Get Nys Ds871 Form

The Nys Ds871 Form is essential for drivers to notify their employers about certain legal circumstances such as misdemeanor or felony convictions, license revocations, and traffic infractions. This guide will help you navigate filling out this form online with ease and clarity.

Follow the steps to complete the Nys Ds871 Form online.

1. Press the ‘Get Form’ button to obtain the form and open it in your editor.
2. In the first section, enter your full name in the designated fields: first name, middle initial, and last name.
3. Provide your complete address, including city, street, state, and zip code.
4. Enter your Client/License ID number from your driver license and specify the state.
5. Indicate the nature of the notification by checking the applicable box for misdemeanor/felony, license revocation, suspension, withdrawal, accident, or traffic infraction.
6. If applicable, input the date of conviction for the misdemeanor/felony or traffic infraction.
7. Select the type of vehicle operated by marking either CMV or Non-CMV.
8. Fill out the location details of the misdemeanor, felony, accident, or traffic infraction, including city, town, county, and state.
9. Provide a description of the misdemeanor, felony, accident, or traffic infraction in the specified area.
10. Sign the form with your name and enter the date.
11. Lastly, if applicable, have the carrier representative sign and print their name along with the date received.
12. Once you have filled out all sections, you can save your changes, download, print, or share the completed form.

Complete your Nys Ds871 Form online today to ensure timely notification to your employer.