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Click ‘Get Form’ to open the NYS DMV DS-5 form in our editor.
Begin with Part 1, where you will need to provide the identification details of the driver in question. Fill in their last name, first name, middle initial, date of birth (or approximate age), street address, city, state, vehicle make and color, zip code, and license plate number.
Proceed to Part 2 to enter your own identification information. This includes your full name, date of birth, client ID number from your NYS Driver License or Non-Driver ID card, home address, city, state, zip code, daytime telephone number, and your relationship to the driver.
In Part 3, articulate your reasons for reporting the driver. Be specific about incidents or observations that led you to this decision. If there are others who share your concerns and can be contacted by DMV, list their names and contact information.
Finally, complete Part 4 by certifying that all provided information is true and accurate. Sign and date the form before submission.

Start using our platform today for free to easily fill out and submit your NYS DMV DS-5 form!

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (137 Votes)
2015	4.3 Satisfied (275 Votes)
2011	4.3 Satisfied (225 Votes)

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