Form Itd 3153 - Application For Extension Of Idaho Driver'S License Or Id Card

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Application for Extension of Idaho Driver's License or ID Card
ITD 3153 (Rev. 01-15)
Idaho Transportation Department – Driver's License Unit
Telephone: (208) 334-8736, option 3
Use this form only if you are an Idaho resident living temporarily out of state
Type of Extension
Driver’s License
Identification Card
~ Type or Print Clearly with Black Ink ~
First Name
Middle Name
Last Name
Driver's License Number Date of Birth
Temporary Mailing Address for Extension
City or Town
State
Country
Zip/Postal Code
Social Security Number
Name on Social Security Card (If different from above)
Date Returning to Idaho (On or About)
Reason for Extension (Be specific)
If active duty military, or an immediate family member, attach a copy of active duty assignment orders
Complete the following section if you are applying for a driver’s license extension.
Have you ever had your right to drive or a permit or license to drive suspended, revoked, denied, disqualified, canceled, or refused?
Date
State
Reason
No
Yes - If Yes, enter the following
Is your ability to operate a motor vehicle affected by any physical or mental condition that brings about momentary or prolonged lapses of
consciousness or control?
(Examples: epilepsy or seizures, crippling arthritis, paralysis, Parkinson's, heart trouble, insulin-dependent diabetes,
Alzheimer's, strokes, multiple sclerosis.)
Date
Condition
No
Yes - If Yes, enter the following
If No, Enter Alien Registration Number. You must include a copy of your lawful presence documents.
Are you a Citizen/National of the United States?
Yes
No
A
1. Active Duty Military: Active duty U.S. military personnel, or members of their immediate family, upon providing active duty orders,
may be granted extensions valid up to four years. They may be issued multiple extensions not to exceed their active duty status period.
Military extensions expire 60 days from date of discharge/separation/retirement from active duty or the expiration date on the extension
card, which ever occurs first.
2. Non-Military: Extensions are valid for a maximum of one (1) year from the expiration date of the last issued license. If necessary, a
second one year extension can be requested. Extensions are valid for 10 days from the date of return to Idaho, or the expiration date on the
extension card, which ever comes first.
3. CDL Holders: Hazardous materials endorsement (H) cannot be extended.
Note: The extension is not valid until the completed application, fee, and any required documents are returned to our office and approved.
Upon approval, a driver's license with an extended date will be sent to you at the mailing address indicated above. Driving privileges that
have been withdrawn in any state will be cause for denial of extension.
The fee for each driver's license extension is $10.00 (U.S. funds). Checks or money orders should be made payable to the
Idaho Transportation Department. Credit card purchases are subject to an ITD service fee.
MasterCard or Visa Number
Expiration Date
Security Code
Phone Number
E-Mail Address
Fax or Email the extension to (include area code):
(optional)
Mailing Instructions:
Credit Card payment is: mailed to Idaho Transportation Department, Driver's License Unit, PO Box 7129, Boise ID 83707-1129
or
faxed to (208) 334-8586
Check or Money Order is mailed to: Idaho Transportation Department, Driver's License Unit, PO Box 34, Boise ID 83731-0034
Scanned application forms can be sent to
or faxed to (208) 334-8586.
DLMail@itd.idaho.gov
Upon my signature, I state that I am responsible and physically, mentally, and emotionally capable of operating a motor
vehicle safely. Under penalty of perjury pursuant to the law of the State of Idaho, I certify that the information presented on
this application is true and correct.
Applicant's Signature
Date
Extended Date
Form must be signed before submission.
X
ITD Use Only

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