Tvdl Appointment Document Checklist Template - Illinois Secretary Of State
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Office of the Secretar y of State
2701 S. DIRKSEN PARKWAY
SPRINGFIELD, IL 62723
Driver Ser vices Depar tment
TVDL APPOINTMENT DOCUMENT CHECKLIST
Applicant Name:________________________________________________ Appt. Date: _______ Appt. Time: ______
Appt. Location: ___________________________________________________________
Confirmation #: _______________________________ Agency Completing Form: ______________________________
Form Completed By: ___________________________________________
Applicant has the following CORRECT documents:
r Name and Date of Birth
r Written Signature
r 12 Month Residency
r Current Address — 1
r Current Address — 2
*All documents MUST be in the applicant’s name
Name and Date of Birth (One):
r Unexpired Passport — Expiration Date:_______
r Consular Card — Expiration Date:_______
(Mexico, Guatemala, Ecuador, Brazil, Colombia)
Written Signature (One):
r Unexpired Passport — Expiration Date:_______
r Consular Card — Expiration Date:_______
12 Month Residency (1 document that must be dated over a year ago):
r Consular Card — Expiration Date:_______
(must have been issued over a year ago and cannot also be used for 90 day)
r Bank Statement (cannot be a summary) — Date:_______
r Utility Bill — Date: _______
r Certified School Transcripts — Dates:_______
r Deed/Title, Rental, Lease, Mortgage — Dates:_______
r Medical Claim or Statement of benefits (no bills from doctor’s offices) — Date:_______
r Official Mail from State, County, City, Village, or Federal agency — Date:_______
(Subject to SOS approval. For example, we do not accept DHS or IRS documents)
r Pension or Retirement Statement — Date:_______
r Report Card — Date:_______
r Tuition Invoice from a College or University — Date:_______
r Home Owner’s or Renter’s Insurance Policy — Date:_______
r Selective Service Card — Date: _______
Current Residency (Two documents dated in the last 90 days):
r Consular Card — Expiration Date:_______
(must have current address listed and cannot also be used for 12 month residency)
r Credit report from Experian, Equifax, or TransUnion — Date:_______
r Bank Statement (1) — Date:_______ r Bank Statement (2) (Must be from 2nd bank) — Date:_______
r Utility Bill (1) — Date:_______
r Utility Bill (2) — Date:_______
(Must be from different company than first utility bill)
r Certified School Transcripts — Date:_______
r Deed/Title, Mortgage, Rental/Lease — Date:_______
r Medical Claim or Statement of Benefits — Date:_______
(No bills from doctor’s offices)
r Official Mail from State, County, City, Village, or Federal Agency — Date:_______
(These documents are subject to SOS approval. For example, we do not accept DHS or IRS documents)
(Continued on reverse side.)
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