DPR-103 Form – The DPR-103 form is the official Impaired Driver Program Application issued by the New York State Department of Motor Vehicles (NY DMV). Organizations use it to establish or amend an Impaired Driver Program (IDP) under Article 31 of the New York State Vehicle and Traffic Law.
This 2-page PDF application enables municipalities, schools, facilities, and other sponsoring agencies to become approved IDP providers. These providers deliver the mandatory alcohol and drug education program for drivers convicted of DWI, DWAI, or other impaired-driving offenses.
What Is the DPR-103 Form?
The DPR-103 is an official NY DMV form titled “Impaired Driver Program Application.” It collects detailed information about the sponsoring agency and the proposed IDP site. The form supports both new applications (“Original”) and updates (“Amendment”).
Its revision date is December 2015 (DPR-103 (12/15)), and it remains the current version available directly from the NY DMV website.
Who Needs the DPR-103 Impaired Driver Program Application?
Sponsoring agencies — such as county governments, community colleges, hospitals, or nonprofit organizations — must complete and submit DPR-103 if they want to operate an approved Impaired Driver Program in New York State.
Individual drivers convicted of alcohol- or drug-related driving offenses do not use this form. Drivers enroll in the IDP directly at a DMV office and pay a $75 non-refundable fee.
Only organizations seeking DMV approval as IDP providers need DPR-103.
Purpose of the DPR-103 Form
The primary purpose is to allow sponsor agencies to apply for authorization to run IDP classes under New York law. The program educates participants about high-risk behaviors, helps change impaired-driving patterns, and may refer individuals for additional substance-use treatment.
Approval through DPR-103 ensures the program meets DMV standards for instructors, curriculum, facilities, and record-keeping.
Required Documents to Submit with DPR-103
You cannot submit DPR-103 alone. The DMV requires the following package:
- Completed DPR-103 (Impaired Driver Program Application)
- Completed DPR-104 (Impaired Driver Program Service Agreement)
- Completed DPR-102 (Impaired Driver Program Instructor Application) for each instructor
- A professional resume for the IDP Director (must include name, address, phone, DMV Client ID if applicable, education, and employment history)
All documents go together in one mailing.
How to Fill Out the DPR-103 Form Step by Step?
The form has two clear sections. Follow these instructions exactly:
1. Sponsoring Agency Information
- Agency name (municipality/facility/school/organization)
- Business ID number for the agency
- Full mailing address (including county)
- Phone, fax, and email
- Contact person’s full name, title, and suffix
2. Impaired Driver Program Information
- Program name
- Physical address of the IDP classroom site
- Phone, fax, and email for the program
- Name of the IDP Director
- Name of the IDP Administrative Coordinator
- Business ID number for the program
Mark “Original” or “Amendment” at the top. An authorized official must sign and date the form, then print their name and title.
Submission Instructions and Mailing Address
Mail the complete package (DPR-103 + DPR-104 + all DPR-102 forms + Director’s resume) to:
New York State Department of Motor Vehicles
Impaired Driver Program
6 Empire State Plaza, Room 336
Albany, NY 12228
No fax or email option exists for initial applications. Processing occurs through the Albany office only.
Key Information Required on the DPR-103
- Accurate contact details for both the sponsoring agency and the program site
- Federal Employer ID Number (FEIN) or Social Security Number (if applicable)
- Clear identification of the program director and administrative coordinator
- Business ID numbers for both the agency and the program
Incomplete or inaccurate information delays approval.
Related Forms You Must Use with DPR-103
- DPR-104 — Service Agreement (outlines program responsibilities)
- DPR-102 — Instructor Application (one per instructor)
- Director’s resume (mandatory attachment)
These forms are all available free on the official NY DMV forms page.
Download the Official DPR-103 PDF
You can download the current DPR-103 form directly from the New York DMV website here:
https://dmv.ny.gov/forms/dpr103.pdf
Always use the official link to ensure you have the most recent version and avoid unofficial copies.
Frequently Asked Questions (FAQ) About DPR-103
Is DPR-103 for drivers or for organizations?
It is exclusively for organizations applying to become IDP sponsors.
Do I need a resume for the IDP Director?
Yes — it is mandatory and must detail education and employment background.
How long does approval take?
The DMV does not publish exact timelines; submit all required documents to avoid delays.
Can out-of-state programs use DPR-103?
No. Out-of-state providers use form DS-1 instead.
Is there a fee to submit DPR-103?
The form itself has no application fee mentioned by the DMV.
Why Become an Approved IDP Sponsor?
Approved programs help reduce impaired driving recidivism while providing a valuable community service. They also generate revenue through participant fees and fulfill a critical role in New York’s traffic safety efforts.
Official Contact for Questions About DPR-103
For questions about the application process, contact the NY DMV Impaired Driver Program directly at the address above or check the official provider information page:
https://dmv.ny.gov/business/information-for-alcohol-drug-rehabilitation-program-idp-providers
Always verify the latest details on the official NY DMV website, as forms and requirements can be updated.
Ready to apply? Download the DPR-103 PDF today and gather your complete package to become a New York State-approved Impaired Driver Program provider.