Form DS-874C Supplement to Medical Examination of Driver Report Under Article 19-a - New York

Form DS-874C Supplement to Medical Examination of Driver Report Under Article 19-a - New York

What Is Form DS-874C?

This is a legal form that was released by the New York State Department of Motor Vehicles - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form DS-874C?
A: The Form DS-874C is a supplement to the Medical Examination of Driver Report under Article 19-a in New York.

Q: Who needs to fill out Form DS-874C?
A: This form is typically filled out by individuals who are applying for a New York commercial driver's license (CDL).

Q: What is the purpose of Form DS-874C?
A: The purpose of this form is to provide additional medical information about the applicant's fitness to operate a commercial vehicle.

Q: Is Form DS-874C required for all CDL applicants in New York?
A: No, this form is only required for certain CDL applicants, such as those who have specific medical conditions or requirements.

Q: What kind of information is included in Form DS-874C?
A: The form includes information about the applicant's medical history, medications, physical and mental health conditions, and any restrictions on their ability to operate a commercial vehicle.

Q: Are there any fees associated with submitting Form DS-874C?
A: No, there are no fees for submitting this form. However, there may be fees associated with the overall CDL application process.

Q: Is Form DS-874C confidential?
A: Yes, the information provided on this form is treated as confidential medical information and is protected under privacy laws.

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Form Details:

  • Released on June 1, 2015;
  • The latest edition provided by the New York State Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DS-874C by clicking the link below or browse more documents and templates provided by the New York State Department of Motor Vehicles.

Download Form DS-874C Supplement to Medical Examination of Driver Report Under Article 19-a - New York

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  • Form DS-874C Supplement to Medical Examination of Driver Report Under Article 19-a - New York, Page 1
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