Fillable Form Virginia Driver's License Replacement (2021)

What is the Virginia Driver’s License Replacement form?

Form DL 1P, Driver’s License and Identification Card Application, or also the Virginia Driver’s License Replacement form, is a form issued by the Department of Motor Vehicle (DMV) in the state of Virginia that residents use to obtain a replacement of their driver’s license, learner’s permit, state identification card, hearing impaired ID card, or emancipated minor ID card.

Only residents of Virginia who have a driver’s license can use the Virginia Driver’s License Replacement form to apply for a new driver’s license to replace a lost, stolen, or destroyed one.

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

The Virginia Driver’s License Replacement form is a two-page form that requires your personal and driver-related information. Answer all the items accurately and correctly, as any false or incorrect information may delay the application for replacement.

Note before filling out the Virginia Driver’s License Replacement form:

If the applicant is under the age of 18, written consent from his or her parent or guardian is needed. If by any chance the applicant has any offense in a juvenile and domestic relations court, the consent of a judge is also needed.

Information for the Department of Elections

Are you a citizen of the United States of America?

Mark Yes if you are a citizen of the US; otherwise, mark No. You are not required to answer this item to apply for a replacement driver’s license.

Do you want to register to vote or change your voter registration address?

Mark Yes if you want to register to vote or change your voter registration address; otherwise, mark No. You are not required to answer this item to apply for a replacement driver’s license.

Information for the Virginia Transplant Council

Mark the box if you would like to become an organ, eye, and tissue donor. You are not required to answer this item to apply for a replacement driver’s license.

Application Type

Would you like to apply for a REAL ID license/identification card?

Mark Yes if you would like to apply for a REAL ID license/identification card; otherwise, mark No.

This item is not applicable if you are applying for a Motorcycle Learner’s Permit.

If you mark Yes, you agree to use your license or identification card as ID to board a domestic flight or enter a secure federal facility or military base on or after October 1, 2021. If you mark No, you acknowledge your license or identification card will display “Federal Limits Apply” and you will need another form of ID to board a domestic flight or enter a secure federal facility or military base on or after October 1, 2021.

Then, mark the applicable option to determine your application type. You can select any of the following:

• Driver’s License
• Learner’s Permit and Driver’s License
• Driver’s License with Motorcycle
• Motorcycle Only License
• Motorcycle Learner’s Permit
• Driver’s License with School Bus Endorsement
• Driver’s License Testing for Foreign Diplomats
• Identification Card
• Hearing Impaired ID Card
• Emancipated Minor ID Card

Motorcycle Classification

If you select the Driver’s License with Motorcycle or Motorcycle Only License from the list, mark the applicable classification of motorcycle:

• Maintaining current Virginia Motorcycle Classification
• Add, Upgrade, or Transfer Motorcycle Classification or obtain Motorcycle Only License. Additional testing may be required. Mark the applicable box:
  • M 2 (2 wheels)
  • M 3 (3 wheels)
  • M (both 2 and 3 wheels)

Replacement License of Identification Card

Mark the applicable box if you are surrendering your current license or ID card. If you cannot surrender your current license or ID card, mark the reason:

• Lost
• Stolen
• Destroyed

Applicant Information

Full Legal Name

Enter your full legal name in the following format: Last, First, Middle, Suffix.

Social Security Number (SSN)

Enter your nine-digit Social Security Number. If you have not been issued an SSN, mark the applicable box.

Birthdate

Enter your date of birth in the following format: MM/DD/YYYY.

Phone Number

Enter your phone number. This item is optional.

Sex

Mark the box to determine your gender. You can select:

• Make
• Female
• Non-Binary

Weight

Enter your weight in pounds.

Height

Enter your height in feet and inches.

Eye Color

Enter your natural eye color.

Hair Color

Enter your natural hair color.

Address

Enter your current full address, including street, city, state, ZIP code.

If Your Name Has Changed, Print Your Former Name Here

Enter your previous name if different from your current legal name.

Name of City or County of Residence

Mark City or County. If County, enter your county of residence.

Mailing Address

Enter your mailing address, including street, city, state, ZIP code, if different from your residence address.

Email Address

Enter your email address. This item is optional.

Mark Yes or No for the following items:

1. Do you wear glasses or contact lenses to operate a motor vehicle?
2. Do you have a physical or mental condition that requires that you take medication?
3. Have you ever had a seizure, blackout, or loss of consciousness?
4. Do you have a physical condition that requires you to use special equipment while driving?
5. Have you been convicted within the past ten years within the state or elsewhere of any offense resulting from your operation of, or involving, a motor vehicle? (Do not include parking tickets.
6. Has your license or privilege to drive ever been suspended, revoked, or disqualified in this state or elsewhere, or is it currently suspended, revoked, or disqualified?

If you answered Yes to any of the items above, provide an explanation in the space provided.

Special Indicator Request

Mark the applicable box to have a special indicator on your license, permit, or ID card. You may mark one or more items.

• Insulin-dependent diabetic
• Speech impairment
• Hearing impairment
• Intellectual disability (IntD)
• Autism spectrum disorder (ASD)
• Blind or vision impairment (ID card only)
• Traumatic brain injury

Applicable Information

Mark the applicable box if you currently have or ever held a license, ID card, or learner’s permit (from another state, U.S. territory, or foreign country).

License/ID Card Number

Enter your driver’s license or identification card number.

Issue Date

Enter the date your driver’s license or ID card was issued in the following format: MM/DD/YYYY.

Expiration Date

Enter the expiration date of your driver’s license or ID card in the following format: MM/DD/YYYY.

State/Country

Enter the state or country where your driver’s license or ID card was issued.

Parent or Legal Guardian License Consent

If the applicant is under the age of 18, a parent or legal guardian must check the applicable box.

• I authorize issuance of a learner’s permit/driver’s license.
• I authorize issuance of an ID card.

Parent/Guardian Name

Enter the name of the parent or guardian.

Parent/Guardian Signature

Enter the signature of the parent or guardian.

Date

Enter the date the parent or guardian signed the form.

Mark the applicable box if you have ever been found not innocent of any offense in a Juvenile and Domestic Relations Court in Virginia or any other state.

The determine court consent, the judge can mark Should Be Granted or Should Not Be Granted.

Remarks

Enter the remarks of the judge.

Judge Name

Enter the name of the judge.

Judge Signature

Enter the signature of the judge.

Date

Enter the date the judge signed the form.

Selective Signature

If you are a male under the age of 26, you need to mark one of the following boxes:

• I am already registered with Selective Service.
• I am a non-immigrant on a current non-immigrant visa or a seasonal agricultural worker (H-2A Visa) and not required to register.
• I authorize the DMV to forward to the Selective Service System personal information necessary to register me with Selective Service.

Mark one of the following items, then sign:

• Parent/Guardian
• Judge, Juvenile Domestic Relations Court
• Emancipated Minor

Veteran Indicator

Indicate whether or not you want to add or keep the veteran indicator on your license or ID card by marking the applicable box.

Government Employees

Mark the applicable box to certify your employment by any of the following:

• Commonwealth of Virginia
• City of
• Town of

For City of and Town of, enter the applicable city or town name.

Certification

Applicant Name

Enter your full legal name

Applicant Signature

Enter your signature

Date

Enter the date you signed the form.