BMV FORM NO. (2019-07) – REV. Apr. 2-2019
BMV FORM NO. (2019-07) – REV. Apr. 2-2019 GOVERN GOVERN GOVERN GOVERNMENT OF THE VIRGIN ISLANDS MENT OF THE VIRGIN ISLANDS MENT OF THE VIRGIN ISLANDS MENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OF THE UNITED STATES OF THE UNITED STATES OF THE UNITED STATES OFFICE OF THE GOVERNOR OFFICE OF THE GOVERNOR OFFICE OF THE GOVERNOR OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES BUREAU OF MOTOR VEHICLES BUREAU OF MOTOR VEHICLES 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. …
Download the original document · Plain text (TXT) · Browse the archive · How this archive works
Original source: https://bmv.vi.gov/wp-content/uploads/2019/04/Waiver-For-Pregnant-Persons.pdf
SHA-256 f611c79b377513b3370666af30f837c1573d22053cd90a3b02b39bed9edaf388
Re-using this document
territorial public record
Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.
Archive identifier LF-f611c79b3775
Document text
BMV FORM NO. (2019-07) – REV. Apr. 2-2019 GOVERN GOVERN GOVERN GOVERNMENT OF THE VIRGIN ISLANDS MENT OF THE VIRGIN ISLANDS MENT OF THE VIRGIN ISLANDS MENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OF THE UNITED STATES OF THE UNITED STATES OF THE UNITED STATES OFFICE OF THE GOVERNOR OFFICE OF THE GOVERNOR OFFICE OF THE GOVERNOR OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES BUREAU OF MOTOR VEHICLES BUREAU OF MOTOR VEHICLES 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 SIGN