Transcription of ORIGINAL RENEWAL DUPLICATE INSTRUCTION …
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ORIGINAL RENEWAL DUPLICATE INSTRUCTION …
APPLICATION FOR DRIVING PRIVILEGES OR ID CARD. ORIGINAL RENEWAL DUPLICATE INSTRUCTION PERMIT. Information in boxes MUST be completed prior to visiting a DMV representative. Please PRINT in black or blue ink only. LICENSE OR PERMIT CLASSIFICATION ENDORSEMENTS IDENTIFICATION CARD. Real ID Standard Class C Class A J G Real ID Standard Driver Authorization Card Class M Class B F Seasonal Resident CHANGE TO INFORMATION ON CARD: NAME ADDRESS DATE OF BIRTH SOCIAL SECURITY NUMBER SEX. LAST NAME (PRINT) FIRST NAME MIDDLE NAME SUFFIX NEVADA DL/DAC/ID NUMBER. SOCIAL SECURITY NUMBER (not required for DAC) DATE OF BIRTH FULL LEGAL NAME ON BIRTH CERTIFICATE BIRTHPLACE (CITY & STATE OR COUNTRY). SEX (CIRCLE) HEIGHT WEIGHT HAIR COLOR EYE COLOR MOTHER'S MAIDEN NAME. M F _____ FT. _____ IN. _____ LBS. DO NOT SCAN MY BIRTH CERTIFICATE Check box to place mailing address on the front of card (For Standard or DAC only). PRIMARY PHYSICAL ADDRESS MAILING ADDRESS (IF DIFFERENT FROM PHYSICAL ADDRESS).
DMV-002 (Revised 10/2017) 1 . APPLICATION FOR DRIVING PRIVILEGES OR ID CARD ORIGINAL RENEWAL DUPLICATE INSTRUCTION PERMIT . Information in boxes MUST be completed prior to visiting a DMV representative.
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