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Click ‘Get Form’ to open the ds police nys document in the editor.
Begin with Part 1, where you will identify the driver in question. Fill in their last name, first name, middle initial, date of birth (or approximate age), street address, city, state, zip code, vehicle make and color, and license plate number.
Proceed to Part 2 to provide your identification details. Enter your full name, date of birth, client ID number from your NYS Driver License or Non-Driver ID card, home address including street and number, 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. Sign and date the form before submission.

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