Reports may be filed using a Driver Evaluation Request
, which can be downloaded or printed from this web site, or obtained from a DMV office
. Voluntary reports may also be submitted to DMV on an agency's or organization's letterhead, as long as it contains the same information.
DMV will not accept anonymous reports. However, you may ask DMV to keep your name confidential. DMV may not be able to keep the request confidential if the driver requests a hearing or files a lawsuit against the DMV.
Be as thorough as possible. Provide specific information such as events, dates and places which caused you to question the individual’s ability to drive safely. Describe any medical conditions that interfere with operating a motor vehicle, as well as any unsafe driving behaviors that you have observed. If possible, recount how driving ability has declined over time or as a medical condition has progressed.
Completed forms may be faxed to (503) 945-5329, or mailed to:
DMV Driver Safety Unit
1905 Lana Ave NE
Salem, OR 97314-4120
Note: Please do not mail a form that has already been faxed.