DPS Forms in Mississippi

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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

Application for a Social Security Card - SS-5

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

Driver's License & ID Forms

Certification of Diabetes - DE 16A

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

Affidavit For Repossessed Motor Vehicle - 78-012

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

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

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

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

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.

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

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.

Assignment of Lien - 78-007

Record OR transfer a lien on a Mississippi vehicle title.

Certificate of Title Bond - 78-016

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

Completion of Vehicle Inspection - 78-022

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.

Fast Track Replacement Title Application - 78-026

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

Motor Boat Registration Application - REV 2016

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

Replacement Certificate of Title - 78-006

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

Buying & Selling Forms

Affidavit of Sale Under Lien - 78-010

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

Odometer Disclosure Statement - 78-015

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

Power of Attorney to Transfer Motor Vehicle - 78-003

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

Commercial Forms

Medical Examination Report for Commercial Driver Fitness Determination - 649-F

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.

Medical Examiners Certificate - MCSA-5876

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

Disability Forms

Disabled Parking Application - 76-104

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

Voter Registration and Absentee Ballot Request Federal Post Card Application - 76

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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