Learner's Permit Requirements - IN.gov

1 69696969 ChurubuscoBattleG11411411413525213513535 8494329222928392814145322636347636346464 4675467676164686861616269666666626162626 6576157566457676757545454373760603723737 5656376666685654585661596759476746464646 3732322825282222191925141519181893193122 1839133767383732379111676732389336718263 3283323238444444441156565656463776256565 6606262399114638182525252526391399991515 1399391113715413114114120120205127120244 2521351011561562562561111111351205501451 4513523725352035353531354213535354214213 1421244212042164141412313023130421303031 3333243330224224302424242424313127273535 3640523131505031313636231231231231501501 5015023123141414013640352727524215042150 5235523663366302314212312312315252244152 4141522311361504140403636231414214152273 3411504115050150411505015050150949065658 0907465809080906946946969696970706574707 0707065654658654656564696464265 HPorterNorthLibertyWakarusaSedanAlbionNo rthWebsterSyracuseMentoneSharpsvilleGree ntownWarrenFairmountFowlertonClaypoolSou thWhitleyMacyGalvestonFloraSheridanThorn townKirklinSedaliaMulberryRussiavilleKem ptonBrookstonShadelandNew RichmondDelphiBattleGroundLadogaWaltonAk ronChurubuscoTopekaKoutsNorth JudsonStar CityRoyalCenterMononWinamacFair OaksEarl ParkGiffordMoroccoRemingtonRemingtonHill sboroCovingtonRileyCenterPointHarrodsbur gBloomfieldKurtzHuronClay CityCarbonFarmersburgShelburnLyonsOaktow nPetersburgFort BranchOwensvilleHazletonSpurgeonElberfel dStanleyGrandviewChrisneySantaClausChand lerPoseyvilleElnoraMonroe CityFerdinandHollandFrench LickOrleansCorydonNewAmsterdamLaconiaLea venworthCanneltonEnglishMilltownShoalsWa shingtonCraneOdonCarlisleBicknellWorthin gtonWestTerreHauteBloomingdaleKingmanOxf ordKentlandLake VillageDemotteKewannaMedaryvilleShelbyBr ookAtticaState

2 LineCityFowlerHobartGriffithHebronHamlet MontereyTynerArgosCulverGrangerLaGrangeW aterlooButlerNewvilleGrabillMonroeEatonI ngallsNashvilleSt. PaulShirleyGreensboroSunmanCanaanOtiscoD eputyVevayLaurelRising SunBrookvilleNew PekinBrownstownLittleYorkLivoniaHardinsb urgGreenvilleMedoraDupontHoltonGastonSti lesvilleGosportSpencerLiztonCloverdaleCi ceroWestfieldSulphurSpringsMontpelierRed keyRidgevilleBlountsvilleFarmlandEconomy LynnHagerstownCentervilleHopeBostonPonet oBryantTrinityOssianMarkleOrlandMetzHuds onBremenWhitingGaryEast ChicagoMerrillvilleLowellCedarLakePortag eCrownPointChestertonValparaisoLaPortePl ymouthRochesterSouthBendMishawakaColumbi aCityGoshenNappaneeKendallvilleAngolaGar rettAuburnFortWayneNewHavenDecaturHuntin gtonNorthManchesterWabashPeruFrankfortLe banonGreensburgBedfordSalemNorthVernonMa disonSellersburgJeffersonvilleScottsburg CrawfordsvilleGreencastleLogansportMonti celloBlufftonPortlandWinchesterMuncieElw oodAlexandria AndersonCarmelBrownsburgRichmondRushvill eConnersvilleMarionHartfordCityGas

