Fillable Form LI-1 Rhode Island Driver License Replacement

What is the Rhode Island Driver’s License Replacement Form?

Form LI-1, Application for License, Identification Card and Permit, or also referred to as the Rhode Island Driver’s License Replacement Form, is used by Rhode Island residents to apply for a replacement driver’s license, identification card, permit, or motorcycle license.

How to fill out the Rhode Island Driver’s License Replacement Form?

Applicants can download and print a PDF copy of the Rhode Island Driver’s License Replacement Form from the Rhode Island Division of Motor Vehicles (RI DMV) website that they can manually complete. They can also fill out the Rhode Island Driver’s License Replacement Form electronically on PDFRun.

To fill out the Rhode Island Driver’s License Replacement Form, you must provide the following information:

Transaction Type

Mark the appropriate box which corresponds to the type of transaction you are applying for. You may select:

• License
• Identification Card
• Permit
• Computerized Knowledge Exam
• Motorcycle

Mark the appropriate box which corresponds to the type of license or identification card you are applying for. You may select:

• New
• Renew
• Duplicate
• Out of State
• Update

If you marked the “Permit” box, mark the appropriate box which corresponds to the type of permit you are applying for. You may select:

• New
• Renew
• Duplicate
• Update

If you are applying to take a Computerized Knowledge Exam, mark the appropriate box which corresponds to the language you want the exam to have. You may select:

• English
• Spanish
• Portuguese
• American Sign Language (ASL)
• Other - Please pre-schedule your appointment in the Rhode Island Division of Motor Vehicles (RI DMV) website.

If you marked the “Motorcycle” box, mark the appropriate box which corresponds to the type of transaction you are applying for. You may select:

• Permit
• Duplicate Permit
• License

Section A. Applicant’s Information

Last Name

Enter your legal last name.

First Name

Enter your legal first name.

Middle Name

Enter your legal middle name.

Suffix

Enter your suffix.

Date of Birth

Enter the date of your birth using the format: Month-Day-Year.

Gender

Mark the appropriate box which corresponds to your gender. You may select:

• Male
• Female

Social Security Number (SSN)

Enter your social security number (SSN).

Rhode Island Driver’s License Number, Rhode Island Identification Number or Permit Number

Enter your Rhode Island Driver’s License Number (RI DL No.), Rhode Island Identification Number (RI ID No.), or Permit Number.

Passport Number, Employment Authorization Number, or Resident Alien Card Number

Enter your Passport Number, Employment Authorization Number, or Resident Alien Card Number.

Residence Address

Enter the address where you reside.

Street Address

Enter your street address.

Apartment/Unit Number or Floor Number

Enter your apartment or unit number or floor number.

City or Town

Enter your city or town.

State

Enter your state.

ZIP Code

Enter your ZIP code

Mailing Address

Enter the address where you receive your mail.

Street Address

Enter your street address.

Apartment/Unit Number or Floor Number

Enter your apartment or unit number or floor number.

City or Town

Enter your city or town.

State

Enter your state.

ZIP Code

Enter your ZIP code.

Telephone

Enter your telephone number.

Active Military

Mark YES if you are currently active in the military; otherwise, mark NO.

100% Disabled Veteran

Mark YES if you are 100% a disabled veteran; otherwise, mark NO.

Veteran Designation

Mark YES if you have a veteran designation; otherwise, mark NO.

If you marked YES, submit DD 214, Certificate of Release or Discharge From Active Duty, along with this Rhode Island Driver’s License Replacement Form.

Section B. Place of Birth

Country

Enter your country of birth.

State or Province

Enter your state or province of birth.

City

Enter your city of birth.

Section C. Physical Information

Height

Enter your height in feet and inches.

Weight

Enter your weight in pounds.

Eye Color

Mark the appropriate box which corresponds to your natural eye color. You may select:

• Brown
• Green
• Gray
• Blue
• Black
• Hazel
• Pink
• Dichromatic

Hair Color

Mark the appropriate box which corresponds to your natural hair color. You may select:

• Black
• Brown
• Blonde
• Red
• Gray
• White
• Blad

Section D. General Questions

Item 1

Mark YES if you want to register as an organ and tissue donor; otherwise, mark NO.

Item 2

Mark YES if you are a citizen of the United States; otherwise, mark NO.

Item 3

Enter your part if you allow the Rhode Island Division of Motor Vehicles (RI DMV) to use your information to update your voter registration or register you to vote.

If you do not want the Rhode Island Division of Motor Vehicles (RI DMV) to use your information to update your voter registration or register you to vote, mark the box entitled “Do not use my information for voter registration.”

If you are under the age of 16, you will not be registered to vote. On the other hand, if you are at least 16 years old, you will be pre-registered to vote.

Item 4

If you are transferring a driver’s license from another state, enter the following information below.

State

Enter the state where you got your previous driver’s license.

License Number

Enter the license number of your previous driver’s license.

Expiration Date

Enter the expiration date of your previous driver’s license.

Endorsements

Enter any endorsements your previous driver’s license may have.

Restrictions

Enter any restrictions your previous driver’s license may have.

Section E. Affidavit of Lost License, Lost Identification Card, or Lost Permit

Complete this section if you have lost your driver’s license, identification card, or permit.

After signing this section of the Rhode Island Driver’s License Replacement Form, you hereby declare under the penalty of perjury that the Rhode Island driver’s license, identification card, or permit issued to you was lost, destroyed, or stolen. If the Rhode Island driver’s license, identification card, or permit again comes to your possession, you will immediately return it to the Rhode Island Division of Motor Vehicles (RI DMV).

Applicant’s Signature

Affix your signature.

Date

Enter the current date of signing using the format: Month-Day-Year.

Section F. Voluntary Termination of a License Affidavit

Reason for Requesting Termination

Enter your request for termination on a voluntary basis.

License Number

Enter your license number.

Expiration Date

Enter the expiration date for your license.

License Physically Surrendered?

Mark YES if you have physically surrendered your license; otherwise, mark NO.

Applicant’s Signature

Affix your signature.

Date

Enter the current date of signing using the format: Month-Day-Year.

Section G. Signature

Disclosure Consent

Mark YES if you consent to the disclosure; otherwise, mark NO.

Applicant’s Signature

Affix your signature.

Date

Enter the current date of signing using the format: Month-Day-Year.

Mother, Father, or Guardian’ Signature

Have your mother, father, or guardian affix his or her signature if you are under 18 years of age.