735 173 Form Oregon PDF Details

In order to file 735 173 Form Oregon, you will need to have all the required information available. The form is used to calculate the tax that is owed on certain income in the state of Oregon. You can find more information on the form and what it is used for below. Make sure to gather all of your information before starting to fill out the form so that you can avoid any delays. If you have any questions, please consult a tax professional. What is 735 173 Form Oregon? This form is used by taxpayers in the state of Oregon to calculate the tax that is owed on certain income. The form covers everything from wages and salaries to interest and dividends income.

You will discover information about the type of form you need to fill out in the table. It can tell you the time it should take to finish 735 173 form oregon, what parts you will need to fill in, etc.

QuestionAnswer
Form Name735 173 Form Oregon
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesoregon dmv license renewal form, drivers license renewel forms for oregon, license renewal forms, oregon dmv drivers license renewal form

Form Preview Example

 

 

 

 

 

 

 

 

 

APPLICATION FOR DRIVING PRIVILEGES OR ID CARD

 

 

 

 

 

 

 

 

 

 

 

 

DM V

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ORIGINAL

RENEWAL

REPLACEMENT

 

 

 

 

 

 

 

 

 

DRIVER LICENSE

CLASS C

ASS C RESTR'D

INSTRUCTION PERMIT

MOTORCYCLE

ENDORSEMENT

MC

MC-3

FARM

ID CARD AT-RISK

LAST NAME (PRINT NAME)

FIRST NAME

MIDDLE NAME

SOCIAL SECURITY NUMBER

DRIVER / ID NUMBER

DATE OF BIRTH (M-D-Y)

MOTHER'S MAIDEN NAME

 

 

APPLICANT’S PLACE OF BIRTH (CITY & STATE OR COUNTRY)

 

 

 

 

RESTRICTIONS

 

 

 

YES

HEIGHT

 

 

WEIGHT

 

SEX (CIRCLE)

 

HAIR COLOR

 

EYE COLOR

Do you want your license or ID card to show

 

 

 

 

 

 

 

 

 

 

 

 

 

 

X

 

 

 

 

that you are an anatomical donor?

 

NO

 

FT.

IN.

 

LBS.

M F

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENCE ADDRESS

 

 

 

 

MAILING ADDRESS (IF DIFFERENT FROM RESIDENCE ADDRESS)

CITY, STATE, ZIP CODE

CITY, STATE, ZIP CODE

CURRENT OR PREVIOUS MILITARY SERVICE: By checking this box I authorize DMV to send my name and address to the Oregon Department of Veterans' Affairs (ODVA) for the purpose of receiving benefit information.

NOTE: 9RWHUUHJLVWU WLRQIRUPV UH Y LO

OH WWKH'09RIILFH,I\RXZRXOGOLNHWRUHJLVWHUWRYRWHWRG \SOH

VH VN '09FOHUN

Have you ever been issued a driver license, peUmit or ID card in another state or country?

YES*

NO

 

 

*If YES, from what state or countryZ

VWKHPRVWUHFHQWOLFHQVHRUSHUPLWLVVXHG? _______

__

____________ and in what name was it issued?

 

 

 

 

 

 

 

 

_____________ _BBB_ 1XP HULINQRZQ: ________________________

 

 

Same or

 

Other:____

 

___

 

 

 

 

 

 

 

 

 

 

Have you ever been issued an Oregon driver license, peUmit or ID card?

YES*

NO

 

 

BBB _ 1XP HULINQRZQ: ________________________

*If YES, in what name?

Same or

Other: _______________________

 

 

 

 

Are your driving priv leges currently suspended or revoked in Oregon or another state?

YES*

NO

 

*If YES, why? B_________________B___________

You are required to report any mental or physical condition or impairment that affects your ability to drive safely. You are not required to report all your health conditions – only those that affect your ability to drive safely. DMV will use your answers to the following questions only for the purpose of determining your eligibility for an Oregon driving privilege. If you have a condition or impairment that makes you unable to safely operate a motor vehicle, you are not eligible for a driving privilege until you have provided additional medical information and/or passed DMV tests. If you answer “Yes” to any one of the questions below, we will not be able to issue you a license at this time.

