Form DS-874 Medical Examination Report of Driver Under Article 19-a - New York

Form DS-874 Medical Examination Report of Driver Under Article 19-a - New York

What Is Form DS-874?

This is a legal form that was released by the New York State Department of Motor Vehicles - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DS-874?
A: Form DS-874 is the Medical Examination Report of Driver Under Article 19-a - New York.

Q: Who needs to complete Form DS-874?
A: Drivers in New York who are subject to Article 19-a are required to complete Form DS-874.

Q: What is Article 19-a?
A: Article 19-a is a New York State law that requires certain drivers, such as commercial drivers, to meet specific medical qualifications.

Q: What information is required on Form DS-874?
A: Form DS-874 requires information about the driver's medical history, physical examination results, and the physician's certification.

Q: Who can complete Form DS-874?
A: Form DS-874 must be completed by a licensed medical practitioner who is authorized to conduct the required examinations.

Q: What happens after I complete Form DS-874?
A: After completing Form DS-874, you must submit it to the New York State DMV in order to meet the requirements of Article 19-a.

Q: How often do I need to complete Form DS-874?
A: The frequency of completing Form DS-874 depends on the individual driver's circumstances and the requirements of Article 19-a.

Q: What happens if I fail to complete Form DS-874?
A: Failure to complete Form DS-874 or meet the requirements of Article 19-a may result in the suspension or revocation of your driver's license.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the New York State Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form DS-874 by clicking the link below or browse more documents and templates provided by the New York State Department of Motor Vehicles.

Download Form DS-874 Medical Examination Report of Driver Under Article 19-a - New York

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