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It asks the Director to recall a named Nebraska driver for examination under Nebraska Statute 60-4,118, stating reasons why the person may not be capable of operating a motor vehicle safely. The form includes fields for the requester’s authorization, signature, printed name, relationship, contact details, and requires enclosing a copy of the requester’s driver’s 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is the purpose of a Citizen Reexamination Report?","Question",{"text":112,"@type":113},"It is used to request that a Nebraska driver be recalled for an examination when there are reasons to believe the driver may not operate a motor vehicle safely.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What information must be completed for the report to be accepted?",{"text":117,"@type":113},"All information on the report must be completed, including detailed reasons for reexamination and the requester’s required fields.",{"name":119,"@type":110,"acceptedAnswer":120},"What attachments or authorizations are required?",{"text":121,"@type":113},"A copy of the requester’s driver’s license must be enclosed, and the requester must authorize the release of information by selecting Yes or No.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},308614,1790198303,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},5909892079670,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","| CITIZEN REEXAMINATION REPORT  \u003Cbr>Director  \u003Cbr>Department of Motor Vehicles  \u003Cbr>Driver Licensing Division  \u003Cbr>PO Box 94726  \u003Cbr>Lincoln,NE 68509-4726  \u003Cbr>Dear Director:  \u003Cbr>As provided for in Nebraska Statute 60-4,118,I request that_  \u003Cbr>(Name)  \u003Cbr>Of_  \u003Cbr>_,Nebraska  \u003Cbr>(Address)  \u003Cbr>and date of birth__  \u003Cbr>__be recalled for examination for,in my opinion,he or she is  \u003Cbr>not capable of operating a motor vehicle safely over the highways of the State of Nebraska for the  \u003Cbr>following reasons:(Please give a detailed explanation of the reasons for reexamination.ie.Examples  \u003Cbr>of poor driving behavior that you have personally witnessed or that have been reported to you by a  \u003Cbr>reliable source,and/or known medical conditions that could affect safe driving.)  \u003Cbr>(All information on this report must be completed in order for it to be accepted)  \u003Cbr>I authorize the release of all information related to the citizen reexamination report □Yes □No  \u003Cbr>Signature of Person Requesting Reexamination  \u003Cbr>Printed Name.  \u003Cbr>Relationship to Driver  \u003Cbr>Daytime Phone Number  \u003Cbr>Address  \u003Cbr>**A copy of the requestor's driver's license must be enclosed with this report.  \u003Cbr>FOR OFFICE USE ONLY:  \u003Cbr>DMV06-12A-09/12   |\n| --- |","cbCaivmlsJzxEosV","https://ap.wps.com/l/cbCaivmlsJzxEosV","pdf",54531,"English","# Request for Reexamination\n## Driver and Reason Details\n## Authorization and Requester Information\n## Office Use Only","[{\"question\":\"What is the purpose of a Citizen Reexamination Report?\",\"answer\":\"It is used to request that a Nebraska driver be recalled for an examination when there are reasons to believe the driver may not operate a motor vehicle safely.\"},{\"question\":\"What information must be completed for the report to be accepted?\",\"answer\":\"All information on the report must be completed, including detailed reasons for reexamination and the requester’s required fields.\"},{\"question\":\"What attachments or authorizations are required?\",\"answer\":\"A copy of the requester’s driver’s license must be enclosed, and the requester must authorize the release of information by selecting Yes or No.\"}]","Citizen Reexamination Report - Request for DMV Reexamination | PDF",1789870245]