NY MV-44 Form - Fill, Edit Online, Download & Print - No Signup
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APPLICATION FOR PERMIT, DRIVER LICENSE OR NON-DRIVER ID CARD
PAGE 1 OF 3
CLEARLY IN BLUE OR BLACK INK.
OFFICE USE ONLY
This form is also available at
dmv.ny.gov
Image #
APPLYING FOR:
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License
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Permit
ID card
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PURPOSE FOR APPLICATION:
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Transfer to
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New
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Renew
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Update Info
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Change Type
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Replacement
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Conditional
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Restricted
New York
IDENTIFICATION INFORMATION
ID NUMBER ON NEW YORK STATE DRIVER LICENSE,
LEARNER PERMIT, or NON-DRIVER ID CARD
FULL LAST NAME
FULL FIRST NAME
FULL MIDDLE NAME
Month Day Year
SUFFIX
DATE OF BIRTH
SEX
HEIGHT
EYE COLOR
TELEPHONE NUMBER (Home/Mobile)
Feet Inches
Has your name changed?
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Yes
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No
If “Yes”, print your former name exactly as it appears on your present license or non-driver ID card.
OTHER CHANGE:
What is the change and the reason
for it (new license class, wrong date of birth, etc.)?
SOCIAL SECURITY NUMBER
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(SSN)
*
If you were ever issued an SSN, you must provide the number. Authority to collect your SSN is
granted by Sections 490(3) and 502(1) of the Vehicle and Traffic Law. The information will be used for
exchange with other jurisdictions, to assist in verification of identity, and for driver license sanctions
pursuant to V&T Law Section 510(4-e) and 510(4-f). Your SSN will not be given to the public.
If you have never been issued a Social Security Number, check this box
ADDRESS WHERE YOU GET YOUR MAIL
- Include Street Number and Name, Rural Delivery and/or box number (If PO Box, also fill in “Address Where You Live” below)
THIS ADDRESS WILL APPEAR ON YOUR STANDARD IDENTITY DOCUMENT
Apt. No.
City or Town
State
Zip Code
County
ADDRESS WHERE YOU LIVE
REQUIRED IF DIFFERENT FROM ADDRESS FOR MAIL - DO NOT GIVE P.O. BOX. THIS ADDRESS WILL APPEAR ON YOUR ENHANCED/REAL ID IDENTITY DOCUMENT
Apt. No.
City or Town
State
Zip Code
County
HAS YOUR MAILING ADDRESS CHANGED?
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Yes
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No
HAS THE ADDRESS WHERE YOU LIVE CHANGED?
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Yes
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No
If you answered yes to either of the questions above, then addresses on all vehicle registrations tied to your ID number will also be updated with this address, unless you check this
box
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. If you are registered to vote, your voter registration record will be updated when you complete and submit this form. If you do NOT want your new address on your
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voter registration record, check this box
. If you do not check the box, your new address will be sent to the Board of Elections of your county of residence.
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Check this box if you would like to have “Veteran” printed on the front of your photo document.
VETERAN STATUS
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You must present proof that indicates an honorable discharge from military service (ex: DD-214, DD-215).
NEW YORK STATE ORGAN AND TISSUE DONATION (You must fill out this section)
You must answer the following question:
Would you like to be added to the Donate Life Registry?
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Yes (sign and date consent below)
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Skip This Question
©
Check this box to make a $1 voluntary donation to the Life...Pass It On Trust Fund for organ and tissue donation research and outreach. Your total transaction fee will include the $1.
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Check this box to make a $1 voluntary donation to the Life...Pass It On Trust Fund for organ and tissue donation research and outreach. Your total transaction fee will include the $1.
Donor Consent Signature and Date
VOTER REGISTRATION
If you are not registered to vote where
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YES
- Complete Voter Registration Application Section
NOTE:
If you do not check either box,
QUESTIONS
you live now, would you like to apply to
(Not necessary if you bring this form to a DMV office).
you will be considered to have decided
register?
(Please check ‘Yes’ or ‘No’.)
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NO
- I Decline to Register/Already Registered
not to register to vote.
REGISTRATION WITH THE UNITED STATES SELECTIVE SERVICE SYSTEM (SSS)
All male U.S. citizens and immigrants ages 18 through 25 must register with SSS or violate the law. Failure to register is a felony punishable by up to five years in prison
and/or a $250,000 fine. If not registered by age 26, you can no longer register and will permanently lose benefits associated with registration, and you will be disqualified
from access to: U.S. citizenship if an immigrant; Pell Grants and federal student aid; job training programs; and all federal and postal jobs and many state employment jobs.
Should you elect not to register you may do so by checking the “No” box and the pre-mentioned benefits will be lost.
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NO
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F
X
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Area Code
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PLEASE COMPLETE AND SIGN PAGE 2
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Approved By
Date Office
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Other
Restrictions
OFFICE USE ONLY
Do you now have, or did you ever have a New York driver license, learner permit, or non-driver ID card?
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Yes
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No
Applying for a Non-Driver ID card will cancel any New York State driver license privilege and may cancel
any permit, driver license, or identification card you hold in any other U.S. state or the District of Columbia.
