Form Mv-44edl - Application For Enhanced Or Real Id Permit, Driver License Or Non-Driver Id Card

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APPLICATION FOR ENHANCED OR REAL ID PERMIT, DRIVER LICENSE OR NON-DRIVER ID CARD
PRINT CLEARLY IN BLUE OR BLACK INK.
PAGE 1 OF 3
This form is also available at dmv.ny.gov
OFFICE USE ONLY
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Image #
mark all that apply 
MARK THE BOX OF THE TYPE OF DOCUMENT OR SERVICE YOU NEED
Upgrade Current
Upgrade Current
Learner
ID
NYS license in exchange for a license from another US
Replacement
Change
Renewal
card
Document to EDL
Document to Real ID
Permit
State, the District of Columbia or Canadian Province
IDENTIFICATION INFORMATION
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ID NUMBER ON NYS DRIVER LICENSE, LEARNER
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PERMIT, or NON-DRIVER ID CARD
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If “Yes”, enter the 9-digit ID number as it appears on the
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front of the license, learner permit, or non-driver ID card.
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Note:
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FULL LAST NAME
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FULL FIRST NAME
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FULL MIDDLE NAME
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SUFFIX
DATE OF BIRTH
SEX
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TELEPHONE NUMBER
Area Code
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If “Yes”, print your former
name exactly as it appears on your present license or non-driver ID card.
MOBILE PHONE NUMBER
EMAIL
Area Code
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ADDRESS WHERE YOU GET YOUR MAIL
- Include Street Number and Name, Rural Delivery and/or box number (If PO Box, also fill in “Address Where You Live” below)
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REQUIRED IF DIFFERENT FROM ADDRESS FOR MAIL - DO NOT GIVE P.O. BOX. THIS ADDRESS WILL APPEAR ON YOUR DRIVER LICENSE.
ADDRESS WHERE YOU LIVE
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HAS THE ADDRESS WHERE YOU LIVE CHANGED?
HAS YOUR MAILING ADDRESS CHANGED?
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VETERAN STATUS
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NEW YORK STATE ORGAN AND TISSUE DONATION
(You must fill out the following section)
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(Please check “yes” or “no”.

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