3 CityMichiganCityWestvilleRensselaerClint onBrazilLintonVincennesPrincetonEvansvil leMt. VernonJasperHuntingburgBoonvilleTellCity TerreHauteClarksvilleBloomingtonKnoxDanv illeEdinburghBerneYorktownTiptonHarrison LawrenceburgBatesvilleAustinMitchellPaol iSullivan62 Plainfield313131 RockvilleWARRENBOONEPARKEPUTNAMVIGOCLAYS ULLIVANKNOXDAVIESSPIKEGIBSONSPENCERWARRI CKLAWRENCEMARTINORANGECRAWFORDPERRYDUBOI SPOSEYSTEUBENDEKALBWHITLEYNOBLELAGRANGEE LKHARTKOSCIUSKOMARSHALLST. JOSEPHLAPORTESTARKEPORTERNEWTONJASPERWHI TECARROLLHOWARDBENTONPULASKIFULTONWABASH HUNTINGTONALLENADAMSJAYRANDOLPHHENRYRUSH SHELBYJOHNSONMORGANMONROEBROWNJACKSONGRE ENEOWEN FAYETTEUNIONDELAWAREMADISONTIPTONCLINTON HENDRICKSMARION FRANKLINDEARBORNOHIORIPLEYJEFFERSONSCOTT CLARKFLOYDWASHINGTONJENNINGSWAYNEWELLSGR ANTMIAMICASSLAKE94 CharlestownNewAlbanyWalkertonLafayetteWe stLafayetteFranklinColumbusHammondWarsaw Winona LakeRoannLa FontaineConverseWilliamsportFOUNTAINTIPP ECANOEK okomoBLACKFORDC olfaxNewportVERMILLIONR ussellvilleBainbridgeMONTGOMERYZ ionsvilleNoblesvilleFishersHAMILTONK nightstownNew CastleGreenfieldHANCOCKL awrenceCumberlandSpeedwayIndianapolisMar tinsvilleMooresvilleBargersvilleNewWhite landMorristownShelbyville DECATURH artsvilleElizabethtownBARTHOLOMEW45 EllettsvilleCornettsvilleSeymourVernonVe rsaillesNapoleon SWITZERLANDO aklandCityVANDERBURGHN ewburghRockportHARRISONE lkhart2020204217474 Greenwood376969696969

4 ChurubuscoBattleG11411411413525213513535 8494329222928392814145322636347636346464 4675467676164686861616269666666626162626 6576157566457676757545454373760603723737 5656376666685654585661596759476746464646 3732322825282222191925141519181893193122 1839133767383732379111676732389336718263 3283323238444444441156565656463776256565 6606262399114638182525252526391399991515 1399391113715413114114120120205127120244 2521351011561562562561111111351205501451 4513523725352035353531354213535354214213 1421244212042164141412313023130421303031 3333243330224224302424242424313127273535 3640523131505031313636231231231231501501 5015023123141414013640352727524215042150 5235523663366302314212312312315252244152 4141522311361504140403636231414214152273 3411504115050150411505015050150949065658 0907465809080906946946969696970706574707 0707065654658654656564696464265 HPorterNorthLibertyWakarusaSedanAlbionNo rthWebsterSyracuseMentoneSharpsvilleGree ntownWarrenFairmountFowlertonClaypoolSou thWhitleyMacyGalvestonFloraSheridanThorn townKirklinSedaliaMulberryRussiavilleKem ptonBrookstonShadelandNew RichmondDelphiBattleGroundLadogaWaltonAk ronChurubuscoTopekaKoutsNorth JudsonStar CityRoyalCenterMononWinamacFair OaksEarl ParkGiffordMoroccoRemingtonRemingtonHill sboroCovingtonRileyCenterPointHarrodsbur gBloomfieldKurtzHuronClay CityCarbonFarmersburgShelburnLyonsOaktow nPetersburgFort BranchOwensvilleHazletonSpurgeonElberfel dStanleyGrandviewChrisneySantaClausChand lerPoseyvilleElnoraMonroe CityFerdinandHollandFrench LickOrleansCorydonNewAmsterdamLaconiaLea venworthCanneltonEnglishMilltownShoalsWa shingtonCraneOdonCarlisleBicknellWorthin gtonWestTerreHauteBloomingdaleKingmanOxf ordKentlandLake VillageDemotteKewannaMedaryvilleShelbyBr ookAtticaState

