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USTA Officials Vision Examination Form 2018-2025 free printable template

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USTA Officials Vision Examination Form All USTA on-court Officials those acting as Roving Umpire Chair Umpire and Line Umpire and Referees who go on court must submit to the USTA within 12 months of the exam a physician s or optometrist s statement attesting that the Official has 20/20 vision either corrected or uncorrected in each eye. Name of Official print USTA Member Number Address Print I hereby state that the data contained herein is a true and accurate record and personally attest to a...
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How to fill out USTA Officials Vision Examination Form

01
Obtain the USTA Officials Vision Examination Form from the official USTA website or your local officials association.
02
Fill in your personal information at the top of the form, including your name, contact information, and official identification number.
03
Indicate the date of your vision examination.
04
Follow the instructions for each section of the form, such as recording your visual acuity for distance and near vision.
05
Complete any required tests as outlined, such as color vision testing or depth perception assessments.
06
Have an authorized eye care professional sign and date the form upon completion of the examination.
07
Submit the completed form to the designated USTA official or organization as instructed.

Who needs USTA Officials Vision Examination Form?

01
All officials who wish to officiate USTA sanctioned events are required to complete the USTA Officials Vision Examination Form to ensure they meet the visual standards necessary for officiating.
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The USTA Officials Vision Examination Form is a document used by the United States Tennis Association to assess the vision of officials working at tennis events.
All USTA officials, including referees and umpires, are required to file the USTA Officials Vision Examination Form as part of their certification process.
To fill out the USTA Officials Vision Examination Form, officials need to complete sections regarding their personal information and vision test results, typically provided by an eye care professional.
The purpose of the USTA Officials Vision Examination Form is to ensure that officials meet the necessary vision standards required for effective performance during tennis matches.
The USTA Officials Vision Examination Form must report personal details such as the official's name and contact information, as well as specific vision test results, including visual acuity and any corrective measures needed.
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