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

DL-41
17 and Older Regular Application
Application for a Mississippi driver's license if you're 17 years old or older.
DL-4
Application for Mississippi Drivers License
Use this form to apply for a Mississippi driver's license if you're 15-16 years old. MUST be signed by your parents or legal guardian
SS-5
Application for a Social Security Card
Apply for a new, corrected, OR replacement Social Security card.

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.

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.
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.
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.
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.
78-007
Assignment of Lien
Record OR transfer a lien on a Mississippi vehicle title.
78-016
Certificate of Title Bond
Submit this completed bond form to the DOR to title a vehicle with an attached security interest.
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.
78-026
Fast Track Replacement Title Application
Request an expedited replacement Mississippi vehicle title from the Department of Revenue.
REV 2016
Motor Boat Registration Application
Apply for an original, transferred, renewed, OR duplicate MS vessel registration.
78-006
Replacement Certificate of Title
Request a duplicate Mississippi vehicle title from the Department of Revenue.

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.
78-015
Odometer Disclosure Statement
Use this form to state the mileage on a vehicle you're selling in Mississippi.
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.

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.
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

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.

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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