FS-15 Form PDF Details

In the midst of navigating the legal requirements after a motor vehicle accident in New York State, individuals may find themselves confronted with the FS-15 form, a crucial document pertaining to the reinstatement of driving privileges. This form, issued by the New York State Department of Motor Vehicles Insurance Services Bureau, serves as an affirmation under sections 318(9) and 318(11) of the New York Vehicle and Traffic Law. It's designed for those whose driving privileges have been revoked following an accident. Applicants are required to affirm, under penalties of perjury, their residential information, involvement in the accident either as an owner or operator of a vehicle, and their compliance with related legal stipulations—including the absence of pending legal actions or unsatisfied judgments against them. Moreover, the form signals the completion of a required waiting period, marking a significant step toward regaining the right to drive. In filling out and submitting the FS-15 form to the specified address, individuals take a pivotal step in reinstating their driving privileges, making it essential to understand the form's components, the importance of accuracy, and the potential implications of their affirmation.

QuestionAnswer
Form NameFS-15 Form
Form Length1 pages
Fillable?Yes
Fillable fields18
Avg. time to fill out3 min 55 sec
Other namesaffirm, complied, dmv fs15, resided

Form Preview Example

NewYorkStateDepartmentofMotorVehicles

InsuranceServicesBureau-6EmpireStatePlaza-AlbanyNY12228

AFFIRMATION UNDER SECTIONS 318(9) & 318(11)

OF THE NEWYORK VEHICLEAND TRAFFIC LAW

www.nysdmv.com

DMV

Accident

Revocation

Case#_____________________________

Date_________________________

Order#__________________________

This affirmation is not acceptable if completed before __________________________________.

INSTRUCTIONS:Completethisformbyfillingintheblankspaces.Returnittotheaddressatthetopofthispage.

AFFIRMATION

I,_______________________________________________,affirmunderpenaltiesofperjurythat:

(Print Name in Full)

(1) Iresideat______________________________________________________________________________________

(Number, Street,Apartment No.)

_______________________________________________________________________________________________

(City)

(State)

(Zip Code)

(2) Iwasinvolvedinanaccidentasthe(checkoneorboth) owner operator ofamotorvehicleon

_______________________at__________________________________________________.Atthattime,Iresidedat

(Date ofAccident)(Location ofAccident)

_______________________________________________________________________________________________

(Number, Street,Apartment No.)

_______________________________________________________________________________________________

(City)

(State)

(Zip Code)

(3)Therearenolegalactionspendingagainstmewhichwerestartedwithinoneyearfromthedateoftheaccidentbyany damagedpartyinvolved,norarethereanyunsatisfiedjudgmentsoutstandingagainstmeresultingfromanysuchlegal actionsthathavebeenresolved.

(4)OneyearhaspassedsinceIcompliedwiththerevocationorder.Irequestthatmydrivingprivilegesberestored.

__________________________________________________________ __________________ __________________

(Signature - Sign Name in Full)

(Date of Birth)

(Date)

FS-15 (11/07)

How to Edit FS-15 Form Online for Free

You can work with FS-15 easily in our online PDF tool. Our editor is constantly developing to grant the best user experience attainable, and that is because of our resolve for constant development and listening closely to testimonials. Here is what you will have to do to get started:

Step 1: Simply click on the "Get Form Button" in the top section of this site to see our pdf editor. Here you'll find all that is required to fill out your file.

Step 2: The editor enables you to modify your PDF document in a variety of ways. Change it by writing customized text, correct what's originally in the file, and put in a signature - all when you need it!

Be mindful while filling out this document. Ensure that each blank is filled in properly.

1. The FS-15 necessitates particular details to be inserted. Ensure the following blanks are complete:

Tips to complete dmv fs15 form step 1

2. The third step would be to complete the following blanks: I was involved in an accident as, at At that time I resided at, Date of Accident, Location of Accident, Number Street Apartment No, City, State, Zip Code, There are no legal actions, One year has passed since I, Signature Sign Name in Full, Date of Birth, and Date.

The best way to prepare dmv fs15 form part 2

Always be really attentive while filling out Signature Sign Name in Full and Date, because this is where most users make mistakes.

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