
REQUEST FOR DRIVER REVIEW www. dmv.ny. gov INSTRUCTIONS l This form is to be used by concerned citizens to report a driver who appears to be unable to drive safely. Law enforcement personnel must use form DS-5 Police Agency Request for Driver Review physicians must use form DS-6 Physician s Reporting Form. Your Name Print name in full - Required Your Date of Birth Required Client ID No. 9-digit number from your NYS Driver License or Non-Driver ID card Your Home Address Include Street Number - Required Your Daytime Telephone Number Area Code - Required Your relationship to the driver you are reporting o Daughter o Son o Other explain o Sister o Brother o Spouse o Mother o Father o Neighbor PART 3 - Your reasons for reporting this driver Explain why you feel the person you identified in Part 1 should have his/her driving abilities reviewed. Be as specific as possible and include specific incidents observations dates locations etc. DS-7 6/15 Part 3 is continued on Page 2 PAGE 1 OF 2 PART ....
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How to fill out the NY DMV DS-7 online
This guide provides a clear and supportive overview of how to complete the NY DMV DS-7 form online. The DS-7 form is used to report individuals who may be unable to drive safely, ensuring the safety of all road users.
Follow the steps to successfully complete the form.
- Click the ‘Get Form’ button to access the form and open it in your preferred editor.
- In Part 1, provide detailed identification information for the individual you are concerned about. Complete the fields for their last name, first name, middle initial, date of birth or approximate age, and address. Ensure to include their vehicle details, such as make, color, zip code, and license plate number.
- In Part 2, fill in your own identification details. This includes your full name, date of birth, client ID number from your NYS Driver License or Non-Driver ID card, and address. Be certain to enter your daytime telephone number and indicate your relationship to the driver being reported.
- In Part 3, clearly explain the reasons for your report. Provide as much factual detail as possible regarding the driver’s abilities and include any specific incidents, observations, and relevant details that led you to believe a review is necessary. If there are witnesses who support your assessment, list their names and contact information.
- In Part 4, certify the accuracy of the information you provided by signing your name and dating the form. Your signature confirms that the details are true and can be subjected to legal scrutiny if necessary.
- Once completed, save your changes. You may have the option to download, print, or share the form, as needed.
Complete your NY DMV DS-7 form online today for the safety of all road users.
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