Get Ny Ds-875 2016-2026

The NY DS-875 form is essential for assessing drivers under Article 19-A. This guide provides a detailed overview of how to fill out the form online, ensuring a smooth and accurate submission process.

Follow the steps to successfully complete the NY DS-875 form.

1. Press the ‘Get Form’ button to obtain the NY DS-875 form and access it in the online editor.
2. Begin by entering the driver information. Fill in the date of birth, middle initial, first name, last name, state licensed, license class, driver license ID number, endorsements, restrictions, and expiration date. Ensure that all information is accurate.
3. Provide the carrier information. Include the carrier or DBA name, federal ID number, legal name (if different), and the 19-A business ID number.
4. Complete the vehicle information section by specifying the type of vehicle and indicating the adult seating capacity.
5. Assess the pre-trip test results. Review the list of potential failures and select those applicable based on the driver's performance, noting point values accordingly.
6. Evaluate the departing, parking, backing, and en-route performance sections. For each area, indicate failures as necessary, assigning point values.
7. In the results section, mark whether the driver is qualified or disqualified. If disqualified, check all that apply, including point totals and disqualification items.
8. Fill in the examiner’s certification details. This includes the examiner's name, certification number, class, endorsements, restrictions, and expiration date.
9. Provide your signature as a certified examiner and ensure the date of the test is recorded.
10. After thoroughly checking the completed form for accuracy, save your changes, then download, print, or share the form as needed.

Begin the process now by completing the NY DS-875 form online.