5 LineCityFowlerHobartGriffithHebronHamlet MontereyTynerArgosCulverGrangerLaGrangeW aterlooButlerNewvilleGrabillMonroeEatonI ngallsNashvilleSt. PaulShirleyGreensboroSunmanCanaanOtiscoD eputyVevayLaurelRising SunBrookvilleNew PekinBrownstownLittleYorkLivoniaHardinsb urgGreenvilleMedoraDupontHoltonGastonSti lesvilleGosportSpencerLiztonCloverdaleCi ceroWestfieldSulphurSpringsMontpelierRed keyRidgevilleBlountsvilleFarmlandEconomy LynnHagerstownCentervilleHopeBostonPonet oBryantTrinityOssianMarkleOrlandMetzHuds onBremenWhitingGaryEast ChicagoMerrillvilleLowellCedarLakePortag eCrownPointChestertonValparaisoLaPortePl ymouthRochesterSouthBendMishawakaColumbi aCityGoshenNappaneeKendallvilleAngolaGar rettAuburnFortWayneNewHavenDecaturHuntin gtonNorthManchesterWabashPeruFrankfortLe banonGreensburgBedfordSalemNorthVernonMa disonSellersburgJeffersonvilleScottsburg CrawfordsvilleGreencastleLogansportMonti celloBlufftonPortlandWinchesterMuncieElw oodAlexandria AndersonCarmelBrownsburgRichmondRushvill eConnersvilleMarionHartfordCityGas

6 CityMichiganCityWestvilleRensselaerClint onBrazilLintonVincennesPrincetonEvansvil leMt. VernonJasperHuntingburgBoonvilleTellCity TerreHauteClarksvilleBloomingtonKnoxDanv illeEdinburghBerneYorktownTiptonHarrison LawrenceburgBatesvilleAustinMitchellPaol iSullivan62 Plainfield313131 RockvilleWARRENBOONEPARKEPUTNAMVIGOCLAYS ULLIVANKNOXDAVIESSPIKEGIBSONSPENCERWARRI CKLAWRENCEMARTINORANGECRAWFORDPERRYDUBOI SPOSEYSTEUBENDEKALBWHITLEYNOBLELAGRANGEE LKHARTKOSCIUSKOMARSHALLST. JOSEPHLAPORTESTARKEPORTERNEWTONJASPERWHI TECARROLLHOWARDBENTONPULASKIFULTONWABASH HUNTINGTONALLENADAMSJAYRANDOLPHHENRYRUSH SHELBYJOHNSONMORGANMONROEBROWNJACKSONGRE ENEOWEN FAYETTEUNIONDELAWAREMADISONTIPTONCLINTON HENDRICKSMARION FRANKLINDEARBORNOHIORIPLEYJEFFERSONSCOTT CLARKFLOYDWASHINGTONJENNINGSWAYNEWELLSGR ANTMIAMICASSLAKE94 CharlestownNewAlbanyWalkertonLafayetteWe stLafayetteFranklinColumbusHammondWarsaw Winona LakeRoannLa FontaineConverseWilliamsportFOUNTAINTIPP ECANOEK okomoBLACKFORDC olfaxNewportVERMILLIONR ussellvilleBainbridgeMONTGOMERYZ ionsvilleNoblesvilleFishersHAMILTONK nightstownNew CastleGreenfieldHANCOCKL awrenceCumberlandSpeedwayIndianapolisMar tinsvilleMooresvilleBargersvilleNewWhite landMorristownShelbyville DECATURH artsvilleElizabethtownBARTHOLOMEW45 EllettsvilleCornettsvilleSeymourVernonVe rsaillesNapoleon SWITZERLANDO aklandCityVANDERBURGHN ewburghRockportHARRISONE lkhart2020204217474 Greenwood3769 DRIVEN TO SERVEINDIANA BUREAU OF

7 MOTOR VEHICLESB efore a learner s Permit can be issued to a minor applicant under eighteen (18) years of age, a parent or guardian must provide the minor s documents (items 1-6).1. Completed Certificate of Driver Education (CDE) enrollment form from an approved behind-the-wheel training course provier (if applicable).2. One document from the Identity list on the back of this flyer (Section 1)3. One document from the Lawful Status list on the back of this flyer. (Section 2)4. One document from the Social Security list on the back side of this flyer. (Section 3)5. Two documents from the Indiana Residency list on the back of this flyer. (Section 4)*6. Proof of financial liability signed must be signed on the learner s Permit application by a parent, legal guardian, or in the absence of person described prior, any other adult who is willing to assume the obligation of financial liability.*Note: If the minor does not have two original documents from the Indiana Residency list, an individual who is eighteen (18) years of age or older may sign an Indiana Residency Affidavit, if they live with the RESIDENCY AFFIDAVITThe individual signing an Indiana Residency Affidavit must present:Option A: A valid Indiana driver s license or identification card; and One document from the Identity list (Section 1) on the backside of this flyer; and Two documents from the Indiana Residency list (Section 4) on the back side of this flyer; orOption B: An unexpired SecureID driver s license or SecureID identification card reflecting the current address.

