Form Dtp-201 - Driver Training Programs Complaint Form

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DRIVER TRAINING PROGRAMS
COMPLAINT FORM
dmv.ny.gov
Use this form to register a complaint based on your experience with a driver training program, a driver training
instructor, or both.
OFFICE USE ONLY
BUSINESS ID NUMBER
CLIENT ID NUMBER
COMPLAINT ABOUT A DRIVER TRAINING PROGRAM, INSTRUCTOR, OR BOTH
Mark the box or boxes below that apply to your complaint.
PROGRAM
INSTRUCTOR
o
o
Driver Education Program
Driver Education Instructor
o
o
Driving School
Driving School Instructor
o
o
Point and Insurance Reduction Program Delivery Agency
Point and Insurance Reduction Program Instructor
o
o
Point and Insurance Reduction Program Sponsor
Pre-licensing Instructor
o
Internet or Electronic Point and Insurance Reduction Program
COMPLAINT ABOUT A PROGRAM
Complete this section if your complaint is about a driver training program.
Program Name
Program Address
City
State
Zip Code
COMPLAINT ABOUT AN INSTRUCTOR
Complete this section if your complaint is about a driver training instructor.
Instructor’s Last Name
Instructor’s First Name
Name of the Program, School, Delivery Agency or Program Sponsor
Instructor’s Address
City
State
Zip Code
PAGE 1 OF 2
DTP-201 (6/15)

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