PSB-2 Form – The PSB-2 Form, officially known as the Sample Receipt Form for Service Bureaus, is a mandatory template provided by the New York State Department of Motor Vehicles (NY DMV). Private Service Bureaus (PSBs) licensed in New York use it to create customer receipts for DMV-related services. These services include vehicle registrations, title applications, plate issuance, and other transactions that PSBs handle on behalf of customers.
This one-page PDF form ensures standardized, transparent billing and record-keeping. It complies with Section 77.5 of the Commissioner’s Regulations (Part 77). The official download link is: https://dmv.ny.gov/forms/psb2.pdf (revised PSB-2 (6/25)).
Why the PSB-2 Form Matters for Private Service Bureaus
Private Service Bureaus operate as licensed businesses that assist New York drivers with DMV paperwork, filings, and transactions. They charge service fees in addition to official DMV fees. The PSB-2 Form standardizes the receipt process to protect consumers and maintain regulatory compliance.
Without a compliant receipt based on the PSB-2 sample, a PSB risks license suspension or revocation. The form promotes transparency by clearly separating DMV fees from the bureau’s service charges.
Who Must Use the PSB-2 Sample Receipt Form?
All licensed Private Service Bureaus in New York must use a receipt format that matches the PSB-2 sample. This applies when applying for or renewing a PSB license via Form MV-372.
Key users include:
- Owners and operators of licensed PSBs
- Branch office locations of existing PSBs
- Businesses providing DMV services such as registrations, titles, sales tax processing, duplicate documents, and road test appointments
The receipt must be issued for every customer transaction.
Key Requirements of the PSB-2 Receipt Format
The PSB-2 PDF provides an exact sample layout that PSBs must follow closely. Required elements include:
- Business identification: Full name, address, phone, and fax of the licensed PSB (plus owner names if operating under an assumed name or as an individual/partnership).
- Mandatory disclaimer: The exact statement: “This is a licensed Private Service Bureau but is not an official agency of the Department of Motor Vehicles, State of New York.”
- Consecutive numbering: Every receipt must be pre-numbered (e.g., 00001).
- Customer details: Name, address, and date of transaction.
- Itemized breakdown:
- Description of each service (e.g., Obtaining Plates, Sales Tax, Transfer of Vehicle, Duplicate Title, Duplicate Registration, Road Test Appt., or “Other”).
- DMV Fee for Services Provided.
- PSB Service Fee retained by the bureau.
- Totals: Grand total amount received from the customer.
- Signature: Signature (and printed name/title) of the owner, officer, or employee who performed the service — marked as REQUIRED.
Receipts must be issued in duplicate (original to customer, copy retained by the PSB). The PSB must also maintain a Book of Registry with the same details for inspection by DMV or law enforcement.
How to Download and Implement the PSB-2 Form PDF?
- Visit the official NY DMV forms page or go directly to the PSB-2 link: https://dmv.ny.gov/forms/psb2.pdf.
- Download the free PDF (current version dated 6/25).
- Use the sample as a template for your printed or computer-generated receipts.
- Submit a copy of your proposed receipt with your PSB license application (MV-372) for DMV approval.
- Once approved, print receipts consecutively and include all required fields.
Computer-generated versions are allowed as long as they match the PSB-2 format exactly, including the disclaimer statement.
Step-by-Step Guide to Completing a Compliant PSB Receipt
- Enter your licensed business name and address at the top.
- Assign the next consecutive receipt number.
- Fill in the customer’s name, address, and current date.
- List each service provided and break down the DMV fee vs. your service fee.
- Calculate and enter the total amount paid by the customer.
- Have the employee who handled the transaction sign the receipt.
- Give the original to the customer immediately and keep the duplicate in your records.
This process ensures full compliance with Part 77 regulations.
Related NY DMV Forms and Regulations for PSBs
- MV-372: Application for a license to operate a Private Service Bureau.
- CR-77: Full text of the Commissioner’s Regulations for Private Service Bureaus (PDF available on dmv.ny.gov).
- MV-372R: License renewal application.
- PSB-3: Name Selection Form (for businesses operating under multiple names).
All forms are available free on the official NY DMV website at dmv.ny.gov/forms-and-publications.
Why Compliance with PSB-2 Is Critical in 2026?
New York DMV actively enforces receipt requirements to prevent overcharging and protect consumers. Using a non-compliant receipt can result in:
- License denial or revocation
- Fines or penalties
- Loss of customer trust
Staying current with the latest PSB-2 (6/25) version helps licensed bureaus avoid compliance issues during audits or renewals.
Frequently Asked Questions About the PSB-2 Form
Is the PSB-2 Form fillable online?
No. It is a sample template. You must create your own receipts based on the layout (printed or computer-generated).
Can I modify the wording on the receipt?
Only the business-specific information may be customized. The required disclaimer statement and overall format must remain exactly as shown in the PSB-2 sample.
Where do I submit my receipt sample?
Include it with your initial license application (MV-372). The DMV must approve your receipt format before you operate.
Do I need a new receipt design if I open a branch office?
No. The same approved receipt format applies to all branch locations under the main license.
Download the Official PSB-2 Form Now
Get the most current version directly from the New York State DMV:
Download PSB-2 Sample Receipt Form (PDF)
For the latest information on Private Service Bureau licensing, visit the official page: dmv.ny.gov/business/private-service-bureau-licenses.
Stay compliant, protect your license, and provide professional service to your New York customers with the PSB-2 Form.