Positive Controlled Substance Test Result Report (DS 334)

Employer’s Report of Medical Exam Failure/Request for Reexamination (DS 524)

Application for Critical Need Restrisction (DS 694)

Request for Driver Reexamination (DS 699)

If you know someone who may no longer drive safely, you may submit a Request for Driver Reexamination (DS 699) (PDF) to the Department of Motor Vehicles (DMV) to review their driving qualifications.

Request for Driver Reexamination Spanish (DS 699 SP)

DS 699 (Spanish) form.

Self Referral for Reevaluation of Driving Skill (DS 699A)

Self Referral for Reevaluation of Driving Skill (DS 669A)

Information Security and Disclosure Statement Public/Private Partnerships Employee (EXEC 200X)

This form must be completed by all persons authorized to participate in the Bonded Web User Program. This form is to ensure that all employees involved in the Program are in compliance with the Department of Motor Vehicles' policies regarding confidentiality and security.

Information Security and Disclosure Statement – Firm (EXEC 201X)

EEO Discrimination Complaint (Confidential) (EXEC 50)

Any DMV customer or employee who feels he/she has been discriminated against because of their disability in violation of the Americans with Disabilities Act has the right to a confidential presentation of their complaint. To file a complaint of discrimination, you should complete the DMV ADA Public Access Discrimination Complaint Form (EXEC 50). These forms are available in every DMV office.

Business Partner Automation Program Information Security Pre-Implementation Checklist (EXEC 5555B)

This form is to assure that the applicants have met the Departments minimum-security standards before they are approved for participation in the Business Partner Automation program. This form must be submitted in conjunction with the Second-line business partner application.