NON U.S. CITIZEN APPLICATION

1 TC 94 152. kentucky transportation CABINET. Rev. 07/2020. Page 1 of 1. DIVISION OF DRIVER LICENSING. NON CITIZEN APPLICATION . If you are a non CITIZEN and wish to apply for a kentucky Driver's License, Driver's Permit or ID card, this form must be completed by the applicant and presented to the Division of Driver Licensing or a Division of Driver Licensing field office. NOTE: All documents presented must be originals. Copies will not be accepted. NAME (first) (MI) (last) PHONE DATE OF BIRTH. SEX WEIGHT HEIGHT EYE COLOR SOCIAL SECURITY #. Male Female ADDRESS (street) CITY STATE ZIP. PLACE OF EMPLOYMENT (if applicable). CITIZEN OF WHAT COUNTRY? USCIS DOCUMENT(S) TYPE (expiration date) I 94/ A NUMBER/PASSPORT.

2 1. Along with this APPLICATION , the applicant must present at least one of the following original documents: (a) VISA with valid 1 94 card; (b) Employment Authorization Card (I 68B or I766); (c) I 94 issued by USCIS with a stamped picture; Passport with entry stamp. 2. Applicant must also present the following original documentation: (a) Social Security Card or Ineligibility Letter from the Social Security Office; (b) Official proof of residency (proof of address within the last year), , utility bill, lease agreement, bank statement, credit card statement or postmarked envelope. 3. Exchange visitors (J1) must have a DS2019. 4. Individuals or dependents on any work status (L1, L2, H1B, H4, etc.)

3 Must present a current paycheck stub or letter from employer verifying current employment within the last 30 days. 5. Students who are an F1 status will need to present their I 20 and proof of enrollment (within the last 30 days) from the college or university. I attest under penalty of perjury that I am the person named and described herein and that the statements in this APPLICATION are true and correct. SIGNATURE DATE. X.