PE-701 Form – The PE-701 Form is an official New York State Department of Motor Vehicles (NY DMV) document titled Reasonable Accommodation in State Programs and Services – Contact Information. Revised in August 2025 (PE-701 8/25), this concise one-page PDF serves as a quick-reference guide for individuals seeking reasonable accommodations under the Americans with Disabilities Act (ADA) for NY DMV programs and services.
It provides direct contact details for the NY DMV’s designated ADA Coordinator, making it easier for people with disabilities to request accommodations, access forms, or file grievances when accommodations are denied.
Purpose of the PE-701 Form for Reasonable Accommodations
The primary purpose of the PE-701 Form is to ensure compliance with the ADA by clearly listing contact information for reasonable accommodation requests in state programs and services. The form explicitly states that the ADA Coordinator can provide information, necessary forms, and assistance with grieving the refusal of an accommodation.
This resource supports accessibility for all NY DMV customers, including those needing modifications for driver’s licenses, vehicle registrations, road tests, or any other DMV service. It aligns with New York State’s broader accessibility policy, which emphasizes equal access to government programs.
Official ADA Coordinator Contact Information in PE-701
The PE-701 PDF lists the following official contact details for the NY DMV ADA Coordinator:
- ADA Coordinator: Tikki Lee
- Mailing Address: NYS Department of Motor Vehicles, 6 Empire State Plaza, Room 528B, Albany, NY 12228
- Phone: (518) 408-9894
- Fax: (518) 486-5427
- Email: [email protected]
- General Accessibility Email: [email protected]
These contacts are the official point of entry for reasonable accommodation requests. The form notes that this coordinator handles both accommodation requests and related grievances.
Multilingual Support in the PE-701 PDF
One of the most user-friendly features of the PE-701 Form is its availability in multiple languages. The document repeats the same contact information in:
- English
- Spanish
- Haitian Creole
- Bengali
- Korean
- Russian
- Chinese
- Italian
- Polish
- Hebrew
- Japanese
- Portuguese
- Albanian
- Greek
This multilingual approach ensures that non-English speakers and diverse communities across New York State can easily access accommodation information without language barriers.
Who Should Use the PE-701 Form?
The PE-701 Form is designed for anyone who:
- Has a disability and needs a reasonable accommodation to participate in NY DMV programs or services
- Wants to request modifications for in-person visits, online services, or document handling
- Needs to file a grievance after an accommodation request has been denied
- Requires the official ADA Coordinator’s contact details for compliance or legal purposes
It is particularly helpful for individuals with mobility, vision, hearing, or cognitive disabilities interacting with the DMV.
How to Request Reasonable Accommodations with PE-701?
Using the PE-701 Form is straightforward:
- Download the PDF (link provided below).
- Review the ADA Coordinator’s contact information.
- Contact Tikki Lee by phone, email, or mail to request accommodation details or forms.
- Provide a description of your disability-related need and the specific DMV service involved.
- If your request is denied, use the same contact to initiate the grievance process (detailed in related form PE-702).
The form itself does not need to be filled out or submitted—it functions purely as a contact reference sheet.
Related NY DMV Forms for ADA Compliance
The PE-701 Form works together with other official DMV documents:
- PE-702: Grievance Procedure under the Americans with Disabilities Act (PDF)
- PE-703: Americans with Disabilities Act Complaint Form (PDF)
These forms provide step-by-step processes for filing complaints or appeals when reasonable accommodations are not granted. All are available on the official NY DMV website.
How to Download the PE-701 Form PDF?
You can instantly download the latest version of the PE-701 Form directly from the official source:
Download PE-701 PDF: https://dmv.ny.gov/forms/pe701.pdf
The form is also listed on the NY DMV Accessibility Policy page and the Forms and Publications section for easy access.
NY DMV Accessibility Policy and PE-701
The PE-701 Form is part of the NY DMV’s comprehensive Accessibility Policy. The department is committed to providing equal access to all programs and services in accordance with the ADA and New York State laws. For additional guidance on accessibility, visit the official NY DMV Accessibility Policy page.
Frequently Asked Questions About the PE-701 Form
Is the PE-701 Form required to request an accommodation?
No. It is a reference document only. You simply use the listed contact information to make your request.
Is the PE-701 PDF updated regularly?
Yes. The current version is revised 8/25 and remains the most up-to-date contact list as of 2026.
Can I use the PE-701 contacts for other state agencies?
No. These contacts are specific to the New York State Department of Motor Vehicles. Other agencies have their own ADA Coordinators.
What if I need language assistance beyond the multilingual PE-701?
The NY DMV offers free language assistance services. Call the main DMV Contact Center at 1-518-486-9786 during business hours.
For the most current and accurate information about reasonable accommodations at the NY DMV, always refer to the official PE-701 PDF and the department’s accessibility resources. If you have a disability-related need, reach out directly to the ADA Coordinator listed in the form to begin the process promptly.