Division Of Driver Licensing Non U.s. Citizen Application

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TC 94‐152
KENTUCKY TRANSPORTATION CABINET 
Rev. 07/2016
 
1
Page 1 of 
DIVISION OF DRIVER LICENSING 
 
NON‐U.S. CITIZEN APPLICATION
 
 
 
If you are a non‐U.S. citizen and wish to apply for a Kentucky Driver’s License, Driver’s Permit or ID card, this form must 
be completed by the applicant and presented to the Division of Driver Licensing or a Division of Driver Licensing field 
office. NOTE: All documents presented must be originals. Copies will not be accepted. 
NAME (first) 
(MI) 
(last) 
PHONE 
DATE OF BIRTH 
           
           
           
           
           
SEX 
WEIGHT 
HEIGHT 
EYE COLOR 
SOCIAL SECURITY # 
 Male      
 Female 
           
           
           
           
ADDRESS (street) 
CITY 
STATE
ZIP 
 
 
 
 
 
 
           
           
           
           
 
PLACE OF EMPLOYMENT (if applicable) 
           
CITIZEN OF WHAT COUNTRY? 
USCIS DOCUMENT(S) TYPE 
(expiration date) 
I‐94/“A” NUMBER/PASSPORT
           
           
           
           
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
1.  Along with this application, the applicant must present at least one of the following original documents:  
(a) VISA with valid I‐94 card; (b) Employment Authorization Card (I‐68B or I766); (c) I‐94 issued by USCIS with a 
stamped picture; (d) Passport with entry stamp. 
2.  Applicant must also present the following “original” documentation: (a) Social Security Card or Ineligibility Letter 
from the Social Security Office; (b) Official proof of residency (proof of address within last 30 days), i.e., utility bill, 
lease agreement, bank statement, credit card statement or postmarked envelope. 
3.  Exchange visitors (J1) must have a DS2019. 
4.  Individuals or dependents on any work status (L1, L2, H1B, H4, etc.) must present a current paycheck stub or letter 
from employer verifying current employment within the last 30 days. 
5.  Students who are an F1 status will need to present their I‐20 and proof of enrollment (within the last 30 days) from 
the college or university. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
I attest under penalty of perjury that I am the person named and described herein and that the statements in this 
application are true and correct. 
SIGNATURE 
DATE 
 
 
 
 
 
 
 
 
 
 
 
 
X 
           
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

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