PE-704 Form: ADA Notice for State Programs and Services (PDF)

PE-704 Form – The PE-704 Form is an official ADA Notice issued by the New York State Department of Motor Vehicles (NYS DMV). Titled “Notice Under the Americans with Disabilities Act,” it explains how the DMV complies with Title II of the ADA of 1990 and ensures equal access to its services, programs, and activities for people with disabilities.

This one-page informational notice (not a fillable application) is revised as PE-704 (8/25) and remains the most current version available as of 2026. It is published directly by the NYS DMV and hosted on their official website.

Purpose of the PE-704 ADA Notice

The primary goal of the PE-704 Form is to publicly affirm the NYS DMV’s commitment to non-discrimination under the Americans with Disabilities Act. It informs the public that the DMV:

  • Will not discriminate against qualified individuals with disabilities in any of its services, programs, or activities.
  • Complies with Title I of the ADA regarding employment practices.
  • Provides appropriate auxiliary aids and services for effective communication (such as qualified sign language interpreters, Braille documents, and accessible formats for people who are deaf, hard of hearing, or have vision or speech impairments).
  • Makes reasonable modifications to policies and procedures so people with disabilities can fully participate (for example, allowing service animals in DMV offices where pets are otherwise prohibited).

The notice also clearly states the legal limits: the DMV is not required to take actions that would fundamentally alter its programs or create an undue financial or administrative burden.

Key Provisions in the PE-704 Form

The document is written in clear, straightforward language and includes these essential sections:

  • Effective Communication – The DMV will provide aids and services upon request so individuals with disabilities can participate equally.
  • Modifications to Policies and Procedures – Reasonable changes will be made to ensure equal opportunity.
  • No Surcharges – The DMV will never charge extra fees to cover the cost of accommodations or modifications.
  • Grievance Process – Clear instructions on how to report accessibility issues or request accommodations.

The form explicitly names the ADA Coordinator (Tikki Lee) and the Designee for Reasonable Accommodation (Emily Kobello) to streamline requests.

You can download the official PE-704 Form instantly and at no cost from the New York DMV website:

Direct download link: https://dmv.ny.gov/forms/pe704.pdf

The PDF is fully accessible, searchable, and ready to print or share. It is also listed on the DMV’s dedicated Accessibility Policy page (https://dmv.ny.gov/accessibility-policy), where you will find additional ADA resources.

Who Should Use or Reference the PE-704 Form?

The PE-704 ADA Notice is designed for:

  • Individuals with disabilities who plan to visit a DMV office, use online services, or participate in any DMV program.
  • Job applicants and current DMV employees seeking information about reasonable accommodations.
  • Advocates, attorneys, or organizations assisting people with disabilities.
  • Anyone who wants to understand their rights under the ADA when interacting with New York State DMV services.

Posting or sharing the notice helps promote awareness of accessibility rights across New York.

How to Request Accommodations or File an ADA Complaint?

The PE-704 Form provides exact contact information and deadlines:

  • Phone: (518) 408-9894
  • Email: [email protected]
  • Mail: NYS Department of Motor Vehicles, 6 Empire State Plaza, Room 528B, Albany, New York 12228

Important tip: Submit accommodation requests as soon as possible, but no later than 48 hours before the scheduled event or appointment.

For formal complaints about inaccessible programs or services, use the companion PE-703 Americans with Disabilities Act Complaint Form, also available on the DMV Accessibility Policy page.

The NYS DMV maintains a comprehensive accessibility hub that includes:

  • PE-703 – ADA Complaint Form
  • Accessible versions of many DMV forms
  • Information about the Office of Diversity, Equity & Inclusion

All resources are centralized at: https://dmv.ny.gov/accessibility-policy.

Contact the NY DMV ADA Coordinator

For questions about the PE-704 Form or to discuss specific accessibility needs, reach out directly to:

Tikki Lee – ADA Coordinator
Emily Kobello – Designee for Reasonable Accommodation (DRA)

Office of Diversity, Equity & Inclusion
6 Empire State Plaza • Albany, NY 12228

Phone: (518) 408-9894
Email: [email protected]

Why the PE-704 Form Matters for ADA Compliance in New York?

The PE-704 Form serves as an important public commitment by the New York State DMV to uphold federal ADA standards. By clearly outlining rights, responsibilities, and contact procedures, it helps ensure that every New Yorker—regardless of disability—can access driver licensing, vehicle registration, road safety programs, and other essential DMV services with dignity and equality.

Download your copy today and keep the official PE-704 PDF handy whenever you interact with New York DMV programs and services. For the latest updates, always refer to the official DMV website, as forms and coordinators may be updated periodically.

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