DPR-104

The DPR-104 form is the Impaired Driver Program (IDP) Service Agreement, a mandatory contract between the New York State Department of Motor Vehicles (DMV) and an IDP provider. It establishes the legal and operational responsibilities of the program to both the DMV and the participating motorists. Organizations must submit this signed agreement when applying to establish a new IDP, changing the name of the program or sponsoring agency, or appointing a new program director.

By signing form DPR-104, the provider agrees to comply with the terms of the agreement and the standards set forth in the New York State Impaired Driver Program Director's Guide (DPR-175). The document serves as a foundational requirement for licensing, ensuring that all programs operate under uniform regulations and maintain accountability. It must be submitted to the DMV’s Driver Improvement Unit in Albany along with other essential application materials, such as the program application (DPR-103) and individual instructor forms (DPR-102).