Michigan Department of State Forms
Below are the Physician’s statement (DI-4P) for a driver’s evaluation referral and the statement of examination for vision testing (DI-4V). Both may be required upon request from our driver rehabilitation staff or the state of Michigan. If you have any questions regarding these forms, please contact us at (734) 422-3000.
- Auto No-Fault
- Worker Compensation
- Michigan Rehabilitation Services (MRS)
- Alternative Sources of Funding (Multiple Sclerosis Society)
- Michigan Bureau of Services for Blind Persons