Form Dmv-002 - Driver'S License, Driver Authorization Card, Or Identification Card Application Form
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1
2(Choose all that apply)
Driver’s License
Information Change
Instruction Permit
Driver Authorization Card
Identification Card
Seasonal Resident ID Card
DRIVER’S LICENSE, DRIVER AUTHORIZATION CARD, or IDENTIFICATION CARD APPLICATION
Information in boxes MUST be completed prior to visiting a DMV representative. Please PRINT in black or blue ink only.
Last Name
First Name
Middle Name
Suffix
Date of Birth
Nevada DL/DAC/ID Number
Social Security Number (not required for DAC)
Male Female
Height ________ft. ________in.
Weight ________lbs.
Hair Color_________________
Eye Color _______________
Change to Information on Card:
Name
Date of Birth
Social Security Number
Address
Gender
Daytime Phone Number (_____)______________________
E-mail Address _____________________________________________________
Full Legal Name on Birth Certificate__________________________________________________________________________________
Birthplace___________________________ State/Country ____________________ Mother’s Maiden Name ________________________
Primary Physical Address__________________________________________________________________________________________
Street
Apt. #
City
State
Zip
County
Mailing Address _________________________________________________________________________________________________
Street / P.O. Box
Apt. #
City
State
Zip
County
If you are a U.S. citizen and already registered to vote in Nevada, this form will update your voter registration address information.
Voter Address
Did you move to a different county? Yes No If yes, you must also submit a NEW voter registration application.
Change
I do or I do not want my address updated for voter registration purposes.
Please check boxes for all the vehicles you will drive (NAC 483.110)
GVWR = Gross Vehicle Weight Rating
GCWR = Gross Combination Weight Rating
Any single vehicle less than 26,001 lbs. GVWR or any such vehicle towing a vehicle not in excess of 10,000 pounds GVWR.
C
The holder of a Class C license may not drive a combination of vehicles exceeding 70 feet in length or have a combined weight
rating or a combined weight that exceeds 26,000 lbs. If the combination of the towing vehicle and the towed vehicle(s) exceeds
26,000 lbs., a Class A license is required.
B
Any single vehicle with a GVWR of 26,001 lbs. or more, or any such vehicle towing another vehicle which does not have a GVWR
of more than 10,000 pounds. (Holder of a Class B license may operate all Class C vehicles with the appropriate endorsement.)
Any combination of vehicles with a GCWR of 26,001 lbs. or more if the GVWR of the trailing vehicle is more than 10,000 pounds.
A
(Holders of a Class A license may operate all Class B and C vehicles with the appropriate endorsements.) A combination of
vehicles may not exceed 70 feet in length.
Motorcycle - May drive a motorcycle, trimobile or moped (NRS 486.041)
M
Moped (NRS 486.038 applies to mopeds only)
ENDORSEMENTS
In a Class C vehicle, you may tow a vehicle or combination of vehicles with a GVWR or GCWR, as appropriate, of more than 10,000 pounds.
J
The combination of vehicles may not exceed 70 feet in length or have a combined weight rating or a combined weight that exceeds 26,000 lbs.
If the combination of the towing vehicle and the towed vehicle(s) exceeds 26,000 lbs., a Class A license is required.
G
May operate an autonomous vehicle in autonomous mode. You must also complete a DP019 Autonomous Vehicle Endorsement application.
FARM – Employee or family member who transports supplies within 150
COMMERCIAL LICENSE EXEMPT FOR:
F
miles to or from a farm, if not used:
FIREFIGHTER – Operates emergency equipment
– As a common or contract motor carrier; or
MILITARY – Operates a commercial vehicle for military purposes
– To transport placarded amounts of hazardous materials
For Office Use Only
Documents Shown:
Ind. ID # _________________________________________
DL/DAC/ID #:_______________________ Exp: __________
Test Required:
Written
Drive
Reinstatement Info
Restrictions:
___
PDPS/CLDIS
Clear
Hit
State ________ DLN ______________
Vision Acuity:
Left
Both
Right
nd
W/D: _____
Cites: ______
2
Hit
State ________ DLN ______________
With OR Without Correction: 20/
20/
20/
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Parent category: Legal