Fillable Form New York Driver License Replacement (2018)

What is the New York Driver’s License Replacement form?

Form MV-44, New York Driver’s License Replacement form, is an application for replacing a license or permit, whether it was lost, stolen, or destroyed.

This document also serves as an application form to acquire your official driver’s license, permit, or identification card. Furthermore, you will have the option to register yourself to be an organ donor and to vote. The information you’ll provide will be printed on your ID.

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

APPLYING FOR

Mark what you are applying for. You can select license, Permit, or ID card.

PURPOSE OF APPLICATION

Select the purpose of application:

• New
• Renew
• Update information
• Change Type
• Replacement
• Conditional
• Restricted
• Transfer to New York

IDENTIFICATION INFORMATION

Mark YES if you have or had a New York driver’s license, learner permit, or non-driver ID card. Otherwise, mark NO.

ID NUMBER ON NYS DRIVER LICENSE, LEARNER PERMIT, OR NON-DRIVER ID CARD

Enter the ID number on your current driver’s license, learner permit, or non-driver ID card.

Note: Your NY State driver’s license privilege will be revoked when applying for a non-driver

ID card.

FULL LAST NAME

Enter your full last name.

FULL FIRST NAME

Enter your first name, including your second name, if there’s any.

FULL MIDDLE NAME

Enter your middle name.

SUFFIX

Enter your suffix. If not, leave it blank.

DATE OF BIRTH

Provide your birth date in this format: mm/dd/yyyy.

SEX

Mark your gender, either male or female.

HEIGHT

Enter your height in feet and inches.

Mark YES if you have or had a driver’s license that is valid or expired within the last two (2) years, issued by another U.S State, The District of Columbia, or a Canadian Province. Otherwise, mark NO.

If yes, enter where the driver’s license was issued. Then, provide the following:

• Date of Expiration
• Type of License
• Out-of-State License ID number

EYE COLOR

Enter the color of your eyes.

TELEPHONE NUMBER

Enter your home or mobile number starting with the area code.

CHANGED NAME

Mark YES if your name has changed and print your name as it appears on your current license or non-driver ID card.

If you did not change your name, mark NO.

OTHER CHANGE

Provide the reason why you change your name in the blank space provided.

SOCIAL SECURITY NUMBER (SSN)

Enter your social security number.

Note: SSN will only be used for exchange with other jurisdictions, to assist in the verification of identity, and for driver’s license sanctions pursuant to V&T Law Section 510(4-e) and 510 (4-f). Your SSN will remain confidential.

ADDRESS WHERE YOU GET YOUR MAIL

Enter the address where you want to receive your mail. Start with the street number, street number, apartment/suite number (if there’s any), city or town, state, ZIP code, and county.

If P.O box, include it under “Address where you get your mail.”

ADDRESS WHERE YOU LIVE

Enter the address where you live. Start with street number, street number, apartment/suite number (if there’s any), city or town, state, ZIP code, and county.

This address will be encoded on your enhanced/read ID identity card.

Note: Do not include a P.O box if different from the mailing address.

MAILING ADDRESS CHANGED

Mark YES if your mailing address has changed. Otherwise, mark NO.

RESIDENT ADDRESS CHANGED

Mark YES if your resident address has changed. Otherwise, mark NO.

Read and understand the following:

• If you answered YES either to the questions above. Hence, all registered vehicle addresses that are tied to your ID number will be updated with this address, unless you mark the BOX.

• Mark the BOX if you do not want your new address used on your voter registration record. If you do not mark the box, it means that the new address will be sent to the Board of Elections of your country of residence.

VETERAN STATUS

Mark the box if you would like to have the title “Veteran” printed on the front of your photo document. In order to have this request granted, you must present proof of honorable discharge from military service.

NEW YORK STATE ORGAN AND TISSUE DONATION

Mark YES if you would like to enroll in the Donate Life Registry. Otherwise, mark the Skip this Question option.

If yes, sign and put the date.

You may also mark the box to donate a $1 voluntary donation to the life.

VOTER REGISTRATION QUESTIONS

Mark YES if you would like to vote where you live now and complete the voter registration section. Otherwise, mark NO.

