BMV FORM NO. (2019-07) – REV. Jun. 24-2020
BMV FORM NO. (2019-07) – REV. Jun. 24-2020 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES WAIVER FOR PREGNANT PERSONS TAKING THE PRACTICAL ROAD TEST I._______________________________of______________________________________. Hereby confirm to the Bureau of Motor Vehicles that even though I am Pregnant, I have been advised by my attending physician Dr._________________________________________ That my condition and present state of health are good, and such that I should be permitted to take the practical examination for the operator’s license. I will hold the Bureau of Motor Vehicles harmless from any/all Liability for permitting me to take this test in my present condition, should anything happen to me as a result of my operating a motor vehicle during this testing period. …
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BMV FORM NO. (2019-07) – REV. Jun. 24-2020 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES WAIVER FOR PREGNANT PERSONS TAKING THE PRACTICAL ROAD TEST I._______________________________of______________________________________. Hereby confirm to the Bureau of Motor Vehicles that even though I am Pregnant, I have been advised by my attending physician Dr._________________________________________ That my condition and present state of health are good, and such that I should be permitted to take the practical examination for the operator’s license. I will hold the Bureau of Motor Vehicles harmless from any/all Liability for permitting me to take this test in my present condition, should anything happen to me as a result of my operating a motor vehicle during this testing period. (Certified Physician) Signature:________________________ License #________________ Applicant’s Signature:________________________________Date____________________ This_______day of __________________ _________________________________ Notary Motor Vehicles Inspector:____________________________ Date of Exam_____________ SIGN SIGN