Get Ny Ds-19 2015

The NY DS-19 form is essential for motor carriers to participate in the Accident and Conviction Notification Program. Completing this form accurately ensures compliance with New York State regulations while safeguarding drivers' personal information.

Follow the steps to fill out the NY DS-19 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your online editor.
2. Begin by filling out the motor carrier information. Enter the motor carrier's name, address, city, state, and zip code clearly in the designated fields.
3. Provide the Federal Employer ID Number (FEIN) in the appropriate field.
4. Indicate the location where the motor carrier maintains drivers' records for audit by filling in the address, city, state, and zip code.
5. Include the telephone number and fax number for the carrier, ensuring you provide the respective extensions if applicable.
6. Enter the email address of the person responsible for maintaining the 19-A records. This field is optional.
7. Complete the information for the billing contact, including their name, address, city, state, zip code, telephone number, fax number, and email address as required.
8. Review the deposit table to determine the appropriate opening escrow deposit amount based on the number of drivers you are enrolling in the 19-A program.
9. Ensure the completed form is signed by the representative of the motor carrier, and include their printed name, title, and date.
10. Submit the application by mailing it along with the appropriate check or money order (made payable to 'Commissioner of Motor Vehicles') to the specified DMV address.
11. After submission, make sure to keep a copy of the completed form for your records.

Complete your NY DS-19 form online today to ensure compliance and timely processing.