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Fillable Form Vermont Driver License Application

The Vermont Driver's License Application form or VL-021 is used to apply for the issuance of a Vermont driver's license.

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What is the Vermont Driver’s License Application form?

The Vermont Driver’s License Application Form or Form VL-021 is a form issued by the Vermont Department of Motor Vehicles. Residents of the State of Vermont can fill out this form to apply for a driver’s license. Only residents of Vermont are eligible to apply for a Vermont driver’s license.

What do I need to fill out the Vermont Driver’s License Application form?

To fill out the Vermont Driver’s License Application form, you would need your full legal name, your social security number, your date of birth, and your place of birth.

You will also be asked for details regarding your addresses. Namely your mailing address, or the address where you get your mail and your physical address, or the address where you currently reside in. You will also have to provide the corresponding city or town, state, and ZIP code for both of these addresses.

You will also need to write down certain information regarding your physical characteristics. Specifically, you would have to provide your gender, eye color, height, and weight.

Additionally, you will need to know why you are filling out this form. You will be asked if you are applying for a driver’s license, junior driver’s license, learner’s permit, real ID compliant, original issue, transfer from out of state, privilege card, renewal, enhanced, address or name change, duplicate, and if you have any additional endorsements.

How do I fill out the Vermont Driver’s License Application form?

We will be guiding you through the process of filling out the Vermont Driver’s License Application form by giving you a step-by-step tutorial on how to properly fill out this form.

Before attempting to answer any questions or fill out any blanks, you must first read through the form. This will help you identify exactly what kind of information you will be needing to fill out the Vermont Driver’s License Application form. For your convenience, we have looked through the form for you and have written down all the information you may need for the purpose of filling out the form.

Ensure that all information you are about to write down is completely true and accurate. This is a government-issued document and thus, should be treated with the utmost level of care and attention.

Reason for applying

The first section will ask you to mark the boxes corresponding to your reason for applying.

You will be presented with a series of boxes that ask why you are filling out the Vermont Driver’s License Application form. You will also be asked to check all boxes that apply to you. Specifically, you will be asked if you are applying for a driver’s license (OPR), junior driver’s license (JUN), or learner’s permit (LRN).

You can also have your card be marked to be real ID compliant, original issue, transfer from out of state, renewal, privilege card, enhanced (EDL), address or name change, or a duplicate. You may also opt to put any additional endorsements.

Vermont Identification Information

In this section, you will be asked to provide information that will help identify you as a citizen of Vermont.

You will first be asked if you have a driver’s license, a learner’s permit, or non-driver ID card. Indicate so by checking the appropriate “Yes or No” box. If you checked “Yes” to any of these boxes, you will be asked to write down the number of your license, permit, or non-driver ID card.

You will next be asked if you have a license that is valid or expired within the past year, issued by another U.S. state, the District of Columbia, or a Canadian province. Indicate your answer by checking the appropriate “Yes or No” box. If you answered “Yes”, then you must write down where it was issued, as well as the date of expiration, license type, and license number.

Next, you will have to write down your full legal name. First, you will be required to write down your last name, followed by your first name, and then finally your middle name.

You will then be asked to write down your address details. Begin by writing your mailing address, or the address where you get your mail. Be sure to include the street number and name. Indicate as well the city or town in which the address is located, along with the corresponding state and ZIP code.

If your mailing address is different from where you live, write down your physical address or where you currently reside. Just like the mailing address, indicate the street number and name, as well as the city or town, state, and corresponding ZIP code.

Following this, indicate your social security number (SSN), date of birth, and place of birth.

Finally, write down your physical characteristics. Specifically, you will be asked for your biological gender, eye color, height, and weight.

Questions and Certifications

You will then be asked a series of “Yes or No” questions.

Answer the following questions by marking the “Yes or No” box corresponding to your answer. You will be asked:

  • Do you need glasses or contact lenses while driving?
  • Do you have a history of a physical or mental condition including diabetes, epilepsy, seizures, or blackouts (other than properly corrected eyesight) that could affect your ability to safely operate a vehicle?
    • If you answer yes to this question, you must indicate your current condition or medication.
  • Are you a veteran of the US military and want “VETERAN” printed on your license?
    • If you answer yes to this question, you must fill out the Vermont Certificate of Veteran Status (DMV Form VG-168) unless you have already previously submitted it.
  • If your license contains a school bus endorsement, do you wish to keep it?
    • If you answer yes to this question, additional testing and documentation will be required
  • If your license contains a motorcycle endorsement, do you wish to keep it?
    • If you answer yes to this question, you will be charged an additional $3 per year
  • Do you wish to register as an organ and tissue donor?
  • Do you certify that you are a resident of Vermont?
  • These last two questions are required for Real ID, EDL, or voter registration. If applying for a Driver Privilege Card and not registering to vote, you may skip this line.
    • Are you a U.S. citizen?
    • If you answered no to being a US citizen, do you have proof of legal residence?

Name, Address, or Other Changes

In this section, you will be asked to provide information regarding any previous changes to your information.

You will be asked if you have previously changed your legal name, physical address, mailing address, or have gone through any similar changes. Indicate any changes or lack thereof by marking the appropriate box.

If you have undergone any changes, please write down all former names or addresses in the indicated space.

Voter Registration

This section will cover information in case you would like to register to vote during Election Day.

If you would like to vote and are not already registered, write down your street address, corresponding city and town, county, and state.

If you would not like to vote, mark the box saying you would not like to register.

Certification

In this section, you will be asked to certify all information previously given.

To certify all information previously written down in the form, affix your signature and the date of signing.

Additionally, if you are a minor, your parent or legal guardian must affix their signature and date of signing as well.

To finish this form, write down your phone number and email address.

Once everything has been completed, you have successfully filled out the Vermont Driver’s License Application Form.

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