8 If the address has changed from what is displayed on the card, the individual signing the Indiana Residency Affidavit must present the SecureID along with two documents from the Indiana Residency list. (Section 4)FINANCIAL LIABILITY The individual assuming financial liability must sign the Agreement of Financial Liability affidavit on the back of the individual signing financial liability (affiant) must present acceptable documents proving identity, including a government-issued photo identification S Permit REQUIREMENTS69696969 ChurubuscoBattleG11411411413525213513535 8494329222928392814145322636347636346464 4675467676164686861616269666666626162626 6576157566457676757545454373760603723737 5656376666685654585661596759476746464646 3732322825282222191925141519181893193122 1839133767383732379111676732389336718263 3283323238444444441156565656463776256565 6606262399114638182525252526391399991515 1399391113715413114114120120205127120244 2521351011561562562561111111351205501451 4513523725352035353531354213535354214213 1421244212042164141412313023130421303031 3333243330224224302424242424313127273535 3640523131505031313636231231231231501501 5015023123141414013640352727524215042150 5235523663366302314212312312315252244152 4141522311361504140403636231414214152273 3411504115050150411505015050150949065658 0907465809080906946946969696970706574707 0707065654658654656564696464265

9 HPorterNorthLibertyWakarusaSedanAlbionNo rthWebsterSyracuseMentoneSharpsvilleGree ntownWarrenFairmountFowlertonClaypoolSou thWhitleyMacyGalvestonFloraSheridanThorn townKirklinSedaliaMulberryRussiavilleKem ptonBrookstonShadelandNew RichmondDelphiBattleGroundLadogaWaltonAk ronChurubuscoTopekaKoutsNorth JudsonStar CityRoyalCenterMononWinamacFair OaksEarl ParkGiffordMoroccoRemingtonRemingtonHill sboroCovingtonRileyCenterPointHarrodsbur gBloomfieldKurtzHuronClay CityCarbonFarmersburgShelburnLyonsOaktow nPetersburgFort BranchOwensvilleHazletonSpurgeonElberfel dStanleyGrandviewChrisneySantaClausChand lerPoseyvilleElnoraMonroe CityFerdinandHollandFrench LickOrleansCorydonNewAmsterdamLaconiaLea venworthCanneltonEnglishMilltownShoalsWa shingtonCraneOdonCarlisleBicknellWorthin gtonWestTerreHauteBlanfordBloomingdaleKi ngmanOxfordKentlandLake VillageDemotteKewannaMedaryvilleShelbyBr ookAtticaState LineCityFowlerHobartGriffithHebronHamlet MontereyTynerArgosCulverGrangerLaGrangeW aterlooButlerNewvilleGrabillMonroeEatonI ngallsNashvilleSt.

10 PaulShirleyGreensboroSunmanCanaanOtiscoD eputyVevayLaurelRising SunBrookvilleNew PekinBrownstownLittleYorkLivoniaHardinsb urgGreenvilleMedoraDupontHoltonGastonSti lesvilleGosportSpencerLiztonCloverdaleCi ceroWestfieldSulphurSpringsMontpelierRed keyRidgevilleBlountsvilleFarmlandEconomy LynnHagerstownCentervilleHopeBostonPonet oBryantTrinityOssianMarkleOrlandMetzHuds onBremenWhitingGaryEast ChicagoMerrillvilleLowellCedarLakePortag eCrownPointChestertonValparaisoLaPortePl ymouthRochesterSouthBendMishawakaColumbi aCityGoshenNappaneeKendallvilleAngolaGar rettAuburnFortWayneNewHavenDecaturHuntin gtonNorthManchesterWabashPeruFrankfortLe banonGreensburgBedfordSalemNorthVernonMa disonSellersburgJeffersonvilleScottsburg CrawfordsvilleGreencastleLogansportMonti celloBlufftonPortlandWinchesterMuncieElw oodAlexandria AndersonCarmelBrownsburgRichmondRushvill eConnersvilleMarionHartfordCityGas CityMichiganCityWestvilleRensselaerClint onBrazilLintonVincennesPrincetonEvansvil leMt.