NYS DMV Form PSB-4. Private Service Bureau Employee Roster

Form NYS DMV PSB-4 is used by Private Service Bureaus (PSBs) in New York State to maintain an up-to-date list of their employees, runners, or agents. This form must be completed and submitted to the DMV Private Service Bureau (PSB) Unit when applying for a PSB license and whenever there are additions or changes to the personnel of the PSB.

The form typically requires the PSB to provide information about each employee, runner, or agent, including their name, contact information, and position within the PSB. By completing and submitting this form, the PSB ensures compliance with DMV requirements regarding employee rosters and personnel changes.

Important fields in this form include the names and contact information of each employee, runner, or agent, as well as their respective positions within the PSB. Accurate completion of this form helps the DMV maintain updated records of the personnel associated with the PSB.

Application Example: Private Service Bureaus in New York State can use Form NYS DMV PSB-4 to provide an updated employee roster to the DMV PSB Unit. This form enables the PSBs to comply with DMV requirements related to maintaining accurate records of their personnel.

Related Forms: There are no specific related forms for the Private Service Bureau Employee Roster. However, PSBs may need to submit additional documents or complete other forms during the PSB application process or when notifying the DMV of personnel changes.