Ds 873 Form PDF Details

In the bustling state of New York, the DS-873 form stands as a crucial document for maintaining the standards of defensive driving, particularly among drivers carrying passengers. Released by the New York State Department of Motor Vehicles, this form is an essential tool for recording the annual defensive driving performance of drivers governed under Article 19-A. Its primary purpose is to ensure that drivers are regularly observed and evaluated on their ability to drive defensively, an exercise that is decidedly separate from the biennial behind-the-wheel road test. The observations, which should not coincide with the road test date, offer a comprehensive review of a driver’s skills in real-world conditions, without the pressure of an examination setting. Factors such as adherence to traffic laws, proper signaling, vehicle control, and interaction with traffic are meticulously assessed. The form also facilitates open communication between the examiner and the driver, enabling the former to provide feedback and the latter to acknowledge areas of improvement or excellence. Detailed sections within the form capture driver, carrier, and vehicle information, followed by the observation results, thereby ensuring a thorough evaluation process. The DS-873 form not only enhances road safety but also supports drivers in cultivating and maintaining high standards of driving performance.

QuestionAnswer
Form NameDs 873 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnys 19a ds873 fillable form, DS-873, ds 873, nys dmv form ds 499

Form Preview Example

New York State Department of Motor Vehicles

REPORT ONANNUAL DEFENSIVE DRIVING

PERFORMANCE FOR DRIVER UNDERARTICLE 19-A

DS-873 (6/11)

www.dmv.ny.gov

INSTRUCTIONSTOCERTIFIEDEXAMINER:

Regular observation of a driver’s defensive driving performance must be conducted while the driver is operating the vehicle with passengers.

This observation shall NOT be conducted on the same day as the biennial behind-the-wheel road test.

Discuss performance with driver, complete rating, driver acknowledgement, and examiner certification.

SECTION1 - DRIVER INFORMATION

Driver’s Last Name

 

First

M.I.

Date of Birth (Month/Day/Year)

 

 

 

 

 

 

 

 

 

StreetAddress

 

 

City

 

 

State

Zip Code

 

 

 

 

 

 

 

 

 

Client/License ID Number

State

 

Class of Driver’s License

Endorsements

Restrictions

 

Expiration Date

(from Driver License)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION2 - CARRIER INFORMATION

Carrier/DBAName

Legal Name (if different)

Federal ID Number

19-ABusiness ID Number

 

 

 

 

 

 

 

StreetAddress

 

City

 

State

 

Zip Code

 

 

 

 

 

 

 

SECTION3 - VEHICLE INFORMATION

Type of Vehicle

Adult Seating Capacity

GVWR

 

 

Vehicle Plate Number

State

SECTION4 - OBSERVATION (may be conducted inside or outside the vehicle)

Observation Conducted: oInside oOutside

Satisfactory

Unsatisfactory

Satisfactory Unsatisfactory

1.Observation ........................................

2.Traffic Lane Use

(include center line violation) ............

3.Speed..................................................

4.Properly Signals Intention ..................

5.Turning................................................

6.Vehicle Control....................................

o

o

o

o

o

o

o

o

o

o

o

o

7.Obeys Traffic Signs, Signals

and Road Hazard Signs......................

8.Observes Proper Following Distance..

9.Procedures for Receiving and Discharging Passengers ....................

10. Traffic Interaction ................................

o

o

o

o

o

o

o

o

Comments: (requiredifUnsatisfactorycheckedabove)

SECTION5 - DRIVERACKNOWLEDGEMENT

I acknowledge discussion of my defensive driving performance with the examiner who observed and rated my performance.

✍

 

 

 

 

 

_______________

 

 

 

 

 

 

 

 

(Driver Signature)

 

 

 

 

(Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION6 - EXAMINER’S CERTIFICATION

 

 

 

 

 

Certified Examiner’s Name

 

 

 

 

 

Client/License ID Number

 

 

 

 

 

 

(from Driver License)

 

 

 

 

 

 

 

Certificate Number

Certification Class

Endorsements

Restrictions

 

Expiration Date

 

 

 

 

 

 

 

 

I certify that the above report is, to the best of my knowledge, true and correct,

 

Certified Examiner’s Signature

 

that I personally observed the above driver’s defensive driving performance, and

 

 

 

 

that I currently hold a valid examiner certification as required in accordance with

 

✍

 

 

Article 19-Aof the New York State Vehicle and Traffic Law.

 

 

 

 

 

Date of Observation

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In an effort to fill out this document, ensure you provide the necessary details in each and every area:

1. The nys dmv form ds 499 involves certain information to be entered. Ensure that the subsequent blank fields are filled out:

Part number 1 of submitting nys 19a ds873 fillable form

2. After this part is filled out, go to type in the applicable information in all these: Speed, Properly Signals Intention, Turning, Vehicle Control, Comments required if, Procedures for Receiving and, Discharging Passengers, Traffic Interaction, SECTION DRIVER ACKNOWLEDGEMENT, I acknowledge discussion of my, Driver Signature, Date, SECTION EXAMINERS CERTIFICATION, Certified Examiners Name, and ClientLicense ID Number from.

Stage # 2 in submitting nys 19a ds873 fillable form

3. This third part should be pretty simple, I certify that the above report is, and Date of Observation - all these form fields will need to be completed here.

nys 19a ds873 fillable form writing process clarified (portion 3)

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