Form Mv-44edl - Application For Enhanced Or Real Id Permit, Driver License Or Non-Driver Id Card Page 2
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DRIVER LICENSE and LEARNER PERMIT APPLICANTS ONLY
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If you marked “Yes”, you must submit form MV-80U.1, even if you were released from the Medical Review Program. You can get this form at any Motor
Vehicles office or at dmv.ny.gov.
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If the driver license applicant is 17 years old and has a Driver Education Student Certificate of Completion (MV-285), consent is not required.
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ID Number on NYS Driver License, Permit or Non-driver ID
Card of Consenting Parent or Guardian Above (Required)
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COMMERCIAL DRIVER LICENSE APPLICANTS ONLY
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1. In the past 10 years, was a driver license issued to you from another state in the U.S. or the District of Columbia ?
If YES, write the name of each one (if you turn in a license from another state, do not include that state):
2. You MUST certify to DMV that you operate (or expect to operate) a commercial motor vehicle in one of the following four driving types (select only one):
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If the driving type you selected requires certified medical status (NI or NA) you must provide a legible copy of your current USDOT Medical Examiner’s
Certificate to DMV if it is not already on file. Please see DMV form MV-44.5 if additional information is needed to help you determine your driving type.
CERTIFICATION
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Enhanced Driver License ,DPD86FLWL]HQDQGDUHVLGHQWRI1<6
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REAL ID Document ,DPODZIXOO\SUHVHQWLQWKH86
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Replacement Driver License/Non-driver I.D. 0\1<6GULYHUOLFHQVHRUQRQGULYHU,'KDVEHHQORVWVWROHQRUPXWLODWHG,I,ILQGWKHORVWGRFXPHQW
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Exchanging Out-of-State Driver License for a NYS Driver License - :KHQ,REWDLQHGP\RXWRIVWDWHGULYHUOLFHQVH,ZDVDSHUPDQHQWUHVLGHQWRIWKHVWDWH
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IMPORTANT: Making a false statement in any license or non-driver ID card application, or in any proof or statement in connection with it, or
deceiving or substituting, or causing another person to deceive or substitute in connection with such application, may subject you to criminal
prosecution for a misdemeanor or felony under the Vehicle and Traffic Law and/or the Penal Law.
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DATE:
SIGN HERE
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PLEASE PRINT NAME
CREDIT CARD AUTHORIZATION IF CARDHOLDER IS NOT THE APPLICANT:
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