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Form Title Purpose
DPR-104 Impaired Driver Program Service Agreement

All Impaired Driver Programs must agree to the terms included in form DPR-104 in order to operate an IDP.  The Service Agreement defines the responsibilities of the IDP to the motorist, to the program, and to the DMV.  Form DPR-104 is required to be submitted with form DPR-103 and all original application materials.  The applicant must also submit a form DPR-102 for each instructor.

DPR-125 Impaired Driver Program (IDP) Classroom Site Inspection Report

All Impaired Driver Programs must submit this form with IDP section completed for DMV to inspect the proposed classroom site.

DPR-152 Impaired Driver Program (IDP) Annual Enrollment Report

Required enrollment report to be completed annually by an Impaired Driver Program.

DS-1 Out-of-State Impaired Driver Program Enrollment and Status Form

Enrollment Form for Out-of-State Impaired Driver Program 

DS-103 Report of Passing Stopped School Bus

Report of Passing Stopped School Bus. A motor carrier must complete this form.

DS-115 Request for NYS Driving Privileges

Used by out-of-state drivers to request restoration of their New York State driving privileges following a revocation of privileges.

This form cannot be used to request restoration of a NYS driver license or learner permit following a revocation. Revoked NYS drivers must apply for a new license using form MV-44.

DS-19 Article 19-A Motor Carrier Accident and Conviction Notification Program Application (Escrow Account & Driver's Privacy Protection Act Compliance)

Article 19-A Motor Carrier Accident and Conviction Notification Program Application. New carriers applying for 19-A status must file using this form. This form includes both a Memorandum of Understanding - Driver's Privacy Protection Act and a Request for Article 19-A Accident & Conviction Notification Account. This form replaces the MV-15AC and the MV-15MOU.

DS-2 Universal Notice of Re-entry - Impaired Driver Program

Used by Impaired Driving Program Directors to grant permission to clients wishing to re-enter the IDP after being dropped.

DS-21 Department of Motor Vehicles Ordered Interlock Device Installation Confirmation

For installers of Ignition Interlock devices. After installation, follow the instructions on the form.

DS-242.1 Abstract of Driving Record

Shows a sample of what is on a driver license abstract and explains license classes and common codes. See the DMV Records page for more information.

DS-242.2 Key to Abstract of Registration Plate Record/Abstract of Vehicle Title Record

Explains what appears on a DMV vehicle registration plate record or vehicle title abstract record.

DS-242.3 Description of Abstract of Lifetime Driving Record

Description of Abstract of Lifetime Driving Record

DS-3 Article 19-A Annual Affidavit of Compliance

Article 19-A Annual Affidavit of Compliance

DS-3.1 Instructions for Completing the "Article 19-A Annual Affidavit of Compliance"

Instructions for Completing the "Article 19-A Annual Affidavit of Compliance"

DS-3.3 Article 19-A Motor Carrier Annual Statistical Report

Article 19-A Motor Carrier Annual Statistical Report

DS-3.6 Employee Driving History

Employee Driving History

DS-500 Article 19-A Request for NYS License ID Number

Completed by an Article 19-A carrier to request from NYS DMV the NYS License ID Number of a driver who holds a driver license from another state.

DS-6 Physician's Reporting Form

Used by a licensed physician to notify the DMV of a driver licensed in NYS when the physician determines that the mental or physical condition of the driver can affect the safe operation of motor vehicles.  For more information, see Report a Medical Condition.

DS-600 Fingerprinting Services Information

Required to be completed by the carrier and the driver and brought by the driver to a fingerprinting session appointment. The form instructions explain how to make an appointment and complete the form.

DS-622 Article 19-A Complaint Form

Used to file a complaint against an Article 19-A Motor Carrier or Certified Examiner

DS-7 Request for Driver Review

Used by a person who is not a physician or a police officer to notify the DMV of a driver who has a possible medical condition that can affect the safe operation of motor vehicles.  For more information, read Report a Medical Condition.

DS-700 Article 19-A of the Vehicle and Traffic Law and Part 6 of the Regulations of the Commissioner of Motor Vehicles

Article 19-A of the Vehicle and Traffic Law and Part 6 of the Regulations of the Commissioner of Motor Vehicles.
Note: Large file - save to hard drive

DS-703 Article 19-A Bus Driver's Blood Pressure Follow-Up by Driver's Health Care Provider

Article 19-A Bus Driver's Blood Pressure Follow-Up by Driver's Health Care Provider

DS-704 Article 19-A Bus Driver's Diabetic Certification

Article 19-A Bus Driver's Diabetic Certification

DS-870 Article 19-A Bus Driver Application

Article 19-A Bus Driver Application

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