When you observe an applicant with a condition which may affect driving or if the applicant reports medical information, you should document on DOR form 153, Possible Driver Impairment Notification and forward to the Central Office of the Driver License Bureau for processing. This same form may be used to request a road test with a Highway Patrol driver examiner if the applicant has learned to drive with adaptive automobile equipment like hand controls.
The information provided in this training is based on §§ 302.173, 302.291, and 302.301, RSMo.
The training has reviewed the different skills an applicant is required to have in order to obtain or renew their driver license or permit (e.g. motor skills, vision, memory and thinking skills).
Missouri statute has set the standards in these areas and as a license office professional you play an essential role in determining whether an applicant applying for a Missouri driver license or permit has a possible impairment.
What if you encounter an applicant with an observable condition that is not addressed by an existing license restriction? What if an applicant gives you information about his or her medical condition that appears to impair their driving safety and ability?
Keep in mind that some applicants may not be aware they have a certain medical condition. Other applicants may be in denial that such a medical condition could impair their driving safety and ability.
Form 153 titled Possible Driver Impairment(s) Notification - the form requires you to describe in detail the impairment you observe. Think in terms of the 3 major skills required for driving: vision, motor skills, and memory and thinking skills. Write facts, not just opinions or conclusions. For example:
“I observed the applicant could not use the right side of his body. No restriction on the license. Applicant may have a possible medical impairment.”
“I observed the applicant having trouble following directions and needed her daughter to answer most questions. During the vision test, the applicant could not understand how to place her head in the vision machine. She had odd answers for road signs that did not have to do with driving. She said the “slippery when wet” sign was a boat and called a “yield” sign a red triangle. Applicant may have a possible medical impairment.”
“I observed the applicant using a walker, but they appeared unsafe, like they were going to fall. They did not appear to be using the walker correctly.”
“I observed the applicant was using oxygen. He looked as if he was struggling to breathe. He looked like he was in bad shape and very sick.”
Some applicants, like someone who has an amputated right leg or someone who is paralyzed from the waist down, may have been trained to drive with hand controls to operate the gas and brake or other adapted automobile equipment. They may or may not have any other medical condition which could affect their driving safety and ability.
In order for the restriction for hand controls to be placed on their driver license, they will need a Form 153 (Possible Driver Impairment(s) Notification) completed that requests the Highway Patrol Examiners re-test their driving ability using hand controls.
Contact your supervisor if you are unsure or have any questions about the reporting process. Remember, you are a very important part of safety on the road!
Progress: 1/3 done with Module 4