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Form Title Purpose
MV-80W Application for Tinted Window Exemption

Used to apply for a medical exemption from the restrictions on the amount of tint allowed in vehicle window glass.  The applicant must also submit a physician's statement on the physician's letterhead about the specific medical condition.

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-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-874 Examination to Determine Physical Condition of Driver

Examination to Determine Physical Condition of Driver

MV-80U.1 Physician's Statement for Medical Review Unit

Use this form, if requested by DMV, to provide medical documentation from you and your doctor regarding a loss of consciousness or a loss of body control.

MV-80L Eye Test Report for Medical Review Unit

For people who cannot pass basic DMV vision screening and need to provide eye care practitioner certification of minimum vision requirements to the DMV.

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

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

MV-80 Physician's Statement

Completed by physician treating a condition that was reported by a driver license applicant on application form MV-44.

MV-664.1 Application for License Plates or Parking Permits for People with Severe Disabilities

Used by New York residents to apply for plates or a parking permit for people with severe disabilities. Requires a medical doctor's signature and certification. Plates are issued at state and county DMV offices, but permits are issued by local governments, not DMV. Filing a false application is a crime.

ELT-5 Lender Application for Participation in the Electronic Lien Transfer Program

Use this form to request access to the New York State Department of Motor Vehicles (NYS DMV) Electronic Lien Transfer (ELT) system through an ELT service provider that you have selected. By signing this form you are also agreeing to the terms and conditions required for access to the NYS DMV ELT system and participation in the ELT program. The ELT program uses electronic transmission of lien information in place of paper forms to record and release liens on motor vehicles and boats titled in NY.

ELT-6 Service Provider Application for Participation in the Electronic Lien Transfer Program

Use this form to request access to the New York State Department of Motor Vehicles (NYS DMV) Electronic Lien Transfer (ELT) system as an ELT service provider. By signing this form you are also agreeing to the terms and conditions required for access to the NYS DMV ELT system and participation in the ELT program. The ELT program uses electronic transmission of lien information in place of paper forms in order to record and release liens on motor vehicles and boats titled in NY.