2) Do you have any physical or mental conditions or impairments that affect your ability to drive safely?

 

YES

NO

 

 

YES*

NO

* If Yes: a) What is the condition or impairment?: ___________________________________________________________________________________

Describe how this affects your ability to drive safely: ________________________________________________________________________

3) Do you use alcohol, inhalants, or controlled substances to a degree that affects your ability to drive safely?

 

YES* NO

* If Yes: Describe how your use affects your ability to drive safely: _________________________________________________

___________________

By signing this application, I certify that all documentation and information I provided to DMV is true and correct. I understand it is a crime to knowingly make a false application for driving privileges or ID card. The offense is a class A misdemeanor and is punishable by jail time, a fine or both. DMV will cancel and/ or suspend my permit, driver license or ID if I make a false statement or present false documentation.

I am a resident of or

IF under

And applying for first driving privilege, applicant meets school enrollment requirements under ORS 807.066

or has a diploma or GED (proof of diploma or GED required).

domiciled in Oregon

18 years

And applying for first Class C license, applicanthas completed driving experience requirements under ORS

as described in ORS

of age:

807.065(1)(2): 50 hours and Driver Education or100 hours, or has a valid license from another state.

807.062

 

 

Signature of applicant’s mother or father whose parental rights have not been terminated or legal guardian.

 

 

 

 

 

SIGNATURE OF APPLICANT

 

 

 

 

 

X

 

 

 

X

SSN: Disclosure of your Social Security number (SSN) is mandatory for issuance, renewal or replacement of your driver license or identification card under ORS 807.021(1).

 

 

 

 

 

 

 

 

 

STOP - DO NOT WRITE IN THE AREA BELOW - FOR DMV OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VISION / HEARING

 

 

 

 

 

 

 

 

 

OUTSTANDING REQUIREMENTS

DATE RECEIVED

TSR ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LP or ADDRESS

 

 

 

 

 

 

 

 

 

 

VISION: OK

OK W/BIOPTIC

HEARING:

GOOD DEAF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OK/WCL

LENSES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REIN. FEE/SR-22

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F RESTRICTION

G RESTRICTION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

 

 

TSR ID

 

 

 

 

 

 

OTHER:

 

 

 

 

 

 

 

 

 

 

REFERRED: ACUITY F.O.V.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

KNOWLEDGE TEST

 

 

 

 

 

 

DRIVE TEST

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE STAMP

 

 

 

TEST

SCORE

 

TSR ID

 

 

DATE

 

 

 

CLASS

SCORE

 

 

TSR ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE STAMP

 

 

 

TEST

SCORE

 

TSR ID

 

 

DATE

 

 

 

CLASS

SCORE

 

 

TSR ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE STAMP

 

 

 

TEST

SCORE

 

TSR ID

 

 

DATE

 

 

 

CLASS

SCORE

 

 

TSR ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOCUMENTS PRESENTED

 

DOCUMENTS PRESENTED

DOCUMENTS PRESENTED

 

 

 

US BIRTH CERTIFICATE/PASSPORT/PASSPORT CARD

 

US BIRTH CERTIFICATE/PASSPORT/PASSPORT CARD

US BIRTH CERTIFICATE/PASSPORT/PASSPORT CARD

 

 

 

FOREIGN PASSPORT & DHS DOC. or ADMIT. STAMP

 

FOREIGN PASSPORT & DHS DOC. or ADMIT. STAMP

FOREIGN PASSPORT & DHS DOC. or ADMIT. STAMP

 

 

 

DHS DOCUMENT

 

 

 

 

 

 

DHS DOCUMENT

 

 

DHS DOCUMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER (Specify) _________________________

 

OTHER (Specify) _________________________

OTHER (Specify) _________________________

 

 

 

LP=C LP=F LP=P

 

 

LP=U

 

LP=C

LP=F LP=P

LP=U

LP=C LP=F

 

 

 

LP=P

LP=U

DATE

TSR ID

2nd CHECK

DATE

TSR ID

2nd CHECK

DATE

TSR ID

2nd CHECK

 

 

 

 

 

 

 

 

 

 

DATE STAMP

 

 

FEE

TSR ID

$

735-173 (7-17)

STK# 300093

DRIVE TEST SCORE SHEET

 

COURSE

 

 

 

 

 

 

 

 

 

 

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLATE / TEMP.

