
Do I have to use TC 94-202 to prove my vision?
No. The form says an applicant may instead complete a vision screening at a Driver Licensing Regional Office for renewal or reinstatement, or with the Kentucky State Police for an initial operator's license or initial instruction permit.
Can I fill out TC 94-202 online on FillingPDF?
Yes. You can fill out the PDF online on FillingPDF and download or print it. FillingPDF is an independent service and does not submit the form; it is delivered through the Kentucky Transportation Cabinet's channels.
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