Dmv Form Ds 885 PDF Details

Understanding the complexities and requirements of the DMV DS 885 form is crucial for transportation companies and those in charge of managing bus drivers. This form serves as a vital tool for reporting significant changes in the status of bus drivers to the New York State Department of Motor Vehicles. Whether bus drivers are being added to a company's roster due to hiring, rehiring, or reinstatement, or being dropped because of resignation, leave of absence, or disqualification, accurate completion and timely submission of this form is required. Specifically, the form mandates that the bus driver unit receives it within 10 days of any change in a driver's employment status. Detailed sections for both additions and removals of drivers ensure that companies can maintain up-to-date records and comply with Article 19-A, which aims to ensure the safety and reliability of bus drivers. By providing spaces for carrier information, driver details, and specific reasons for disqualification when applicable, the form also instructs carriers to include necessary documentation for drivers who fail required tests or medical examinations. The requirement to submit this form to the New York State Department of Motor Vehicles, along with keeping a copy in the driver's 19-A file, underscores the importance of this document in managing the qualifications and eligibility of bus drivers responsibly.

QuestionAnswer
Form NameDmv Form Ds 885
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names220C, disqualification, rehired, DS-885

Form Preview Example

THE BUS DRIVER UNIT MUST RECEIVE THIS FORM WITHIN
10 DAYS OF THE EFFECTIVE DATE LISTEDABOVE.

NewYorkStateDepartmentofMotorVehicles

ARTICLE 19-ABUS DRIVERADD/DROP NOTICE

DS-885 (11/13)

CompleteCARRIERINFORMATION.

CompleteCOLUMNA(ADDS) foranybusdriverwhoisbeingrehiredorreinstatedwithyourcompany.

CompleteCOLUMNB(DROPS) foranybusdriverwhohasleftservicewithyourcompanyforanyreason,orwhoisonaleaveofabsence thatwillpreventyoufromkeepingthatdriver’s19-Arecordsup-to-date,orwhoyouhavedisqualified.

Pleasetypeorprintthefollowinginformation:

CARRIER INFORMATION

Carrier/DBAName

 

Legal Name (if different)

 

Federal ID Number

 

19-ABusiness ID Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

StreetAddress

 

 

 

 

 

City

 

 

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name of Carrier Representative

 

 

 

Signature of Carrier Representative

 

 

 

 

Date

 

 

 

 

 

ç

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COLUMNA-ADDS

 

 

 

 

 

COLUMN B - DROPS

 

 

NOTE: Ifyouare employingabusdriverforthefirsttime,donotuse

NOTE: Ifyouare droppinga driveryoudisqualifiedbecause thedriver

 

failedthe 19-Abiennialroadtest,biennial oral/writtentest,or

thisform;use form DS-870,theArticle19-ABusDriver

 

 

medicalexamination,youmustcheckthe“YES”boxintheDRIVER

Application.

 

 

 

 

 

 

 

 

 

 

DISQUALIFIEDfield,indicatethe reasonfordisqualification,and

 

 

 

 

 

 

 

 

 

 

 

 

attachacopyofthefailedtestorfailedmedicalexamination.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LAST NAME

FIRST

 

 

M.I.

DRIVER’S LAST NAME

 

 

FIRST

 

M.I.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE DATE DRIVER REINSTATED

 

 

 

 

EFFECTIVE DATE OF DROP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LAST NAME

FIRST

 

 

M.I.

DRIVER DISQUALIFIED

REASON FOR DISQUALIFICATION

 

 

 

 

 

 

 

 

oYES

 

 

 

 

 

 

 

 

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

 

oNO

 

 

 

 

 

 

 

 

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE DATE DRIVER REINSTATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LAST NAME

FIRST

 

 

M.I.

DRIVER’S LAST NAME

 

 

FIRST

 

M.I.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE DATE DRIVER REINSTATED

 

 

 

 

EFFECTIVE DATE OF DROP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LAST NAME

FIRST

 

 

M.I.

DRIVER DISQUALIFIED

REASON FOR DISQUALIFICATION

 

 

 

 

 

 

 

 

oYES

 

 

 

 

 

 

 

 

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

 

oNO

 

 

 

 

 

 

 

 

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE DATE DRIVER REINSTATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LAST NAME

FIRST

 

 

M.I.

DRIVER’S LAST NAME

 

 

FIRST

 

M.I.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE DATE DRIVER REINSTATED

 

 

 

 

EFFECTIVE DATE OF DROP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DRIVER’S LAST NAME

FIRST

 

 

M.I.

DRIVER DISQUALIFIED

REASON FOR DISQUALIFICATION

 

 

 

 

 

 

 

 

oYES

 

 

 

 

 

 

 

 

CLIENT ID NUMBER (from driver license)

DATE OF BIRTH

 

STATEOF

 

oNO

 

 

 

 

 

 

 

 

 

 

 

LICENSE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE DATE DRIVER REINSTATED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE SUBMITTHE ORIGINALCOMPLETED COPYOF THIS FORM TO: NewYork State Department of Motor Vehicles, Bus Driver Unit, 6 Empire State Plaza, Rm 136B, Albany, New York 12228. In addition, you are required to keep a copy of completed form DS-885 in yourdrivers’19-Afiles.

www.dmv.ny.gov