Bob M cKee, Lake County Tax Collector DRIVER …

1 COMPLETE THIS PAGE AND CONTINUE TO NEXT PAGE Page 1 of 4 B o b McK e e , L a k e C o u n t y T a x C o l l e c t o r DRIVER LICENSE & ID card APPLICATION Visit to schedule an appointment or print this application. Three locations to serve you 352-343-9602 1505 Hooks Street, Clermont, FL 34711 1720 North Citrus Boulevard, Leesburg, FL 34748 1800 David Walker Drive, Tavares, FL 32778 Section 1 HOW MAY WE SERVE YOU? Florida residents are required to obtain a DRIVER license within (30) thirty-days (s.)

2 , ) DRIVER License (Receiving a Florida DRIVER license will cancel all other state-issued DRIVER licenses and ID cards.) s. , I received a letter in the mail or the Judge/Court sent me for reinstatement of Driving Privileges: Suspension, Revocation, Disqualification, Cancellation, Traffic Ticket Clearance (D6 Suspension), Insurance Suspension, Failure To Pay Child Support, Vision or Medical Re-Exams. ID card (Receiving a Florida ID card will cancel all other state-issued DRIVER licenses and ID cards.) s. , Learner License (Must have already completed 4-hour Traffic Law and Substance Abuse Education (TLSAE) course.

3 I am here for a scheduled appointment Section 2 MARK YOUR US CITIZENSHIP/LEGAL PRESENCE STATUS. Select one status. = Not a US Citizen? (Non-Immigrant or Temporary Resident or Canadian Citizen) You must present original legal presence documents issued by the US Citizenship and Immigration Services (USCIS) every time you apply for a license or ID card in the State of Florida. The documents must have at least 61 days remaining until the expiration date. Not a US Citizen (Non-Immigrant or Temporary Resident or Canadian Citizen) APPOINTMENT REQUIRED visit Not a US Citizen (Immigrant, Permanent Resident/Green card ) I am a US Citizen Section 3 FEDERAL REAL ID REQUIREMENTS FOR IDENTITY VERIFICATION (ALL TRANSACTIONS).

4 A STAR on your Florida DRIVER license or ID card means you are Real ID compliant. There are a couple of different designs in circulation. One example is shown on the right. To ensure you are placed in the correct waiting queue, checkmark each item below that applies to you: Your Florida license/ID card contains the Real ID star mentioned above. You need to renew your Florida license/ID card and/or change your address (if changing your address, you need proof of your new address, see box 3 below Your Address ). Selecting an option that does not apply to you may result in an extended wait time.

5 If any of the following situations apply to your transaction, The Federal Real ID Act requires documentation that establishes your identity when applying for a Florida DRIVER license or ID card . See below for documentation required to process your transaction. Otherwise, continue to section 4. FIRST TIME FLORIDA LEARNER LICENSE OR ID card CURRENT FLORIDA LICENSES OR ID CARDS WITHOUT A STAR YOUR NAME HAS CHANGED FROM YOUR BIRTH CERTIFICATE NAME (see box 2 below Name Change ) TRANSFERS FROM OUT-OF-STATE or OUT-OF-COUNTRY BRING ONE: US Passport (expired is ok) Origin al US Birth Certificate Certified US Birth Certificate Naturalization Certificate INS (USCIS) Documentation Cannot be issued by a hospital Does the name match your license or ID card ?

6 If not, don t forget your name change documents; see box #2 on right. BRING ALL THAT APPLY: Origin al Marriage Certificate Certified Marriage Certificate Divorce Decree Court Order Cannot be from a church This is only r equired when a prior name (or maiden name) is shown on the identification document provided; see box #1 on left BRING TWO in your name: Car or Boat R egistration Utility Bill or Credit card Bill Bank Statement Voter Registration card Lease/Rental Agreement Deed, Mortgage Insurance Policy/ card You can fill out a self-certification form in place of a 2nd piece of mail Must show name and address (not a post office box).

7 BRING ONE: Social Security card or Stub W-2/1099 Form (pre-printed) Pay Stub L- 676 Form (# never issued) Proof must list full name and Full Social Security #. Name changes must be reported to Social Security at least 24 hours prior to visitin g our office NEED HELP REPLACING YOUR DOCUMENTS? Florida Birth Certificate: lake County Health Department 352-589-6424 Florida Marriage Certificate: All States US Birth Certificate, Marriage Certificate & Divorce Decree: Born Abroad US Citizen: or SOCIAL SECURITY IDENTIFICATION YOUR ADDRESS NAME CHANGE COMPLETE THIS PAGE AND CONTINUE TO NEXT PAGE Page 2 of 4 Section 4 MARK THE SERVICE(S) YOU NEED.

8 Mark all that apply. Fees below are approximate and required by Florida Statute(s). A service fee of $ must be charged per s. (1)(c) = Not a US Citizen? (Non-Immigrant or Temporary Resident or Canadian Citizen) You must present original legal presence documents issued by the US Citizenship and Immigration Services (USCIS) every time you apply for a license or ID card in the State of Florida. The documents must have at least 61 days remaining until the expiration date. = Appointment Required Not a US Citizen (Renew, Replace, Address Change, Transfer Out-of-State/Country) - $ & up Not a US Citizen (Non-Immigrant or Temporary Resident or Canadian Citizen) APPOINTMENT REQUIRED visit (S) Not a US Citizen (Immigrant, Permanent Resident/Green card ) (S)

9 Transactions General Information & License Status Check - $ (or research online for FREE at ) (T) Renew Florida Class E DRIVER License or ID card - $ to $ (J) Replacement Florida Class E DRIVER License or ID card - $ (or $ if stolen with police report or case ID # on police card ) (J) Address Change or Name Change on Florida Class E DRIVER License or ID card with Proof of the Change - $ (J) Transfer Out-of-State DRIVER License or ID card (license/ID must be available will cancel all other state-issued DRIVER licenses & ID cards $ to $ (J) First-Time Florida ID card Issuance - $ (J) Convert a Florida Class E DRIVER License to a Florida ID card - $ (J) Add Developmentally Disabled Designation to ID card (Application Required ) - $ (J))

10 Add Deaf or Hard of Hearing Designation to Florida Class E DRIVER License or ID card - $ & up (J) ID card Issuance Homeless (letter from shelter) or 100% Poverty (Access Florida Benefits card /Letter) (New or Replacement) $ (J) M Add Motorcycle Endorsement to Florida Class E DRIVER License (Motorcycle Rider Course must already be completed) - $ (J) V Add Veteran Designation on Florida Class E DRIVER License or ID card with Proof (DD Form 214, DD Form 2, Military Retired ID card , VA Medical/Health card , VA ID card , other acceptable form specified by the Department of Veterans Affairs to qualify.)