Note: If you do not mark either box, It is considered that you have not decided to register to vote.

FOR ALL LICENSE/PERMIT TRANSACTIONS

Answer the following questions for license or permit transactions:

1. Mark YES if your driver’s license, learner permit, or privilege to drive a motor vehicle has been suspended, revoked, or canceled, or your application for a license has been denied in the state or elsewhere, in the name provided in this form or any other name. Otherwise, mark NO.

2. Mark YES if you have received treatment, currently receiving treatment, or taking medication that causes unconsciousness or unawareness. Otherwise, mark NO.

If YES, you must present MV-80U.1. To get this form visit the official website of the Department of Motor Vehicles, New York.

3. Mark YES if you need a hearing aid and/or full view mirror to drive a motor vehicle. Otherwise, mark NO.

4. Mark YES if you have lost the use of a leg, arm, hand, or eye. Otherwise, mark NO.

4a. If YES, and you are applying for the renewal of your driver’s license. Mark YES if this occurred since your last driver’s license. Otherwise, mark NO.

4b. If you marked NO to 4a, mark YES if your condition has gotten worse since your last driver’s license. Otherwise, mark NO.

PARENT/GUARDIAN CONSENT

Mark either “Junior License” or “Non-driver ID” for under 16 years old if you are giving consent to the issuance of a learner permit, license, or a non-driver ID card.

Then you must sign, indicate your relationship to the applicant, and date this authorization.

TEENS ELECTRONIC EVENT NOTIFICATION SERVICE (TEENS)

Provide your NYS driver’s license, permit, or non-driver ID card number of the consenting parent or guardian if you would like to enroll the applicant, whose under 18 years old, in the TEENS program, if he/she receives a conviction, suspension, revocation or an incident in their license file. Otherwise, leave it blank.

FOR COMMERCIAL DRIVER LICENSE APPLICANTS

1. Mark YES if a driver’s license was issued to you from another state in the U.S or the District of Columbia in the past 10 years. Then, enter the name of each one. Otherwise, mark NO.

2. Certify to DMV that you operate or expect to operate a commercial motor vehicle in one of the four (4) driving types:

• Non-expected Interstate (NI). Your certified medical status is required. You must be 21 years old or older and you operate or expect to operate, interstate.

• Non-expected Intrastate (NA). Your certified medical status. You must be 18 years old or older and you operate or expect to operate in NYS only.

• Expected Interstate (EI). You must have A3 restrictions, are 18 years old or older, and operate or expect to operate, interstate in expected operation only.

• Expected Intrastate (EA). You must have A3 restrictions, are18 years old or older, and operate or expect to operate, interstate in expected operation only and in NYS only.

Note: You must submit a legible copy of your current USDOT Medical Examiner’s Certificate to the DMV if it is not on file yet. This only applies to NI and NA driving type only.

CERTIFICATION

Read the certification terms declaring that all the information you provided is true and complete. Any false information and any false supporting documents may be punishable as a criminal offense.

After you have knowledged the certification terms. Enter your name then sign and date this form.

NEW YORK STATE VOTER REGISTRATION APPLICATION

You can file this application if you wish to register to vote or change your address or other information with the Board of Elections.

CITIZENSHIP

Mark YES if you are a U.S citizen. Otherwise, mark NO and you cannot register to vote.

AGE

Mark YES if you are 18 years old or older. Otherwise, mark NO and you cannot

register to vote unless you will turn 18 years old by the end of the year.

TELEPHONE NUMBER

Enter your phone number (optional).

VOTING HISTORY

Mark YES if you have voted before and then indicate the year you last voted. Otherwise, mark NO.

Enter your old name and/or old address if it has changed. Skip this section if there are no changes or you have not voted before.

POLITICAL PARTY

Choose which political party you wish to be part of:

• Democratic party
• Republican party
• Conservative party
• Green party
• Working families party
• Independence party
• Women’s Equality party
• Reform party
• Other

Mark the “no party” option if you do not wish to enroll in a political party.

AFFIDAVIT

Read and understand the statements. If you agree, sign and date this form.