Fillable Form Dmv22 - Change Of Address Notification By Mail printable pdf download

555 Wright Way, Carson City, NV 89711

Reno/Sparks/Carson City (775) 684-4DMV (4368)

Las Vegas area (702) 486-4DMV (4368)

Rural Nevada or Out of State (877) 368-7828

Fax (775) 684-4829

Website:

Change of Address Notification by Mail

Use a separate form for each driver or vehicle owner

NRS 483.390 and 483.870

You must go to a DMV office to change the address on your commercial driver’s license, driver authorization card, identification card,

instruction permit, seasonal identification card or if you have an identification card that does not show an expiration date.

Complete this form and mail it to the DMV address noted above with the appropriate fees in the form of a check, money order or debit/credit

card authorization (use form VP205). Do NOT send cash.

INCLUDE BOTH MAILING AND PHYSICAL ADDRESSES

Name _____________________________________________________________________________________________________

Last

First

Middle

NV Driver’s License or ID Card # _________________ Birth Place___________________ Birthdate _______/________/__________

YYYY

Previous Mailing Address ______________________________________________________________________________________

Street or P.O. Box

Apt. No.

City

State

Zip

New Mailing Address _________________________________________________________________________________________

Street or P.O. Box

Apt. No.

City

State

Zip

Previous Physical Address _____________________________________________________________________________________

Street

Apt. No

City

State

Zip

*New Nevada Physical Address ________________________________________________________________________________

Street

Apt. No.

City

State

Zip

(SEE NOTE, BOTTOM OF PAGE 1 )

Pursuant to federal law, you may register to vote through the DMV. If you are not registered in Nevada or if you would like to

make an update to a current Nevada voter registration, you may register to vote or update your current registration by completing

Change of

the additional information on page 2 of this application, including the signature box.

Address for

Subject to the explanation provided below regarding a move to a different county, any change to address information will be sent

Voter

to the County Clerk/Registrar’s office for voter registration purposes unless you check this box:  I do not want my address

change updated for voter registration purposes.

Registration

Did you move to a different county?  Yes  No. If “yes,” all sections on page 2 of this application must be completed for

the new county to process your updated voter registration.

Change DRIVER’S LICENSE ADDRESS or

IDENTIFICATION CARD ADDRESS: You may change your address through the mail if the DMV

has a photo of you on file. If not, you must go to a DMV office to have a photo taken. A new driver’s license or ID card will be mailed to you within 10

business days after your application is processed. Please include a $4.25 card production and technology fee with this application.

Change DISABLED PARKING PLACARD OR MOTORCYCLE STICKER ADDRESS: Please complete this information to change the mailing and/or

Nevada physical address for a disabled parking placard or motorcycle sticker.

Disabled Placard No. ___________________________

Motorcycle Sticker No. __________________________

Change VEHICLE REGISTRATION ADDRESS: Complete this information to change the mailing and/or Nevada physical address for vehicles

registered to you. Registration records will only be updated for the vehicles listed below.

If you would like a registration certificate mailed to you, please include a fee of $6.00 for each vehicle listed.

_______________________________________________________________________________________________

$6.00 for Certificate

NV Plate Number or VIN

Expiration Month/Year

Year of Vehicle

Make

_______________________________________________________________________________________________

$6.00 for Certificate

NV Plate Number or VIN

Expiration Month/Year

Year of Vehicle

Make

_______________________________________________________________________________________________

$6.00 for Certificate

NV Plate Number or VIN

Expiration Month/Year

Year of Vehicle

Make

I acknowledge that if I sign the voter registration portion on page 2 of this application, such shall constitute, pursuant to NRS 481.063 (2), a written

request and release for the DMV to send personal information here recorded to the County Clerk/Registrar for voter registration purposes.

SIGNATURE (required) ______________________________________________________

Date _______________

Phone Number (Optional) _________________________

Email Address (Optional) _____________________________________________

If you are a male at least 18-26 yrs. old and do not check the box below, you will be registering for Selective Service. You will remain eligible for federal

student loans, grants, benefits relating to job training, most federal jobs and, if applicable, citizenship in the United States.  I do not want to register for

the Selective Service.

Office Use Only:

Information Updated:

DL or ID Card

Registration

Disabled Placard

Motorcycle Sticker

Voter Address Change

PDPS/CDLIS:

Clear

Hit

Comments: ________________________________________________________________________________________________________