Form Ds 876 is a document that is used in order to declare an organization's financial transactions. This document can be used for both private and public organizations, and it is important to ensure that all information included in the form is accurate. By filing a Form Ds 876, an organization can keep track of its financial activity and ensure that it is compliant with any applicable laws or regulations. Filing this form also allows an organization to be transparent with its finances and provide potential investors with important information about the company. inaccuracies on this document can lead to fines or other penalties, so it is critical to get it right the first time. For more information on Form Ds 876, please contact us today.
Question | Answer |
---|---|
Form Name | Form Ds 876 |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | ds876 ds 876a form |
NewYorkStateDepartmentofMotorVehicles
BUS DRIVER UNIT
APPLICATION FOR ARTICLE
www.dmv.ny.gov
INSTRUCTIONS/INFORMATION
●Completepage1andpage2ofthisformandsigntheAffirmationsection.Pleaseprintclearly.
●Inordertobecertified,youmusthaveavalidcommercialdriverlicensewithappropriateendorsements.Youmustbeproperlylicensed intheclassinwhichyouwillbetestingdrivers.
●IfyourcommercialdriverlicensewasissuedbyastateotherthanNewYork,attacharecentcertifieddriverlicenseabstractfromthe statethatissuedyourlicense.
●
●Mailthiscompleted,signedformandrequireddocumentationtothefollowingaddress:
BusDriverUnit
NYSDepartmentofMotorVehicles
6EmpireStatePlaza Room136B
Albany,NY 12228
Ifyourapplicationmeetsinitialqualificationstandards,youwillbenotifiedbymailtocontactaMotorVehiclesTestingandInvestigation UnittoscheduleaCertifiedExaminerqualifyinginterviewthatwillincludeawrittentest,avisiontest,andaroadtest.Donotcontactthe
MotorVehiclesOfficeuntilyoureceivethatnotice.
APPLICANT INFORMATION
Driver’s Last Name
First Name
Street Address
Middle Initial Date of Birth (mm/dd/yyyy)
/ /
oMale oFemale
City
State |
Zip Code |
|
|
County
ID Number from Driver License
State
License Class
Endorsements
Restrictions
Expiration Date
Daytime Telephone No.
()
Certification Class Requested - Check Class of vehicle in which you will be testing.
o Class B o Class C
Freelance - Occasionally DMV will get requests for the names of Certified Examiners who are available to do independent examiner work.
Do you want to be included on such a list? o Yes o No
Name of Current
Federal Employer ID Number (FEIN)
Article
PAGE 1 OF 2
EXPERIENCE
I have a minimum of 2 years experience in driver training and the evaluation of the driving ability of others. (Provide information about
youremployer(s)below.Attachaseparatesheetifyouneedmorespacetodocumentyourexperience.)
Employer Name and Address |
Dates Employed |
|
Class of |
|
|
License Held |
|
|
From: |
To: |
|
|
|
1.
2.
AND
I have a minimum of 18 months experience in the last 3 years while employed by a
in which I will be testing. (Provide information about your employer(s) below. Attach a separate sheet if you need more space to document yourexperience.)
Employer Name and Address |
Dates Employed |
|
Class of |
|
|
License Held |
|
|
From: |
To: |
|
|
|
1.
2.
EDUCATION
In addition to the above experience, you MUST have completed one of the following courses. Check the box that applies to you.
o
OR
o
EXCEPTION
Youmaybeabletoprovidespecialaffidavitsifyoudonothaveaminimumof18monthsexperienceinthelast3yearswhileemployedbya
AFFIRMATION
Applicant’sSignature: ➧_______________________________________________________________ |
Date: ____________________ |
|
|
CARRIER ENDORSEMENT |
|
|
|
IendorsethisapplicanttobeaCertifiedExaminerformycompany. |
|
Date:_____________________ |
PAGE 2 OF 2