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Form Title Purpose
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 Request for Driver Review

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 Request for NYS Fingerprinting Services Information Form

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 Follow-Up

Article 19-A Bus Driver's Diabetic Follow-Up

DS-870 Article 19-A Bus Driver Application

Article 19-A Bus Driver Application

DS-870.1 Article 19-A School District/Other Contract Notice

Article 19-A School District/Other Contract Notice

DS-871 Article 19-A Driver Notification To Employer

Article 19-A Driver Notification To Employer

DS-872 Carrier's Annual Review of Employee's Driving Record

Carrier's Annual Review of Employee's Driving Record

DS-873 Report on Annual Defensive Driving Performance For Driver

Report on Annual Defensive Driving Performance For Driver

DS-874 Examination to Determine Physical Condition of Driver

Examination to Determine Physical Condition of Driver

DS-874C Supplement to: Medical Examination of Driver Report Under Article 19-A

Supplement to: Medical Examination of Driver Report Under Article 19-A

DS-875 Article 19-A Biennial Behind the Wheel Road Test

Article 19-A Biennial Behind the Wheel Road Test

DS-875Q Article 19-A Biennial Oral/Written Examination

Article 19-A Biennial Oral/Written Examination

DS-875X Instructions to Certified Examiner for Conducting Article 19-A Biennial Examinations

Instructions to Certified Examiner for Conducting Article 19-A Biennial Examinations

DS-875Y Article 19-A Oral/Written Examination Results

Article 19-A Oral/Written Examination Results

DS-876 Application for Article 19-A Certified Examiner

Application for Article 19-A Certified Examiner

DS-877 Article 19-A Certified Examiner Application for Renewal or Amendment

Article 19-A Certified Examiner Application for Renewal or Amendment

DS-879 Article 19-A Carrier Application

Article 19-A Carrier Application

DS-885 Article 19-A Bus Driver Add/Drop Notice

Article 19-A Bus Driver Add/Drop Notice

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