How to Fill Out Form DA-88

Form DA-88 at a glance

What it is: Request for Driver Evaluation is a form of the Michigan Department of State Driver Assessment Section.

Where and when to file: The completed document(s) may be emailed, mailed or faxed to the Michigan Department of State, Driver Assessment Section, P.O. Box 30810 Lansing, Michigan 48909-9832, Email: MedicalForms@Michigan.gov, Fax: 517-335-2189.

A filled-in Form DA-88 example: a social worker requests a driver evaluation

Form DA-88 example filled out, example: a social worker requests a driver evaluation
Pat Sample fills out Form DA-88 to request a driver evaluation. Pat, a social worker, reports one incident in Section 2 and continues the explanation on the back. The picture shows page one, and its names and figures are sample values.

How to fill out Form DA-88, box by box

Section 1: Driver's Information

Form DA-88 example filled out, section 1: Driver's Information

Enter Today's Date and the Driver's Full Name (as it appears on license if known).

Enter the Driver's License Number (if known).

Enter the Date of Birth.

Enter the Street Address, City, State and ZIP Code.

Section 2: Why the Driver Should be Evaluated

Form DA-88 example filled out, section 2: Why the Driver Should be Evaluated

Explain why this driver should be scheduled for an evaluation. The Department of State cannot process a request for an evaluation unless specific information is provided indicating that an unsafe driving condition may exist. Additional space is provided on the back of this form and additional documents may be attached.

Please attach a copy of any related information.

Section 3: Requestor's Information

Form DA-88 example filled out, section 3: Requestor's Information

This section must be completed and signed or the request will not be processed. The Department does not accept anonymous requests. Requests by private citizens will be kept confidential to the extent permitted by Michigan and Federal law.

Enter the Requestor's Name, Agency name, if applicable, Street Address, City, State and ZIP Code.

Enter the Telephone Number and the Date.

By signing you certify that the information provided in this request is true to the best of your knowledge and belief.

If your situation is different

There is reason to believe a person is incompetent to drive a motor vehicle

As provided by Section 257.320 of the Michigan Vehicle Code, the Department of State may conduct a reexamination of a person if there is reason to believe that the person is incompetent to drive a motor vehicle or is afflicted with a mental or physical infirmity or disability rendering it unsafe for that person to drive a motor vehicle. Please provide a description of a medical episode, incident, pattern of behavior or other evidence that you believe justifies an evaluation of an individual as it relates to their ability to drive safely. All sections of this form must be completed. WARNING: Submitting false information regarding a person may result in civil or criminal penalties.

Sources

[1] Form DA-88 (Rev. 06/9/2025), Request for Driver Evaluation, Michigan Department of State (the Official source link on this page).

Form DA-88 PDF Details

All sections of this form must be completed.

Section 2: the Department of State cannot process a request unless specific information is provided indicating that an unsafe driving condition may exist.

Section 3: this section must be completed and signed or the request will not be processed.

Confidentiality: requests by private citizens will be kept confidential to the extent permitted by Michigan and Federal law.

Warning: submitting false information regarding a person may result in civil or criminal penalties.

QuestionAnswer
Form NameForm DA-88
Form Length2 pages
Fillable?Yes
Fillable fields31
Avg. time to fill out6 min
EditionRev 06/9/2025
Issuing agencyMichigan Department of State
Where to sendEmail MedicalForms@Michigan.gov, fax 517-335-2189 or mail to Michigan Department of State Driver Assessment Section, P.O. Box 30810, Lansing, Michigan 48909-9832
Other namesDA-88, DA88, OC-88, OC88, Form DA-88, request for driver evaluation Michigan
Official sourceForm DA-88 (Rev 06/9/2025), Michigan Department of State