Fillable Form Alaska Driver License Replacement

What is the Alaska Driver’s License Replacement form?

Form 478, Application for Alaska Driver License, Permit, or Identification Card, or the Alaska Driver’s License Replacement form is a state-level form issued by the Division of Motor Vehicles in the State of Alaska.

Residents of Alaska can use the Alaska Driver’s License Replacement form to obtain a new driver’s license. The form also serves as an application and renewal form.

You must immediately request a replacement for your lost or stolen driver’s license, as driving without a valid license in Alaska is prohibited by law.

Aside from replacing a lost or stolen driver’s license, you should also get a new driver’s license if your current one is damaged to the point that it is no longer usable or when your photo and information are no longer clear.

To request a replacement driver’s license, you need to fill out and submit the Alaska Driver’s License Replacement form to the nearest Division of Motor Vehicles office.

Before applying for a replacement driver’s license, remember that you are not required by the law to report your lost or stolen license; however, if you are concerned about potential identity theft or other illegal activity involving your missing license, you may file a police report.

How to fill out the Alaska Driver’s License Replacement form?

Fill out the single-page Alaska Driver’s License Replacement form accurately and correctly to avoid any problems with your request for a replacement driver’s license. Provide all the required personal and driver-related information before submitting.

License/Permit

Mark the appropriate box to determine the license or permit you are applying for. You may select:

• Driver/License
• Instruction Permit
• Identification Card

Classification

Mark the appropriate box to determine the classification of license you are applying for. You may select:

• Non-Commercial (D)
• Motorcycle
• CDL
  • A
  • B
  • C

Endorsements

Mark the appropriate box to specify any endorsements. You may select:

• Hazardous
• Tank (N)
• Passenger (P)
• School Bus (S)
• Doubles/Triples (T)

Full Legal Name

Enter your full legal name does not apply to you, mark N/A.

• I declare myself an honorably discharged U.S. Armed Forces and authorize DMV to send my personal information to the Department of Military and Veterans Affairs to provide benefits to me.
• I have a U.S. Armed Forces honorable discharge and wish to have a veteran designation placed or retained on my license.

Organ Donor

Mark Yes if the statement is true; otherwise, mark No.

• Would you like to be an organ donor with a designator displayed on your license/ID card?

If you would like to donate $1 or more to the anatomical gift awareness fund, enter the amount in dollars.

Voter Registration

For each of the following items, mark Yes if the statement is true; otherwise, mark No.

• Are you a U.S. Citizen?

You may not register to vote if you are not a U.S. citizen.

• Would you like to register to vote or make changes to your voter registration?

To vote in Alaska, you must provide an Alaska residence address.

• Have been convicted of a felony?
• Have you been unconditionally discharged from your felony?
• Would you like your residence address kept confidential?

Your residence address must be different from your mailing address for it to be kept confidential.

Previous Names

If you have legally used a name or names other than the name you currently have, enter it or them.

Driver License Questions

You do not have to answer this section if you are applying for an identification card.

List any States in which you have ever had a permit, license, or id card.

Mark Yes if your driving privileges or application for a driver’s license have been suspended or revoked; otherwise mark No. If you answered Yes, enter the concerned State, the date of suspension or revocation, and the reason.

Mark Yes if within the last five years you have had a medical condition or impairment, mental or physical disorder, seizure, or any other health problems that could affect your ability to safely operate a motor vehicle; otherwise mark No. if you answered Yes, explain.

Mark Yes if within the last five years you have had three or more alcohol or drug-related convictions; otherwise, mark No. If you answered Yes, provide a physician verification that the problem is under control or proof of completion of a rehabilitation treatment program.

Commercial Drivers Only

Mark Yes if you are domiciled (permanent residence) in the States of Alaska; otherwise, mark No.

Signature of Applicant

Affix your signature.

Date

Enter the date you signed the form.

LOGIN ID/Office Number

Enter your login id or office number.

Where to submit the Alaska Driver’s License Replacement form?

To replace your Alaska driver’s license, you need to go to your local Division of Motor Vehicles to submit the Alaska Driver’s License Replacement form and the following documents:

• One primary identification document

Examples:

• Your U.S. birth certificate
• Your U.S. passport

• One supporting identification document to support your primary identification document

Examples:

• Your license from another state
• Your health insurance card
• Your employee ID
• Your military ID card

You may visit the official Alaska Division of Motor Vehicles website for a complete list of accepted documents you can submit.

When you submit your application for replacement in person, you will need to pass a vision test and take a new photo.

Is there a fee to replace an Alaska driver’s license?

You must pay $15 for a replacement driver’s license.

May I apply for a replacement driver’s license if I’m not in Alaska?

If you live outside Alaska, you can still replace your lost, stolen, or damaged driver’s license. You may request a replacement by mail or fax using the Alaska Driver’s License Replacement form. You will receive a one-year temporary duplicate license. You must replace the duplicate license in person at your local Alaska Division of Motor Vehicles office when you return to the state.

Together with the filled-out replacement form, you must also mail a check or money order to pay the replacement fee.