 

 

 

 

 

 

 

 

REPRESENTATIVE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSURANCE CO.

EXPIRATION DATE

INSURANCE CO.

 

 

EXPIRATION DATE

INSURANCE CO.

 

 

EXPIRATION DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POLICY NUMBER

 

 

POLICY NUMBER

 

 

 

POLICY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A. Starting

 

 

 

 

1

2

3

F. Speed

 

 

 

1

 

2

3

 

 

 

 

 

 

 

 

 

 

...........................................................................

 

5-25

 

 

 

 

1.

Signal

 

5-10

 

 

 

1.

Too fast

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.........................................................................

 

5-25

 

 

 

 

2.

Observation - ahead, side, rear

 

5-25

 

 

 

2.

Too slow

 

 

 

 

B. Stopping

 

 

 

 

 

 

 

'. Attention

 

 

 

 

 

 

 

1.

Too suddenly

 

5-10

 

 

 

1.

Intersection, RR, driveway

10-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.....................................................................

 

5-25

 

 

 

 

. Unnecessary

 

5-15

 

 

 

2.

Other traffic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.....................................................................

 

5-25

 

 

 

 

. On crosswalks - in intersections

.....................................

 

5-10

 

 

 

3.

Pedestrians

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

..........................................................

 

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Strays from driving

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Reacts slowly in emergency

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Turning

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Signal

 

5-10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

From wrong lane - one-way, two-way

5-25

 

 

 

(. Driving attitude

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.....................................

 

5-25

 

 

 

 

3.

Into wrong lane - one-way, two-way

5-25

 

 

 

1.

Depends upon others for safety

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

......................................

 

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Swings wide - cuts corner

 

5-20

 

 

 

2.

Too aggressive - inconsiderate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

............................................................

 

5-25

 

 

 

 

5.

Speed

 

5-20

 

 

 

3.

Fails to anticipate

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

Observation - ahead, side, rear

 

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D. Lane Use/Change

 

 

 

 

 

 

 

). Miscellaneous

 

 

 

 

 

 

 

1.

Signal

 

5-10

 

 

 

I. Inexperience, improper vehicle control, traffic

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

...................................................................

 

5-30

 

 

 

 

2.

Observation - ahead, side, rear

 

5-25

 

 

 

2.

Right-of-way

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

...............................

 

10-25

 

 

 

 

3.

Position - right, left, drift

 

5-20

 

 

 

3.

Too close - following, stopping, side

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

............................................................

 

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Backing - parking

 

 

 

 

E. Signs and Signals

 

 

 

 

 

 

 

5.

Passing

5-25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Proceeded through - stopped by examiner

10-30

 

 

 

6.

Posture

5-10

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

........................................................................

 

5-20

 

 

 

 

2.

Rolled through

 

5-25

 

 

 

7.

Freeways

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Observation

 

5-20

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

Improper maneuver

 

5-15

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GROUNDS FOR IMMEDIATE FAILURE

 

 

 

1

2

 

 

3

 

 

 

 

TOTAL DEDUCTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. An accident involving any amount of property damage or personal injury.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2. The applicant refuses to perform any maneuver which is part of the prescribed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SCORE

 

 

 

 

 

 

 

 

driving test.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3. Any dangerous action in which:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a.An accident is prevented by expert driving or action on the part of other drivers.

b.The examiner is forced to assist the driver in avoiding an accident physically or orally.

c.The applicant drives or backs over curb or sidewalk.

d.The applicant creates a serious traffic hazard by stalling or other improper driving behavior.

4.The applicant commits any of the following:

a.Passes another car which is stopped at a crosswalk, yielding to a pedestrian, or passes a school bus stopped with its red lights flashing.

b.Makes or starts to make a turn into or from the wrong lane under traffic conditions that render such actions dangerous.

c.Runs through or has to be stopped from running one red light or one stop sign.

5.Applicant is unable to properly operate vehicle equipment or, after proceeding a short distance on the drive course, it becomes apparent that the applicant is dangerously inexperienced.

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