PA-10 Form: Waiver of Free Interpretation Rights (PDF)

PA-10 Form – If you’re visiting a New York State DMV office and speak limited English, you have the right to free interpretation services. The PA-10 form (officially titled Waiver of Rights to Free Interpretation Services) lets you voluntarily waive that right if you prefer to communicate in English or use your own interpreter.

This quick, one-page PDF is required only when you (or DMV staff) identify you as Limited English Proficient (LEP) and you choose to skip the free interpreter. It’s completely free, updated as of May 2023 (PA-10 5/23), and available directly from the official New York DMV website.

Download the PA-10 Form PDF here:
https://dmv.ny.gov/forms/pa10.pdf

What Is the PA-10 Form and Why Does It Exist?

New York State policy guarantees free interpretation services to anyone with limited English proficiency when accessing DMV services (driver’s licenses, registrations, road tests, etc.). The PA-10 form simply documents that you understand this right and are choosing to waive it.

Key facts:

• LEP definition: You do not speak English as your preferred language and have limited ability to read, speak, write, or understand spoken English.
• Your information stays private and is never shared outside the agency.
• You can change your mind at any time and request a free interpreter later.

This form helps DMV comply with New York’s Language Access Policy while giving customers flexibility.

Who Needs to Complete the PA-10 Waiver Form?

You only need the PA-10 if:

• DMV staff or you self-identify as LEP.
• You want to skip the free interpreter and either:
  • Speak English yourself, or
  • Bring your own interpreter (must be at least 18 years old).

Note: For some services, DMV may not allow your chosen interpreter (e.g., certain legal or testing situations). The form includes this warning.

You do not need it if you want the free DMV-provided interpreter.

Step-by-Step: How to Fill Out the PA-10 Form?

The form is simple and takes under 2 minutes:

1. Print or open the PDF on a device that allows filling (most browsers work).
2. Write your Name (or authorized representative’s name).
3. Check all that apply:
   • I have been told that I have the right to free interpretation services.
   • I understand that I can have the services of a free interpreter.
   • I choose NOT to use the services of a free interpreter at this time, and will instead:
     • Communicate in English
       OR
     • Use my own interpreter (Must be at least 18 years old).
4. If using your own interpreter, fill in:
   • Name of Interpreter
   • Relationship to you
   • ☐ Other (if needed)
5. Check the box: “I understand that I can change my mind at any time and accept the services of a free interpreter.”
6. Sign and date.
7. DMV staff will complete the “FOR AGENCY USE ONLY” section.

Bring the completed form to your DMV appointment.

Where to Download the Official PA-10 PDF?

Always use the official source to avoid outdated or fake versions:

• Direct link: https://dmv.ny.gov/forms/pa10.pdf
• Full list of DMV forms: dmv.ny.gov/forms-and-publications

The form is also listed under “Language Assistance” resources on the DMV website.

Important Tips & Warnings

• Your own interpreter must be 18+.
• Certain DMV transactions may prohibit personal interpreters.
• Free interpretation is available in many languages via phone or in-person.
• For sign language (ASL), DMV uses virtual remote interpreting (VRI) at all offices—no PA-10 needed.
• Need help? Call DMV Language Assistance at 1-518-486-9786 (free).

Frequently Asked Questions (FAQ)

Is the PA-10 form mandatory?
No. It’s only for people who want to waive free interpretation.

Can I download and fill it out at home?
Yes. Bring the signed copy to the DMV office.

What if I change my mind later?
The form states you can request a free interpreter anytime.

Is there a Spanish or other-language version?
The official PA-10 is in English only, but DMV provides translated vital documents in the top 12 languages spoken in New York.

Where can I find the full NY DMV Language Access Plan?
Visit the official page: dmv.ny.gov/more-info/language-assistance.

Get Your PA-10 Form Today

The PA-10 Waiver of Rights to Free Interpretation Services ensures you control how you communicate at the New York DMV. Download the official PDF, fill it out, and you’re ready for your visit.

Direct download: https://dmv.ny.gov/forms/pa10.pdf

Need more DMV help? Check the official New York State DMV website for the latest forms, appointments, and language assistance options. Safe travels!