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Get Ds 449 2020-2025
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How to fill out the Ds 874 online
The Ds 874 form is essential for drivers undergoing medical examinations under Article 19-A in New York State. This guide provides step-by-step instructions to help users navigate the online completion of this important document with ease.
Follow the steps to successfully fill out the Ds 874 online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin filling out the 'Driver/Carrier Information' section, which requires the driver's personal details such as their last name, first name, middle initial, date of birth, and address.
- Complete the 'Health History' section where the driver must indicate any medical conditions or history by answering yes or no to the questions provided.
- If any conditions are marked yes, provide additional details including the condition, onset date, diagnosis, and treating medical examiner's name and address in the designated area.
- List all medications currently being taken, including over-the-counter medications, in the appropriate field.
- The medical examiner will fill out sections 3 through 8, including vision, blood pressure, hearing, and other health-related evaluations. Ensure all sections are duly completed and signed by the examiner.
- Finally, review all entries for accuracy, then save changes, download, print, or share the form as needed.
Complete your Ds 874 form online for a smoother submission process.
The Department of Motor Vehicles has reported that: 1,040 people have permanently lost their licenses. 902 people have received five-year extensions on their license revocations. 21 people have received two-year extensions on their license revocations.
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