Skip to main content
DPS Driver Service Bureau
Main navigation
Driver License Issuance
Driver License Issuance Home
Non-U.S. Citizen Information
CDL Medical Card Submission
College Students
Commercial Operator License: Classes A–C
Driver License Locations
Driver Service Fees
Drivers Permit & 16-Year-Old License
Duplicate License
Identification Cards
Intermediate License – Class Y
Learner's Permit
Military Personnel
Purchase MVR
Ready to Schedule Your CDL Road Test?
Regular Operator License – Class R & D – 17 & Over
Types of Credentials
Title VI American Disability Act ADA Compliance
Applications & Forms
CDL Hazmat Enrollment Program
Driver Records Division
Driver Records Home
Crash Reports / Judgements
DUI Department
Drugs / Suspension
Medical Department
Motor Vehicle Record Department
Reinstatement
Forms
Firearm Permit Division
Firearm Home
Enhanced Permit Certified Firearm Instructors
Disabled Veterans
Firearm Permit Application
MS code 45-9-101 License to Carry Concealed
MS code 97-37-1 Deadly weapons;
MS code 97-37-7 Deadly weapons; persons permitted
Military/Retired Law Enforcement
MS code 97-37-15 Parent or guardian not to permit
MS code 45-9-151 Docket of deadly weapons seized
Certified Firearm Instructor Requirements
Security Guard Permits
Security Guard Application
Forms
Security Compliance Division
Security Compliance Home
Fraud Identity Theft
Non-US Citizens Status Verification
CDL Medical Card Submission
Title VI American Disability Act ADA Compliance
Forms
Window Tint Compliance
Window Tint Compliance Home
Window Tint Compliance Locations
Forms
JumpStart Appointment
Wait Anywhere Appointment
Gautier
Hattiesburg
Jackson Headquarters
Nesbit
Pearl
Tupelo
DPS Driver Service Bureau
Main navigation
Driver License Issuance
Driver License Issuance Home
Non-U.S. Citizen Information
CDL Medical Card Submission
College Students
Commercial Operator License: Classes A–C
Driver License Locations
Driver Service Fees
Drivers Permit & 16-Year-Old License
Duplicate License
Identification Cards
Intermediate License – Class Y
Learner's Permit
Military Personnel
Purchase MVR
Ready to Schedule Your CDL Road Test?
Regular Operator License – Class R & D – 17 & Over
Types of Credentials
Title VI American Disability Act ADA Compliance
Applications & Forms
CDL Hazmat Enrollment Program
Driver Records Division
Driver Records Home
Crash Reports / Judgements
DUI Department
Drugs / Suspension
Medical Department
Motor Vehicle Record Department
Reinstatement
Forms
Firearm Permit Division
Firearm Home
Enhanced Permit Certified Firearm Instructors
Disabled Veterans
Firearm Permit Application
MS code 45-9-101 License to Carry Concealed
MS code 97-37-1 Deadly weapons;
MS code 97-37-7 Deadly weapons; persons permitted
Military/Retired Law Enforcement
MS code 97-37-15 Parent or guardian not to permit
MS code 45-9-151 Docket of deadly weapons seized
Certified Firearm Instructor Requirements
Security Guard Permits
Security Guard Application
Forms
Security Compliance Division
Security Compliance Home
Fraud Identity Theft
Non-US Citizens Status Verification
CDL Medical Card Submission
Title VI American Disability Act ADA Compliance
Forms
Window Tint Compliance
Window Tint Compliance Home
Window Tint Compliance Locations
Forms
JumpStart Appointment
Wait Anywhere Appointment
Gautier
Hattiesburg
Jackson Headquarters
Nesbit
Pearl
Tupelo
Search
Transparency
DR-11 Medical Form
File
MEDICAL-FORM-DR-11.pdf
File Category
Driver Records Division
