MV-VI Form: Title VI Non-Discrimination Complaint (PDF)

MV-VI Form – The MV-VI Form is the official New York State Department of Motor Vehicles (NY DMV) Title VI Non-Discrimination Complaint form. It allows individuals to report alleged discrimination in DMV licensing programs or activities that receive federal financial assistance. This SEO-optimized guide explains everything you need to know about the MV-VI form, including how to file a Title VI complaint with the NY DMV, step-by-step instructions, deadlines, and submission details.

What Is the MV-VI Form?

The MV-VI Form, officially titled Title VI Complaint Form (MV-VI), is a two-page PDF document used to file complaints of discrimination under Title VI of the Civil Rights Act of 1964. It applies specifically to programs and services provided by the New York State Department of Motor Vehicles.

The form helps the NY DMV’s Title VI Coordinator investigate claims that a person was excluded from participation in, denied the benefits of, or subjected to discrimination in any DMV licensing program or activity on the basis of:

  • Race
  • Color
  • National origin
  • Sex
  • Age
  • Disability

It is the primary way members of the public report such issues related to DMV services like driver licensing, vehicle registration, or other federally assisted programs.

Purpose of the Title VI Non-Discrimination Complaint

Title VI of the Civil Rights Act of 1964 states: “No Person in the United States shall, on the basis of race, color, national origin, sex, age, or disability, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any licensing program or activity receiving federal financial assistance.”

The MV-VI Form ensures the NY DMV complies with this federal law and related nondiscrimination authorities. Filing the form triggers an official review by the Title VI Coordinator to address and resolve potential violations in DMV operations.

Who Can File a Title VI Complaint with NY DMV?

Anyone who believes they have experienced discrimination in a DMV program or service can file. This includes members of the public, their representatives, or anyone affected by DMV licensing activities. Complaints must be signed and in writing.

No special qualifications are required beyond providing accurate details of the incident.

Important 180-Day Filing Deadline

You must file your MV-VI complaint within 180 days from the date of the alleged discrimination violation. This strict timeline is set by the NY DMV to ensure timely investigations.

Missing this deadline may result in your complaint not being processed, so act quickly after the incident.

Step-by-Step Guide: How to Complete the MV-VI Form (PDF)?

  1. Download the form from the official source: https://dmv.ny.gov/forms/mvvi.pdf.
  2. Print clearly – all information must be legible.
  3. Fill in your personal information (Page 1):
    • Full name
    • Home address (including city, state, ZIP code)
    • Daytime phone
    • Mobile phone
    • Email address
  4. Describe the incident:
    • Date(s) of alleged discrimination
    • Location where it occurred
    • Brief description of circumstances
    • Names and phone numbers of any witnesses
  5. Indicate the basis of discrimination (Page 2) – check all that apply:
    • Race
    • Sex
    • Color
    • Age
    • National Origin
    • Disability
  6. Answer additional questions:
    • Have you filed a claim with any federal, state, or local government agency? (Yes/No)
    • Have you instituted a legal suit or court action? (Yes/No)
    • Have you hired an attorney? (Yes/No)
  7. Sign and date the certification statement confirming the information is true to the best of your knowledge.
  8. Attach supporting documents if available (optional but recommended).

The form is straightforward and designed to capture all necessary details for the Title VI Coordinator.

What Information Is Required on the MV-VI Form?

The NY DMV requires:

  • Your complete contact information
  • Exact details of the alleged discriminatory act
  • Basis for the claim (with checkboxes)
  • Witness information
  • Disclosure of any prior filings or legal actions

Providing complete and accurate information helps speed up the processing of your Title VI complaint.

Where to Submit the Completed MV-VI Form?

Mail the completed, signed MV-VI form to:
New York State Department of Motor Vehicles
ATTN: Title VI Coordinator
6 Empire State Plaza, Room 528A
Albany, NY 12228

Electronic submission is not mentioned; mailed hard copies are the required method. Keep a copy for your records.

What Happens After Submitting Your MV-VI Complaint?

Once received, the Title VI Coordinator will review your complaint and use the information to process it according to federal nondiscrimination requirements. The form states that the details you provide “will assist in processing your complaint.”

The NY DMV does not provide specific timelines for responses in the form, but all complaints are handled in compliance with Title VI procedures.

NY DMV Title VI Non-Discrimination Policy

The New York State DMV is fully committed to nondiscrimination in all its programs and activities. The MV-VI Form is part of the agency’s official compliance with Title VI and related laws. Full policy details are available on the official NY DMV Title VI Non-Discrimination page.

The MV-VI Form is specifically for Title VI issues. For other concerns:

  • Americans with Disabilities Act (ADA) complaints use form PE-703.
  • Automotive business complaints use VS-35.

Always choose the correct form for your situation.

Frequently Asked Questions About the MV-VI Form

Is the MV-VI Form free?
Yes, the official PDF is available at no cost from the NY DMV website.

Can I file online?
No. The form must be printed, completed, signed, and mailed.

What if I need help filling out the form?
The instructions are clear and printed on the form itself. You may also contact the Title VI Coordinator via the mailing address.

Can a representative file on my behalf?
Yes, as long as the complaint is signed by you or your authorized representative.

Download the Official MV-VI Title VI Complaint Form PDF

Get the most current version (revised July 2025) here:
Download MV-VI Form PDF

For the latest policy information, visit the official NY DMV Title VI Non-Discrimination page: https://dmv.ny.gov/about-dmv/title-vi-non-discrimination.

If you believe you have experienced discrimination in any NY DMV service, filing the MV-VI Form is the official first step to protect your civil rights. Always use the direct link provided above to ensure you have the authentic, up-to-date document.

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