DPS & MVL Forms in Mississippi

The Mississippi Department of Revenue (DOR) and Department of Public Safety (DPS) both offer a variety of vehicle and driver forms online, respectively. You can download PDF versions of these forms below, by using the free Adobe Reader

Remember, some forms may only be available in person at your local tax collector's or DPS  office. Also, be sure to consult our MS driver and motorcycle manuals

If you need further assistance finding or filling out a form, you can contact the:

  • Department of Revenue for vehicle-related inquiries at (601) 923-7100.
  • Department of Public Safety for driver's license and ID questions at (601) 987-1212.

Most Requested Forms

SS-5 Application for a Social Security Card

Apply for a new, corrected, OR replacement Social Security card.

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Driver's License & ID Forms

DE 16A Certification of Diabetes

Submit to the Department of Public Safety when applying for a special MS driver's license or ID card indicating your diabetic condition. Must be completed by a doctor.

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Title & Registration Forms

78-012 Affidavit For Repossessed Motor Vehicle

MS Department of Revenue affidavit to repossess a car with a lien that hasn't been satisfied. Must be notarized.

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76-903 Affidavit For Support of Credit (Application for Replacement Tag and/or Decal)

Request replacement Mississippi registration tags and/or decals OR credit for tags/decals on a vehicle you no longer own. Must be notarized.

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78-013 Affidavit of Ownership of Motor Vehicle for Which Application for Title Under Bond or Cash

Submit to the DOR to prove ownership of a vehicle when applying for an MS title if the car's original title is not available. Must be notarized.

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78-021 Application for Inspection of a Salvage/Rebuilt Vehicle

To apply for a rebuilt Mississippi title, you must submit this vehicle inspection form to the Department of Revenue. Must be completed by a certified salvage inspector.

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78-007 Assignment of Lien

Record OR transfer a lien on a Mississippi vehicle title.

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78-016 Certificate of Title Bond

Submit this completed bond form to the DOR to title a vehicle with an attached security interest.

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78-022 Completion of Vehicle Inspection

You'll receive this form after your vehicle passes Mississippi's required salvage vehicle inspection for rebuilt titles. Form not available online. Must be obtained from a certified inspector.

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78-026 Fast Track Replacement Title Application

Request an expedited replacement Mississippi vehicle title from the Department of Revenue.

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REV 2016 Motor Boat Registration Application

Apply for an original, transferred, renewed, OR duplicate MS vessel registration.

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78-006 Replacement Certificate of Title

Request a duplicate Mississippi vehicle title from the Department of Revenue.

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Buying & Selling Forms

78-010 Affidavit of Sale Under Lien

Complete this affidavit if transferring ownership of a vehicle with a foreclosed lien in Mississippi. Must be notarized.

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78-015 Odometer Disclosure Statement

Use this form to state the mileage on a vehicle you're selling in Mississippi.

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78-003 Power of Attorney to Transfer Motor Vehicle

Use this DOR form to assign someone else power of attorney to transfer ownership of your vehicle. Requires notarization.

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Commercial Forms

649-F Medical Examination Report for Commercial Driver Fitness Determination

As part of applying for a MS commercial driver's license, submit this completed medical fitness report to the DPS. Form must be filled out by a doctor.

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MCSA-5876 Medical Examiners Certificate

Certain types of Mississippi CDLs require that the driver complete and carry this medical certificate. Certificate must be completed by a physician

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Disability Forms

76-104 Disabled Parking Application

pply for a permanent OR temporary MS disabled parking placard OR license plate tag with the DOR. Must be completed by a physician.

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Voter Registration Forms

76 Voter Registration and Absentee Ballot Request Federal Post Card Application

If you're a U.S. citizen living out of your voting jurisdiction, use this form to register to vote AND/OR request an absentee ballot.

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