LENS Driver Processing

CUSTOMER REGISTRATION
(Please enter the Customer Information to Register in LENS)

(*) - Required fields

Please enter the following information for your organization:

*Organization Name:

Use full Organization name, no acronyms, write it as you would on a contract.

*Customer Street1:

Business street address

Customer street2:

Business street address2

*City:

Business city

*State:

Business state

*Zip Code:

Business zip code

*Federal Employer ID Number:
(Government assigned 9 digit federal taxpayer identification number)
-

An Employer Identification Number (EIN), also known as a Federal Tax Identification Number, is a nine-digit number that the IRS assigns to business entities. The IRS uses this number to identify taxpayers that are required to file various business tax returns. EINs are used by employers, sole proprietors, corporations, partnerships, non-profit organizations, trusts and estates, government agencies, certain individuals and other business entities.

*Are you an employer of commercial drivers or its agent?
Yes No

My organization is a Motor Carrier or Prospective Motor Carrier, or my organization is an authorized Agent of a Motor Carrier or Prospective Motor Carrier. My organization qualifies to receive notifications having commercial drivers' Medical Certification information.

*Do you agree with the LENS terms of service?
I Agree I Do Not Agree

LENS Terms of Service

LENS Terms of Service for Application to Receive Commercial Driver License Information System (CDLIS) Driver Record Information:

In order for the New York State Department of Motor Vehicles (DMV) to provide me or my authorized agent with CDLIS Driver Record Information, pursuant to Federal Regulation 49 CFR 384.225, I certify under penalty of perjury that I am using this application in my capacity as of one of the following users authorized by law:

(1) Any state or the District of Columbia
(2) Secretary of Transportation
(3) Driver
(4) Motor Carrier or Prospective Motor Carrier, or authorized agent of Motor Carrier or Prospective Motor Carrier, after notification to the driver.

I agree to employ all reasonable measures to ensure that such data is not disclosed to any unauthorized person or entity, or used for any unauthorized purpose.

I acknowledge that DMV may terminate access to this information at any time, without prior notice, in the event that DMV determines in its sole discretion that a breach of the security of such information has occurred, or is imminent.

I agree, and it is my intent, to sign this document and affirmation by clicking the box marked "I AGREE", and by electronically submitting this document to the New York State Department of Motor Vehicles. I understand that my signing and submitting this document in this fashion is the legal equivalent of having placed my handwritten signature on the submitted document and this affirmation. I understand and agree that by electronically signing and submitting this document in this fashion I am attesting to the truth of the information contained therein.

Please select the license events that you would like to be notified about. PLEASE NOTE that, by default, you will receive notifications about License Status Changes.
Accidents	DMV posts an accident to a driver's record regardless of whether it involves a personal or company vehicle.
Convictions	DMV posts a conviction to a driver's record. A traffic ticket is not a conviction.
Suspensions/Revocations	DMV posts a suspension or revocation order to a driver's record. Orders may be effective immediately or in the future.
License Expirations	A driver's license expires.
License Status Change	A drivers' license changes. Below are examples: License status (status 'valid' to status 'suspended', or 'suspended' to 'valid'). License renewals (change to a drivers' license expiration date) License class change (such as 'D' to 'CDL A') 19A status change (from 'qualified' to 'school qualified')
Endorsement	A drivers' hazardous material (HazMat) endorsement changes.
Point Insurance Reduction Course Completion	A Point Insurance Reduction Program course provider notifies DMV that a driver completed a defensive driving course.
CDL MedCert	A commercial driver's self-certification and/or medical certification on file with DMV changes. Below are examples: SelfCert driving type changes to/from 'NA, NI, EA, EI' MedCert Status: Status changes to/from 'certified, not certified, or not required' 60 days prior to Expiration Date Notification MedCert Expiration Date: Expired Med Variance Expiration Date: Expired

Please provide current or former dmv program or escrow account number if you have one. please note that escrow account numbers are 7-digits only.

An escrow account #, (a 7-digit account number with DMV that holds money to pay for use of one or more services) that you would like us to use.

*Does your organization qualify for exemption from search fees?
Yes No

§ 202 … no fee shall be charged any public officer, board or body, volunteer fire company, volunteer ambulance service, or legal aid bureau or society or other private entity when acting pursuant to section seven hundred twenty-two of the county law, for searches or copies of documents to be used for a public purpose.

*Please describe in detail, how you plan to use the information from LENS:

Describe why you are applying for LENS (minimum of 25 characters maximum of 200 characters).