- Form DPR-125 - Drinking Driver Program Classroom Site Inspection Report - New York
- Form DPR-151 - DDP Fiscal Report - New York
- Form DPR-102 - Drinking Driver Program Instructor Application - New York
- Form MV-15MOU - Understanding Memorandum (Driver Privacy Protection Act) - New York
- Form DPR-152 - Drinking Driver Program Annual Enrollment Report - New York
- Form MV-1W - Withdrawal of Consent - New York
Fillable Printable Form DPR-125 - Drinking Driver Program Classroom Site Inspection Report - New York
Fillable Printable Form DPR-125 - Drinking Driver Program Classroom Site Inspection Report - New York
Form DPR-125 - Drinking Driver Program Classroom Site Inspection Report - New York
A. CLASSROOM
Does the classroom adequately comply with the following criteria:
Yes No
1. Clean, comfortable and conducive to learning. . . . . . . oo
2. Accessible restroom facilities . . . . . . . . . . . . . . . . . . . oo
3. Well-heated/ventilated . . . . . . . . . . . . . . . . . . . . . . . . . oo
4. Has adequate lighting. . . . . . . . . . . . . . . . . . . . . . . . . . oo
5. Good line of vision from all seats . . . . . . . . . . . . . . . . oo
6. No visual or audible distractions . . . . . . . . . . . . . . . . . oo
DDP Name______________________________________________ DDP Director ________________________________
Main Office Address ___________________________________________________ Telephone ______________________
( )
(City, State, Zip Code)
(Building Name, Room Number, City, State, Zip Code) (County)
Classroom Address ____________________________________________________________________________________
____________________________________________________________________ _______________________________
B. EQUIPMENT Yes No
1. o Chalkboard or o Flipcharts . . . . . . . . . o o
2. TV/VCR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o o
3. Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . o o
______________________________________
______________________________________
______________________________________
C. Class Size (sq. ft.) ______________
Number of Students Permitted in Classroom _____________
(allow 15 sq. ft. per student with a minimum of 8 students
and a maximum of 25 students)
o Check here if classroom is Handicapped accessible
D. Remarks: ____________________________________________________________________________________________________
______________________________________________________________________________________________________________
______________________________________________________________________________________________________________
Person Interviewed________________________________________________________________ Date Inspected ________________________
Inspector’s Name______________________________________________Inspector’s Signature ç ________________________
Supervisor’s Signature ç________________________________________________________ Date ____________________________
INSPECTOR’S CHECK LIST:
INSPECTION
Recommendation:
o APPROVE o DENY o REINVESTIGATE
DPR-125 (3/15)
Please send to:
New York State Department of Motor Vehicles
Bureau of Driver Training Programs
6 Empire State Plaza, Room 412
Albany NY 12228
DRINKING DRIVER PROGRAM (DDP)
CLASSROOM SITE INSPECTION REPORT
Business ID Number
OFFICE USE ONLY
TO BE COMPLETED BY DRINKING DRIVER PROGRAM
TO BE COMPLETED BY DMV
(Name and Title)
(Print)
DDP Program Code
reset/clear
