
DS-874 (8/11) New York State Department of Motor Vehicles MEDICAL EXAMINATION REPORT OF DRIVER UNDER ARTICLE 19-A INSTRUCTIONS TO MEDICAL EXAMINER: The complete standards and instructions for conducting.
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How to fill out the Ds 874 online
The Ds 874 form is a crucial document required for medical examinations of drivers under Article 19-A in New York State. This guide provides a clear and comprehensive walkthrough for users to complete the form online, ensuring that all required information is accurately captured and submitted.
Follow the steps to fill out the Ds 874 online effectively.
- Press the ‘Get Form’ button to access the form and open it in your online editor.
- Enter the driver and carrier information in Section 1. Include the driver's first and last name, middle initial, date of birth, address, client/license ID number, state, and carrier/doing business as (DBA) name.
- Complete Section 2 regarding health history. Indicate 'Yes' or 'No' for each medical condition listed and provide additional comments where necessary.
- Certify the accuracy of the health information provided by signing and dating where indicated.
- Move to Section 3 and record vision test results, including uncorrected and corrected visual acuity for each eye.
- In Section 4, input blood pressure and pulse rate readings, ensuring to record both systolic and diastolic measurements.
- Provide hearing test results in Section 5, indicating whether a hearing aid was used and recording the distance at which whispered voice can be heard.
- Complete Section 6 by documenting the results of the required urinalysis and any additional tests that were conducted.
- In Section 7, conduct and note findings from the physical examination. Check yes or no for abnormalities in body systems.
- Finally, in Section 8, the medical examiner should certify the examination results, indicating the driver's qualification status along with any restrictions.
- After all sections are completed, save changes, download, print, or share the form as needed.
Complete your Ds 874 form online today for a smooth medical examination process.
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Get answers to your most pressing questions about US Legal Forms API.
What happens if you let your DOT medical card expire in New York?
Once your Medical Examiner's Certificate on file expires, you are no longer certified to drive commercial vehicles. A notice advising you of your “not certified” medical status and impending license downgrade (56 days from the date of notice) will be sent to you.
How do I submit my MS DOT medical card?
Online submission may be done at .ms.gov/dps/cdl_medcard, or visit the nearest Commercial Driver License location near you. Security Compliance handles all online Medical Cards submitted for the purpose of obtaining and possessing a Commercial Driver's License (CDL).
Where do I send my DOT medical card in NY?
How to submit a Medical Certificate to the Medical Certification Unit. Email: dmv.sm.cdlmedcertunit@dmv.ny.gov Put your first and last name in the subject line. In the event that you need to confirm receipt of your e-mailed medical certificate, DMV will track it using the information in the subject line.
Can I fax the NY DMV?
You can send the required documents to DMV by mail, fax or e-mail. Fax: (518) 486-4421 / (518) 486-3260 Make a note of the fax number you are faxing from.
Can I keep my CDL without a medical card in NY?
Can I still keep my CDL license? Yes, you are eligible for Excepted Intrastate operation (EA). You must ensure that your CDL has the required restrictions: K (CDL Intrastate Only) and A3 (Med Cert Exempt).
Where do I send my MD DOT card?
How will I be able to submit my updated MED Cert when MVA contacts me? Option #1Use our myMVA eServices portal: Medical Examiner's Certificate PortalOption #2Send mail to: Maryland MVA 6601 Ritchie Highway, N.E. Room 145, Attn: CDL Med Cert Glen Burnie, MD 21062
Can I get my CDL back after downgrade in NY?
If the downgrade/cancellation occurs, your must complete and present an application to reinstate your commercial privileges in person at a DMV office. All normal transaction fees will apply.
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