Fillable Form DMV22 Nevada Change of Address

What is the DMV22 Form?

The DMV22 Form, officially known as the Nevada Change of Address Notification by Mail, is a form used to change the address on your commercial driver’s license, driver authorization card, identification card, instruction permit, seasonal identification card or if you have an ID Card without expiration date.

How to Fill Out the DMV22 Form?

Page 1

Name
Last
Provide your last name.

First
Enter your first name.

Middle
Enter your middle name.

NV Driver’s License/ ID Card #
Provide your NV Driver’s License Number or Identification Card Number.

Birthplace
Enter your birthplace.

Birthdate

MM
Enter the month of your birth.

DD
Enter the day you were born.

YYYY
Enter the year of your birth

Previous mailing address

Street or P.O. Box
Enter the street or P.O. Box of your previous mailing address.

Apt. No
Enter the Apt. Number of your previous mailing address.

City
Enter the city of your previous mailing address.

State
Enter the state of your previous mailing address.

Zip
Enter the zip code of your previous mailing address.

New mailing address

Street or P.O. Box
Enter the street or P.O. Box of your new mailing address.

Apt. No
Enter the Apt. Number of your new mailing address.

City
Enter the city of your new mailing address.

State
Enter the state of your new mailing address.

Zip
Enter the zip code of your new mailing address.

Previous physical address

Street or P.O. Box
Enter the street or P.O. Box of your previous physical address.

Apt. No
Enter the Apt. Number of your previous physical address.

City
Enter the city of your previous physical address.

State
Enter the state of your previous physical address.

Zip
Enter the zip code of your previous physical address.

New Nevada Physical address

Street or P.O. Box
Enter the street or P.O. Box of your new physical address.

Apt. No
Enter the Apt. Number of your new physical address.

City
Enter the city of your new physical address.

State
Enter the state of your new physical address.

Zip
Enter the zip code of your new physical address.

Change of Address for Voter Registration
Check the box if you do not want your address change updated.

Did you move to a different country?
Select “Yes” if you moved to a different country. If not, select “No”.

If you are applying to change your address on your driver’s license, select “Change DRIVER’S LICENSE ADDRESS”.

If you are applying to change your address on your identification card, select “IDENTIFICATION CARD ADDRESS”.

If you want to change your disabled parking placard or motorcycle sticker address, select “ Change DISABLED PARKING PLACARD OR MOTORCYCLE STICKER ADDRESS”. Enter the disabled parking placard number on the space provided. If for motorcycle sticker address, enter the number on the space provided.

If you would like to change where your vehicle is registered, select “Change VEHICLE REGISTRATION ADDRESS”.

NV Plate Number or VIN
Enter your vehicle’s identification number or plate number.

Expiration Month/ Year
Provide the expiration date of your vehicle’s registration.

Year of Vehicle
Enter the year of your vehicle’s model.

Make
Enter the make of your vehicle.

$6.00 for Certificate
Select this box if you would like a registration certificate mailed to you and if you included a fee.

Signature
Provide your signature.

Date
Enter the date you signed and completed the form.

Phone Number
Enter your phone number.

Email Address
Enter your email address.

Page 2

Box 1
Are you the citizen of the United States of America?
Select “Yes” if you are a citizen of the United States of America. If not, select “No”.

Will you be 18 years of age or over on or before Election Day?
Select “Yes” if you will be 18 years of age or over on or before Election Day. If not, select “No”.

Box 2
Check the boxes that apply to you.
If registering for the first time, select “New Registration”.
If applying for a name change, select “Name Change”.
If you will be changing your party, select “Party Affiliation Change”.
If applying for a change in address, select “Address Change”.

Box 3
Leave blank.

Box 4
Telephone No.
Provide your telephone number.

Box 5
E-mail address
Provide your e-mail address.

Box 6
Party Registration
Select only one box for your party affiliation (Democratic Party, Independent American Party, Libertarian Party, Nonpartisan, or Republican Party). If not listed, select “Other” and enter in the space provided.

Box 7
Signature of Applicant
Provide your signature.

Date
Provide the date the form was completed and signed.

Box 8
Enter your name and residence address where you last registered to vote.

Box 9
This section is to be filled out only when assisted by another person. The person who assisted must provide their Name, Mailing Address, City/State/Zip Code, and Signature. Make sure to fill this section if assisted by another person or else you may be convicted of a felony.

Page 3

Payment Type
Select the type of payment (Master Card, Visa, or Discover Card).

Payment Amount
Enter the amount in dollars.

Debit or Credit Number
Enter your debit or credit card number.

Printed Name
Provide your name as it appears on your card.

Expiration Date
Provide the month and year of your card’s expiration.

Mailing Address
Enter your mailing address.

Plate/Driver Lic./ Bus. Lic/ Records/MC Number of the transaction being processed
Provide the number for the transaction being processed.

Telephone
Enter your telephone number.

Authorized SIgnature
Provide your signature.

Date
Enter the date of the transaction.

Submission

Complete this form and mail it to:
555 Wright Way, Carson City, NV 89711

When mailing this form, make sure to include the appropriate fees in the form of a check, money order, or debit/credit card authorization.