Do you have a permit or driver license that is valid or that has expired
within the last two years, issued by any place other than New York State?
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Yes
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No
If “Yes”, where was it issued?
Date of Expiration:
Type of License:
Out-of-State Permit or License ID No.:
An out-of-state permit, driver license or ID card may be subject to
cancellation upon issuance of a New York permit, driver license or ID card.
To enroll in the New York State Donate
Life
SM
Registry, check the “yes” box and then sign and date
below. You are certifying that you are: 16 years of age or older; consenting to donate your organs an
d tissues for transplantation and research; authorizing DMV to transfer your name and identifyi
ng information to the Donate Life Registry; and authorizing federally regulated organ procurem
ent organizations and New York State licensed tissue and eye banks to have access to this informa
tion upon your death. “ORGAN DO
NOR” will be printed on the front of your DMV photo doc
ument. You
will receive a confirmation, which will also provide you an opportunity to change or limit your donati
on. If you are 16 or 17 years of age at your time of death, parents/legal guardians may change your d
ecision upon your death. For more information, please visit donatelife.ny.gov.
License
Class
Special
Conditions
NI NA EI EA
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TEENS
CDL
Certifications
Eye Test
Results
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Passed in Office
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Vision Registry
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Corrective Lens
MV-44 (9/24)
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Junior License
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Non-driver ID Card
(under 16)
I am the parent or guardian of the applicant, and I consent to the issuance of a learner permit, license or (if under 16) a non-driver ID card. I understand that I am
responsible for certifying that the applicant has completed at least 50 hours of supervised “practice” driving, including 15 hours of driving after sunset, prior to
the applicant taking a road test, and that this certification (form MV-262) must be presented at the time of the road test. Note to parent/guardian:
If the driver
license applicant is 17 years old and has a Driver Education Student Certificate of Completion (form MV-285), consent is not required.
Parent or Guardian
Sign Here
X
(Relationship to Applicant)
(Date)
PARENT/GUARDIAN CONSENT
I would like to enroll in the TEENS program to be notified if the under 18 year-old applicant
receives a conviction, suspension, revocation or an accident on their license file. For more
information about this program, see form MV-1046, How to Enroll in TEENS or MV-1056,
TEENS FAQs. This is a
FREE
service.
Teen Electronic Event Notification Service (TEENS)
THESE QUESTIONS MUST BE COMPLETED FOR ALL LICENSE/PERMIT TRANSACTIONS
COMMERCIAL DRIVER LICENSE APPLICANTS ONLY
1. In the past 10 years, was a driver license issued to you from another state in the U.S. or the District of Columbia ?
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Yes
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No
If
YES,
write the name of each one
1.
Has your driver license, learner permit, or privilege to drive a motor vehicle
been suspended, revoked or cancelled, or has your application for a licens
e been denied in this state or elsewhere, in the name you provide on this fo
rm or any other name?
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Yes
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No
If “Yes”, has your license, permit or privilege been restored, or has your
application been approved?
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Yes
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No
2. Have you received treatment, do you currently receive treatment, or do you
take medication for any condition that causes unconsciousness o
r unawareness (for example, a convulsive disorder, epilepsy, fainting
or dizziness, or a heart condition)?
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Yes
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No
If you marked “Yes”, you must submit form MV-80U.1, even if you were
released from the Medical Review Program. You can get this form at any Motor Vehicles office or at
If you marked “Yes”, you must submit form MV-80U.1, even if you were released from the Medical Review Program. You can get this form at any Motor Vehicles office or at dmv.ny.gov
3. Do you need a hearing aid and/or full view mirror to drive a motor vehicle?
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Yes
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No
4. Have you lost the use of a leg, arm, hand or eye?
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Yes
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No
4a. If you need to renew your driver license and you marked “Yes”, did this
occur since your last driver license?
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Yes
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No
4b. If you marked “NO” to 4a, has your condition gotten worse since your
last driver license?
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Yes
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No
3. You MUST certify to DMV that you operate (or expect to operate) a commercial motor vehicle in one of the following four driving types (select only one):
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Non-excepted Interstate (NI) -
Certified medical status is required. You
are age 21 or older and you operate, or expect to operate, interstat
e (other than for excepted operation).
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Non-excepted Intrastate (NA) -
Certified medical status is required. You
are age 18 or older and you operate, or expect to operate, in Ne
w York State only (other than for excepted operation).
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Excepted Interstate (EI) -
You are age 18 or older and you operate, or
expect to operate, interstate in Excepted Operation ONLY. You must
have A3 restriction.
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Excepted Intrastate (EA) -
You are age 18 or older and you operate, or
expect to operate, in Excepted Operation ONLY and in New York State
ONLY. You must have A3 and K restrictions.
If the driving type you selected requires certified medical status (NI or NA) you must provide a legible copy of your current USDOT Medical Examiner’s
Certificate to DMV if it is not already on file. Please see DMV form MV-44.5 if additional information is needed to help you determine your driving type.
