Affidavit
Regarding actions taken
and out of pocket expenses in the attempt to obtain an Oklahoma Driver License.
The Kansas Oklahoma car
tag I drove to Arcadia , OK
where I was told by an employee of WalMart there was a full service tag office
that could issue an Oklahoma Driver License and Oklahoma
Upon arrival at the Arcadia Edmond , be placed in the system and return to
the Arcadia Arcadia
In Edmond
The sentence on the
form stated mental illness along with many other options, such as Diabetes,
Epilepsy, Blackouts, fainting spells, heart disease among many other
conditions. It also asked are you now
receiving treatment for any type of mental health disorder; or do you have any
other of medical condition which may affect your ability to safely operate a
motor vehicle.
I take medications for
my mental health disorder, considering it to be a treatment. I answered the question Yes. I went back and reread the question seeing
that the statement was intended for the ability to safely operate a motor
vehicle, not the fact I was taking medication for my mental health
disorder. I made comment of such, drew a
line through the word yes followed by an angled line which I signed my initials
and below the line wrote the word no.
The examiner stated
that my correction did not matter as I revealed I had a mental illness. She then took another form that had boxes for
the names of the medication, dosage and prescribed taking of the
medication. I told her the names,
stating for some I would be giving brand names and others generic names and did
not know the correct spelling of some.
Examiner Bruner stated
she was quite familiar with psychotropic medications and she could spell them
sufficiently. I stated she must do many
of these applications. She stated no,
but her son was suffering from mental illness.
It was very frustrating to her. I
asked if she knew about NAMI. She did
not. I gave her my NAMI volunteer
business card, explained what NAMI was, the programs offered in Edmond
Examiner Bruner stated
she would need to print a number of forms.
She used the printer that was against the wall in the center of the
workplace for all DPS employees. It took
quite awhile for the printer to warm up and start printing. A second examiner went over to ask her what
she was trying to print. Examiner Bruner
stated it was the Mental Health Evaluation Forms in a voice that was heard by
everyone in the room. I was humiliated
by the traditional looks and stares of stigma by those I saw looking at me.
I was handed the sheets
of paper. I started to browse through
them. She reprehended me saying these
papers were not for my reading but for my doctor. She instructed me to have my doctor fill out
the forms and hand deliver them to their office at 36th and Martin
Luther King. The forms said to be mailed
to the DPS. She verbally instructed me
to hand deliver the form on a Wednesday as that was the scheduled day for their
doctor to be in the office. I was told
to have a nice day and I left the building.
I proceeded to my
doctor’s office and left the evaluation at the front desk. Later, I received a call from my doctor’s
office stating he had never seen such a form and did not feel comfortable in
filling out the form. He would refer me
to someone who would be more appropriated than he.
I was able to get in
touch with the referred psychologist. In
speaking with him, he was unaware of such a Mental Health Evaluation. I faxed him the forms. Later, I received a call from him stating he
had never seen such a form and would refer me to an associate of his. Time was ticking away to meet the April 30,
2014 deadline.
Later, I received a
call from the referred psychologist stating he could not find anyone who would
do the evaluation. Because of my
deadline, he offered me his help based upon two conditions, allow for a
complete psychiatric evaluation consisting of 5 hours of my time plus paying my
share of costs up front based upon Medicare’s 2013 coinsurance rate of
65%. I informed him that Medicare had
completed their implementation schedule of parity as of 2014. Since this issue was a dispute, I immediately
wrote him a good faith check deposit of $100.00 so we could proceed. The 5 hours of clinical and computer testing
were completed. Mental Illness stigma
questioned him. I had given him a
complementary copy of my book, explained my advocacy efforts and volunteer
time. He stated if he had known these
things beforehand his complete analysis would have been different. As he knew me not, the intent of giving him
my book was for the purpose of getting to know me in a short period of
time. I asked for the evaluation forms so
I could hand deliver them as instructed by Examiner Bruner. He had doubt in doing so as the form stated
to be mailed in by him. He had the
courtesy of making a copy so I could do what I was instructed to do. The DPS would be receiving 2 copies of an identical
evaluation.
I drove from Edmond
I took it upon myself
to call Debra Simms on the number given to me by Mr. Dismukes. Ms. Simms and I discussed that I had hand
delivered the forms to a person named Carol five minutes ago. Ms. Simms informed me she would not be
receiving the forms until the following week.
Upon my inquiries, I was told Ms. Simms was the only person processing
the forms, there were 6,000 ahead of me and her timeframe for processing mine
would be whenever she chose to process it.
With only a few days
remaining until the end of April, I had no other recourse than to move my
residence back to Kansas Kansas
Having the perks in Kansas of a private swimming pool, hot tub, exercise room
and private theatre room I would still prefer to live in Edmond
to be close to my granddaughter, a fishing license to take her family fishing
and the ability to register to vote in Oklahoma
After I returned from a
speaking engagement in North Carolina , I had a
letter addressed to my previous Edmond Edmond to Oklahoma City
I returned to the
Edmond DPS, asking for a copy of the original paperwork. He returned with one sheet that was a
compilation of certain areas of the original paperwork. The examiner stated they did not keep a copy
of the original paperwork. The sheet of
paper faxed to OKC was copied and pasted from the original paperwork.
Inspecting the form, I
saw where my response, corrected to say No had been altered. The change is obvious to me. The page is fraudulent.
I took a picture of the
form, zoomed in on the area in question and took a third picture which shows
what was altered.
It is my testimony that
the full line drawn through
the word has been changed. My initials have been removed which was above what
appears to look like a tail to the letter S.
The word NO has been removed which was under and to the right of what
appears to look like a tail to the letter S.
I never make a tail on the letters S. I am left handed whereby I
never swing the letter S as shown. Other S's show how I print an
uppercase S. You can also inspect the letter Y.
The letter E has also been altered.
Also the underline under the words mental health disorder is extremely
questionable as I don’t recall doing such. When instructed to circle an item, I put a
circle around the words Mental Illness.
You will see on the form Mental Illness has been removed from the list
of conditions.
I claim the paper is a counterfeit and I am being coerced in to a
confession that is false.
I believe it is necessary to have the falsified paper reviewed by an
attorney. If the advice is to prosecute,
I will willingly ask for prosecution steps to be taken and ask for the out of
pocket expenses that I will be responsible for paying. I will petition for at least the following;
discrimination, violation of my civil rights, a falsified report sent to DPS in
OKC and the most serious type of a coerced false confession in revealing my
mental illness.
Yes, just a normal day for me.
Written and Submitted in to evidence by Randall C. Conyers, dated the 14th
day of May.
zooming in a little closer
Under the microscope
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