Form: 

DS-874C

Supplement to: Medical Examination of Driver Report Under Article 19-A
DS-874C

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Summary

The NY DMV DS-874C form, titled Supplement to: Medical Examination of Driver Report Under Article 19-A, is a specialized document used to provide additional health history or physical examination details that cannot fit on the primary DS-874 medical report. It is specifically designed for bus drivers undergoing new, biennial, or follow-up medical certifications as required by Article 19-A of the Vehicle and Traffic Law.

The form acts as an extension for recording detailed medical examiner certifications, remarks, and specific driver health data, such as information on medications or conditions like vision issues, high blood pressure, or loss of consciousness. To be legally valid, the DS-874C must be attached to the completed primary DS-874 form; it is not a standalone document. Accuracy is critical, as any false or missing information can invalidate the entire medical examination.

Pro Tip: To ensure your medical report is valid, always attach the DS-874C supplement to the primary DS-874 form, as it is not a standalone document. Avoid common processing delays by verifying that both the driver and the medical examiner have signed all pages and that the Client ID and personal information exactly match your driver license.

⚠️ Disclaimer
The form summaries, instructions, and "Pro Tips" provided on this website are for informational purposes only. While we strive to keep this information accurate, up-to-date, and easy to understand, official motor vehicle policies, form requirements, and state regulations change frequently. This content does not constitute formal legal or regulatory advice. For absolute accuracy, official guidelines, or further clarification regarding any New York State form or requirement, please consult the official New York State Department of Motor Vehicles (NYS DMV) directly.

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