Get Ny Ds-872 2016-2026

The NY DS-872 is an essential form used for reviewing an employee's driving record under Article 19-A. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to fill out the NY DS-872 correctly.

1. Press the ‘Get Form’ button to obtain the NY DS-872 form and open it in the online editor.
2. Begin filling out the Driver Information section. Enter the driver's first name, last name, license ID number from their driver license, date of birth, middle initial, class of driver's license, endorsements, state, restrictions, and expiration date.
3. Proceed to the Carrier Information section. Provide the carrier's DBA name, federal ID number, 19-A business ID number, and the legal name if it differs from the DBA name.
4. In the motor vehicle accident section, answer whether the driver was involved in any accidents in the past 12 months that are not listed on their abstract. If 'yes', complete the Accident Information section by entering the date of the accident, location, a brief description of property damage, the number of people injured, and whether there were any fatalities.
5. Next, indicate if the driver was convicted of any traffic violations or crimes in the past 12 months not appearing on their abstract. If 'yes', fill out the Record of Convictions section with the date of violation, date of conviction, charge, type of motor vehicle operated, court location, and specify if it was a commercial motor vehicle.
6. Complete the Driver Certification section by having the driver affirm the accuracy of the information provided. The driver needs to include their signature and date.
7. Fill out the Carrier Certification section. The carrier representative must compare the information given by the driver with their driver's abstract. They need to confirm compliance with Article 19-A standards and include their printed name, title, signature, and the date of the interview.
8. After filling out all sections, review the form for accuracy. Users may then save changes, download, print, or share the completed form as needed.

Complete your documents online with confidence using this guide.