MV-521.1

The NY DMV MV-5211 form is a Personal History document required for individuals associated with driving schools or private service bureaus, including owners, partners, corporate officers, managers, and certain employees or stockholders. Its primary purpose is to collect comprehensive personal data to evaluate an applicant's qualifications and ensure they meet the standards necessary to conduct driver education or operate in service bureau roles.

The form captures detailed information across several critical sections:  

Personal and Professional Identity: Collects full legal names (including aliases), contact information, Social Security numbers, and driver license identification numbers.  
Employment and Licensing History: Requires a complete listing of employment experience for the last five years and any current or expired professional licenses, particularly those related to driving instruction.  
Criminal and Disciplinary History: Includes mandatory disclosure of traffic violations, license denials or revocations, and convictions for perjury or false statements. Any "yes" answer requires a detailed explanation and supporting documentation.  
Legal Affirmation: The applicant must sign the form under penalty of perjury, acknowledging that false statements or concealment of material facts are criminal offenses that can lead to the revocation of business licenses or instructor certificates. The form must also be sworn before a Notary Public.