FFDL 10: Potentially Unsafe Driver

PDF Version

Use This Form to Report a Potentially Unsafe Driver

Unsafe Driver

If you know someone who may no longer drive safely, you may submit a Request for Driver Reexamination (DS 699) to the Department of Motor Vehicles (DMV) to review his or her driving qualifications. The DS 699 is provided for your convenience. If you prefer, you may write a letter to your local Driver Safety office to identify the driver you want to report and give your reason(s) for making the report.


Each request must be signed for authentication purposes. However, you may request that your name not be revealed to the individual being reported. Confidentiality will be honored to the fullest extent possible. We understand that reporting someone, especially a patient, relative, or close friend, is a sensitive issue and DMV does not want to harm your relationship with that person. However, we also want to make sure that potentially unsafe drivers are evaluated. All records received by DMV which report a physical or mental condition are confidential and cannot be made public (CVC §1808.5) unless mandated by law.

DMV'S Mission

One of DMV’s major responsibilities is to promote traffic safety and protect the motoring public by minimizing the number of unsafe drivers. DMV also understands the importance of a driver license and a person’s independence.


If you have any questions, please contact one of the following Driver Safety Branch Offices:

Alphabetical listing of Driver Safety offices with phone number.



Bakersfield (661) 833-2103

City of Commerce

(323) 724-4000

City of Orange

(714) 703-2511

Covina (626) 974-7137

El Segundo

(310) 615-3500


(559) 445-6399


(510) 563-8900


(805) 988-3050


(530) 224-4755


(916) 227-2970

San Bernardino

(909) 383-7413

San Diego

(619) 220-5300

San Francisco

(415) 557-1170

San Jose

(408) 229-7100


(209) 948-7715

Van Nuys

(818) 376-4217


FFDL 10 (REV.2/2014)