DS-875Y Form – The DS-875Y Form is the official Article 19-A Oral/Written Examination Results document issued by the New York State Department of Motor Vehicles (DMV). It serves as the required score sheet for recording results of the biennial oral or written examination that bus drivers must pass under Article 19-A of the New York Vehicle and Traffic Law. Motor carriers operating buses (including school buses and for-hire passenger vehicles) rely on this form to document driver qualifications and maintain compliance.
This one-page, fillable PDF is used exclusively by DMV-certified examiners. It must be completed after administering the exam (using form DS-875Q) and attached to the driver’s test paperwork for retention in the official 19-A driver file.
Direct download link (official NY DMV): https://dmv.ny.gov/forms/ds875y.pdf (Revision 9/16 – current as of 2026).
What Is the DS-875Y Form and Why Is It Required?
The DS-875Y is the official results form for the Article 19-A Biennial Oral/Written Examination. Article 19-A establishes stricter safety standards for bus drivers in New York to protect passengers, especially school children and the public.
Every qualified bus driver must take this open-book exam every 24 months. The DS-875Y records:
- Type of exam (Oral, Written, or Re-examination)
- Number of questions answered correctly in Section A and Section B
- Pass/Fail determination (driver is disqualified if they fail)
Passing requires at least 80% overall (minimum 12/15 correct in Section A and 4/5 in Section B, per related exam instructions). A failed exam disqualifies the driver from operating under Article 19-A until they retake and pass it.
Who Must Use the DS-875Y Form?
- Certified Examiners: Only DMV-certified examiners (who hold a valid certificate under Article 19-A) can administer the exam and complete this form.
- Motor Carriers: All carriers required to comply with Article 19-A (school districts, private bus companies, charter operators, etc.) must keep the completed DS-875Y in each driver’s file.
- Bus Drivers: Drivers do not fill out the DS-875Y themselves; they take the exam (DS-875Q) and sign the results form.
This form applies to drivers of vehicles transporting passengers for hire or school-related purposes when the vehicle meets Article 19-A thresholds (typically 10+ passengers).
How to Complete the DS-875Y Form – Step-by-Step Instructions?
Certified examiners follow these official steps (directly from the form):
- Administer the biennial oral/written exam using form DS-875Q.
- Grade the exam with the official answer key (DS-875Z – available only to certified examiners upon request from the Bus Driver Unit).
- Fill in the TYPE OF EXAMINATION checkboxes (Oral, Written, Re-examination, Passed, or Failed).
- Complete DRIVER INFORMATION (last name, first/M.I., DOB, license details, signature).
- Complete CARRIER INFORMATION (carrier name, Federal ID, 19-A Business ID).
- Enter DRIVER EXAMINATION RESULTS (number correct in Section A and Section B).
- Complete EXAMINER’S CERTIFICATION (your name, certificate number, signature, and date).
- Sign the certification statement acknowledging compliance with Part 6 of the Commissioner’s Regulations and understanding of penalties for false statements.
- Attach the completed DS-875Y to the driver’s DS-875Q exam and file it in the driver’s 19-A record.
The form includes a legal certification warning: knowingly making false statements can result in misdemeanor or felony prosecution under the Vehicle and Traffic Law and/or Penal Law.
How to Download the DS-875Y PDF (Free & Official)?
- Visit the official New York DMV website.
- Go directly to the form: https://dmv.ny.gov/forms/ds875y.pdf.
- The PDF is fillable and printable.
- No login or fee is required.
Pro tip: Always download the latest version directly from dmv.ny.gov to ensure compliance. The current revision (9/16) remains the active form used statewide.
All Article 19-A forms, including the full guide (CDL-15), are available at the DMV’s motor carrier forms page.
Full Article 19-A Bus Driver Qualification Requirements
The DS-875Y is just one piece of the mandatory biennial requirements. Drivers must also complete:
- Biennial Behind-the-Wheel Road Test (form DS-875)
- Annual Defensive Driving Performance Observation (form DS-873)
- Biennial Medical Examination (form DS-874)
- Annual driving record review (form DS-872)
Motor carriers must maintain complete driver files for 3 years plus the current year and file an Annual Affidavit of Compliance by July 1 each year.
Related Article 19-A Forms You May Need
| Form | Purpose |
|---|---|
| DS-875Q | Biennial Oral/Written Examination (the actual test) |
| DS-875Z | Answer key (request from Bus Driver Unit) |
| DS-875 | Biennial Behind-the-Wheel Road Test |
| DS-874 | Medical Examination Report |
| DS-870 | Bus Driver Application |
| DS-885 | Add/Drop Notice |
| DS-700 | Full Article 19-A Law & Regulations Packet |
All forms are free and downloadable from the official NY DMV site.
Record-Keeping and Compliance Tips for Motor Carriers
- Keep the original DS-875Y + DS-875Q in the driver’s physical or electronic 19-A file.
- Files are subject to DMV audits.
- Non-compliance can result in civil penalties ($500–$2,500 per violation) or suspension of carrier authority.
- Use the DMV’s online system for adding/dropping drivers and submitting annual reports when possible.
Where to Get Help or More Information?
- Bus Driver Unit: (518) 473-9455 or [email protected]
- Official Guide: Download the Article 19-A Guide for Motor Carriers (CDL-15) from dmv.ny.gov
- Full Regulations: See form DS-700 (Article 19-A of the Vehicle and Traffic Law and Part 6 of the Commissioner’s Regulations)
For the most current information, always refer directly to the New York State DMV website, as requirements can be updated to enhance highway safety.
Ready to download?
Click here to get the official DS-875Y Article 19-A Exam Results Form PDF
Stay compliant, keep your drivers qualified, and help ensure safer roads for everyone in New York.