Ds 7 Form – Fill Out and Use This PDF

The DS-7 form, provided by the New York State Department of Motor Vehicles (NYSDMV), serves as a crucial tool for concerned citizens to report drivers who may not be capable of operating a vehicle safely. Specifically designed to facilitate reports from individuals (excluding law enforcement officers and physicians who have designated forms), it requires detailed information across several sections to initiate a review by the DMV. Considering the potential impact on the reported individual's driving privileges, accuracy, and completeness are imperative.

To ensure the safety of our roads and the well-being of our community, it is essential to report drivers who may pose a risk. Click the button below to understand how to accurately fill out and submit the DS-7 form.

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Ds 7 Form PDF Details

In New York, maintaining road safety involves not just law enforcement and medical professionals but also the vigilance of everyday citizens. The DS-7 form, available through the New York State Department of Motor Vehicles (NYSDMV), is a critical tool designed for concerned citizens who observe drivers that may not be fit to drive safely due to various reasons. Unlike the DS-5 and DS-6 forms, which are intended for use by law enforcement personnel and physicians respectively, the DS-7 form allows individuals without a professional background to report concerns directly to the Medical Review Unit. This actionable form encompasses the process of identifying the driver in question by requiring detailed information about the driver, the reporting party, and specific reasons and incidents that led to the concern. It also highlights the potential severe consequence for the reported driver – the possible suspension or revocation of their license. By filling out and submitting this form, citizens play a proactive role in road safety, contributing to a community care initiative that could prevent accidents before they occur. However, it’s essential for the reporter to provide comprehensive and factual details to ensure a fair review process. This underscores the responsibility placed on individuals reporting through the DS-7, reflecting the balance between public safety and individual rights.

Question	Answer
Form Name	Ds 7 Form
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	ds driver dmv, new york dmv 7, ny ds, driver review form

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REQUEST FOR DRIVER REVIEW

dmv.ny.gov

INSTRUCTIONS:

Thisformistobeusedbyconcernedcitizenstoreportadriverwhoappearstobeunabletodrivesafely.(Lawenforcementpersonnelmust useformDS-5,“PoliceAgencyRequestforDriverReview”;physiciansmustuseformDS-6,“Physician’sReportingForm”).

TheDepartmentwillnotactonyourrequestunlessyoucompleteallfourpartsbelowandonPage2,andprovideallrequiredinformation. Pleaseprovideasmuchfactualdetailaspossible.

Signthecompletedoriginalformandmailitto:

MedicalReviewUnit

NewYorkStateDepartmentofMotorVehicles 6EmpireStatePlaza,Room337

Albany,NY12228

Beawarethatthereviewyouarerequestingmayleadtothesuspensionorrevocationofthedriver’slicenseofthepersonyouarereporting.

PART 1 - Identification of the person whose ability to drive is in question (Please print.)

Last Name (Required)	First Name (Required)		M.I.	Date of Birth (if not known, give approximate age) -
				(Required)

StreetAddress (Required)

City (Required)						State (Required)	Zip Code

Make of Vehicle the		Color of			License Plate
Person Normally Drives		Vehicle			Number

PART 2 -Your identification (Please print.)

ArepresentativeoftheNYSDMVmaycontactyouconcerningyourrequestfordriverreview.

Your Name (Print name in full) - (Required)

Your Date of Birth (Required)

Client ID No. (9-digit number from your NYS Driver License or Non-Driver ID card)

Your HomeAddress (Include Street & Number) - (Required)

City (Required)

State (Required) Zip Code (Required) Your Daytime Telephone Number (Area Code) - (Required)

Yourrelationshiptothedriveryouarereporting:

Child Sibling Spouse Parent Neighbor

Other(explain)

PART 3 -Your reasons for reporting this driver

Explain why you believe a review of the driving abilities of the person identified in Part 1 is needed. Be as specific as possible, and include specificincidents,observations,dates,locations,etc.

DS-7 (6/21)

(Part3iscontinuedonPage2)

PAGE 1 OF 2

PART 3 - (Continued from Page 1)

Ifyouknowotherpeoplewhoagreewithyourassessmentofthisdriver,whoDMVmaycontact,pleaseidentifythembelow:

Name	Address	Daytime Telephone Number

Name	Address	Daytime Telephone Number

Name	Address	Daytime Telephone Number

Name	Address	Daytime Telephone Number

PART 4 - CERTIFICATION:

IcertifythattheinformationIprovidedaboveistrueandaccurate.Iunderstandthatanyfalsestatementgivenbymemaybepunishablebylaw.

(Your Signature - Sign name in full)

(Date - Month/Day/Year)

DS-7 (6/21)

PAGE 2 OF 2

reset/clear

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This PDF doc requires specific information; in order to guarantee accuracy and reliability, take the time to take note of the guidelines just below:

1. The ds police ny necessitates specific information to be typed in. Ensure the subsequent blank fields are complete:

ds police nys writing process explained (step 1)

2. Once your current task is complete, take the next step – fill out all of these fields - Your relationship to the driver, Other explain, PART Your reasons for reporting, Explain why you believe a review, specific incidents observations, Part is continued on Page, and PAGE OF with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

ds police nys completion process explained (stage 2)

3. In this step, look at PART Continued from Page, and If you know other people who agree. All of these must be filled out with highest precision.

ds police nys completion process described (part 3)

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4. The following part comes next with the following blanks to fill out: Name, Name, Name, Name, Address, Address, Address, Address, Daytime Telephone Number, Daytime Telephone Number, Daytime Telephone Number, Daytime Telephone Number, PART CERTIFICATION I certify, Your Signature Sign name in full, and Date MonthDayYear.

ds police nys writing process shown (stage 4)

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Ds 7 Form – Fill Out and Use This PDF

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