Dmv-Vl021 - Application For Vermont Operator'S License, Junior Operator'S License Or Learner Permit Page 4

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Learner Permit
$17.00
Exam Road/Driving
$17.00
JR Operator License
$28.00
Exam Written
$28.00
Operator License
$45.00 ($28.00 for 2 year)
Out of State
$17.00 (admin fee, additional)
Enhanced Driver License*
$25.00 (additional)
Motorcycle Endorsement
$2.00 per year
Question 4 Details:
VERMONT RESIDENCY REQUIRED
Only Vermont residents are allowed to obtain an Operator’s License, Commercial Driver’s License, Enhanced Driver’s License/ID, Learner’s Permit or Non-Driver
Identification Card. Applicants must provide the Department with two pieces of mail with current name and street address. NOTE: These are NOT considered identity documents,
they are only used to prove residency. If no mail comes to the street address, contact DMV for additional information.
REQUIRED IDENTIFICATION DOCUMENTATION
Each applicant for an original learner's permit, license, or non-driver ID is required to show documentary proof of identity and date and place of birth and must be
applied for in person. Proof of identity shall be one primary document and one secondary document from the following list. A primary document must contain the full
name and date of birth and must be verifiable, i.e., we must be able to contact the issuing agency to determine the authenticity of the document.
 PRIMARY DOCUMENTS:
Photo driver license (cannot be expired more than one year), State/province/territory issued photo ID card (not expired more than one year), Certified microfilm/copy of
driver license or ID card (cannot be expired more than one year), Certificate of Birth (U.S. or Canadian issued which must be an original or certified copy, have a raised
seal and be issued by the Bureau of Vital Statistics or State Board of Health. Hospital issued birth certificates and baptismal certificates are NOT acceptable.) USCIS
DOCUMENTS, AS FOLLOWS: Certificate of Naturalization (N-550, N-570, or N-578), Certificate of Citizenship (N-560, N-561, or N-645), Northern Marina Card
(I-551), American Indian Card (I-551), U.S. Citizen Identification Card (I-179 or I-197), Permanent Resident or Resident Alien Card (I-151, I-551, AR-3A, or AR-103),
Temporary Resident Identification Card (K-688), Non-resident Alien Canadian Border Crossing Card (I-185 or I-586), Record of Arrival and Departure (in a valid
Foreign Passport, I-94 or I-94W visa waiver program), Record of Arrival and Departure w/attached photo stamped ‘Temporary Proof of Lawful Permanent Resident’ (I-
94 processed for I-551 stamp in a valid Foreign Passport), Permanent Resident Re-entry Permit (I-327), Refugee Travel Document (I-571), Record of Arrival and
Departure in a Certificate of Identity (I-94), Record of Arrival and Departure Stamped ‘Refugee’, ‘Parole’, ‘Parolee’ or ‘Asylee’ (I-94, Employment Authorization
Document (card) ‘EAD’ Ins. form I-766, Canadian Immigration Record and Visa or Record of Landing (IMM 1000), Court order (must contain full name, date of birth
and court seal. Examples include adoption document, name change document, gender document, etc.), Military ID, Valid passport (U. S. or Canadian - if foreign,
appropriate INS document also is required), State issued photo learner permit (Out-of-state issued permit is NOT acceptable, cannot be expired more than one year. A
learner permit without a photo is NOT acceptable UNLESS accompanied by a primary document), Canadian Department of Indian Affairs issued ID card (Tribal issued
card and U.S. issued Department of Indian Affairs card are NOT acceptable).
 SECONDARY DOCUMENTS:
All Primary Documents, Bureau of Indian Affairs Card/Indian Treaty Card (Tribal ID card is NOT acceptable), Driver license/ID card, expired more than one year,
Court order that does not contain the applicant's date of birth, Employer ID card, Foreign birth certificate (must be translated by approved translator), Health insurance
card (i.e., Blue Cross/Blue Shield, Kaiser, HMO), IRS/State tax forms (W-2 NOT acceptable), Marriage certificate/license, Civil Union certificate/license, Medical
records from doctor/hospital, Military dependent ID, Military discharge/separation papers, Parent/guardian affidavit (Parent/guardian must appear in person and prove
his/her identity and submit a certified/notarized affidavit regarding the child's identity - applies only to minors), Gun Permit, Pilot's license, School record/transcript
(must be certified), Social security card (Metal card is NOT acceptable), Social insurance card (for Canadian residents only), Student ID Card (must contain photo),
Vehicle title (vehicle registration NOT acceptable), Welfare card, Prison release document.
Additional documentation may be required at the department's discretion if documentation submitted is questionable or if there is reason to believe the person
is not who s/he claims to be.
The name, date of birth and place of birth shown on this application must match the information shown on the proof of identity documents submitted with the
application. Applicants must bring original documents with them to a Department of Motor Vehicles Customer Service Counter. This Department will retain copies of
documents submitted.
ORGAN & TISSUE DONOR
If yes, the DMV will provide this information to federally designated organ procurement organizations serving Vermont, and will print this
designation on your driver’s license/ID card.
Applicants under age 18 need consent from a parent/guardian.
APPLICATION FOR ADDITION TO CHECKLIST – VERMONT VOTER REGISTRATION APPLICATION
How to register to vote: You are eligible to vote in the town or city where you physically reside if as of Election Day, you: / are a United States citizen
(NOT green card) / are a resident of Vermont / are 18 years old / take Voter’s Oath. Residency for voting purposes is defined as “a person who is
domiciled in the town as evidenced by an intent to maintain a principal dwelling place in the town indefinitely and to return there if temporarily absent,
coupled with an act or acts consistent with that intent.”
You must submit the application on the bottom of the front page before 5 p.m. on the Wednesday immediately prior to an election in order to vote in that
election. If you are not sure if you are registered to vote, please call your Town or City Clerk to check before completing the registration form.
You must complete the legal address (where you physically live, not a PO Box) if you are applying to register to vote.
Complete the voter registration form at the bottom of the front page ONLY IF YOU ARE NOT ALREADY REGISTERED TO VOTE IN THE TOWN
WHERE YOU RESIDE. DO NOT complete this voter registration form if you are already registered to vote in your current Town or City of residence.
You only need to take the Voter’s Oath ONCE. If you were previously registered to vote in Vermont you have already taken the Voter’s Oath so please
check that line. You can attest that you have taken the voter's oath for yourself or, the Customer Service Representative can administer the Voter’s Oath
to you.
KEEP YOUR COPY OF THIS APPLICATION and bring it with you to the polls when you vote for the first time in your town. It is your proof that
you have submitted an application to vote.
You are not automatically registered to vote by completing this application—your Town or City Clerk will review your application to be sure that you meet
all eligibility requirements. The Clerk will notify you in writing if your application is approved and notify you of the location of your polling place. If your
application is denied, the Clerk will notify you explaining why you are not eligible and also explain how you can file an appeal to the Board of Civil
Authority in your Town or City.
The laws relating to voter registration are in 17 V.S.A. §§ 2121 to 2150 (Chapter 43). If you have questions, you may call the Office of the Secretary of
State at (802) 828-2363 or toll free in Vermont at (800) 439-8683.
Telecommunications Relay Service / TTY Dial 711

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