ID Number on New York State Driver License, Permit or
Non-driver ID Card of Consenting Parent or Guardian
Above (Required)
2. Are you subject to any disqualification under section 383.51, title 49 of Code of Federal Regulations or NYS Law?
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Yes
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No
PAGE 2 OF 3
MV-44 (9/24)
SIGN HERE
DATE:
PLEASE PRINT NAME
X
/ /
I certify that the information I have given on this application and on any documentation provided in support of this application is true and
complete.
I understand that making a false statement on this application, or submitting any documentation in support of this application that is false, may
be punishable as a criminal offense.
If I am applying for a replacement document, I certify that my New York State document has been lost, stolen, or mutilated.
I understand that personally identifiable information collected for the purpose of issuing a license or identification card may be verified against
nationwide DMV systems for accuracy.
If I am transferring an out-of-state driver license to a New York State driver license, I certify that, when I obtained my out-of-state driver license,
I was a permanent resident of the state or province that issued the license, that license has been valid for at least 6 months, and I have not
failed a driving skills road test in New York State in the last 12 months.
If I am applying for a Conditional or Restricted Use License, I certify that I will pay the full tuition and other required fees for the rehabilitation
program (if applicable), attend the program (if required), and will drive within the conditions required for the restricted or conditional license. I
understand that failure to do so will result in the revocation of my restricted or conditional license and the reinstatement of the suspension or
revocation against my full license.
If I am a male at least 18 but less than 26 years old, unless I have opted "no" to United States Selective Service System (SSS) registration on
page 1, I hereby affirmatively opt to register with the SSS and consent to DMV forwarding my personal information to the SSS for registration.
CERTIFICATION
Información en español: si le interesa obtener este
formulario en español, llame al 1-800-367-8683
1-800-367-8683
1-800-367-8683
1-800-367-8683
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日本語のフォーム、 までお電話ください
中文表格，请致电
中文信息：如果您有兴趣获取此信息
NEW YORK STATE VOTER REGISTRATION APPLICATION INFORMATION
OFFICE USE ONLY
(Please read before you complete application on the other side.)
Use the NYS Voter Registration Application
To Register You Must:
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to Register to Vote in NYS Elections, and/or:
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be a U.S. citizen
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change the name or address on your voter registration
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be 18 years old (you may pre-register at 16 or 17 but cannot vote until you are 18)
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become a member of a political party
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not be in prison for a felony conviction
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change your party membership
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not claim the right to vote elsewhere
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pre-register to vote if you are 16 or 17 years of age
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not found to be incompetent by a court
If you do not complete the New York State Voter Registration Application, you will be considered to have declined to register to vote. If
you decline to register to vote, the fact that you have declined to register will remain confidential and will be used only for voter
registration purposes. If you do register to vote, the office at which you submit a voter registration application will remain confidential
and will only be used for voter registration purposes. If you believe that someone has interfered with your right to register or decline to
register to vote, your right to privacy in deciding whether to register or in applying to register to vote, or your right to choose your own
political party or other political preference, you may file a complaint with the New York State Board of Elections, 40 North Pearl Street,
Albany, NY 12207-2729 (phone: 1-800-469-6872).
Your completed application will be sent to the Board of Elections and you will be notified by your County Board of Elections when your
application has been processed. If you have any questions about filling out the voter registration application or registering to vote, you
should call your County Board of Elections or call 1-800-FOR-VOTE (TDD/TTY dial 711) (only for voter registration questions). If you live in
New York City, you should call 1-866-VOTE-NYC. You may also find answers or tools at the New York State Board of Elections website
www.elections.ny.gov
NEW YORK STATE VOTER REGISTRATION APPLICATION
Only fill this out if you want to register to vote or change your address or other information with the Board of Elections.
Are you a citizen of the U.S.?
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Yes
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No
If you answer NO,
you cannot register to vote.
Will you be 18 years of age or older on or before election day?
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Yes
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No
Are you at least 16 years of age and understand that you must be 18 years of age on or before election day to vote, and that until you will be eighteen years
of age at the time of such election your registration will be marked “pending” and you will be unable to cast a ballot in any election?
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Yes
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No
If you answer
NO
to both of the prior questions, you cannot register to vote.
Have you voted before?
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Yes
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No
What Year?
Voting information that
Your name was
has changed:
Skip if this has not changed or Your address was
Your state or New York State County was:
you have not voted before.
More Information
Telephone Number
(Optional)
I wish to enroll in a political party:
You
must
make
1
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Democratic party
AFFIDAVIT:
I swear or affirm that
selection. Political party
Political Party
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I am a citizen of the United States.
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Republican party
enrollment is optional
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I will have lived in the county, city, or village for at least 30 days before the election.
but that, in order to vote
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Conservative party
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I meet all requirements to register to vote in New York State.
in a primary election of
a political party, a voter
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Working Families party
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This is my signature or mark on the line below.
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The above information is true. I understand that if it is not true, I can be convicted
political party unless
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Other:
must enroll in that
and fined up to $5,000 and/or jailed for up to four years.
state party rules allow
otherwise.
I do not wish to enroll in any political party and wish to
remain an independent voter
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No party
Sign
X
Date
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MV-44 (9/24)
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