Fillable Form DMV West Virginia Driver's License Renewal

What is the WV License Renewal Form?

The State of West Virginia License Renewal Form is a document used to apply for Instruction Permit, Skills Test, Level 3 License, Instruction Permit “E”, Skills Test E, Instruction Permit “F”, Motorcycle Skills, Motorcycle Endorsement, Transfer, Renewal, Duplicate License, “For Federal Identification” Federally Compliant Card, Child ID Card, ID Card, or Secondary-ID Card.

How to Fill Out the WV License Renewal Form?

Name
Enter your last, first, and middle name.

Former Name
Enter your former name reflected on any legal document.

Residence Address
Enter your residential address.

Mailing Address
Enter your mailing address, if different from the residential address.

City, State, Zip Code
Enter the city, state, and zip code of your address.

Social Security Number
Enter your SSN.

WV License #
Enter your West Virginia License number.

Birth date
Enter your date of birth.

Gender
Enter your gender.

Weight
Enter your weight.

Height
Enter your height.

Eye Color
Enter your eye color.

Do you wear corrective lenses?
Select “Yes” if you wear corrective lenses. If not, select “No”.

Daytime Phone
Enter your Daytime Phone number.

Cellular Phone
Enter your Cellular Phone number.

Email Address
Enter your email address.

Has your address changed since your last license ID/issuance?
Select “Yes” if your address has changed since your last license ID or issuance and enter your previous address on the space provided.

Are you a U.S. Citizen?
If you are a U.S. Citizen, select “Yes”. If not, select “No” and enter your Alien Registration Number on the space provided.

Have you been issued a license/ID in another jurisdiction in the last 10 years?
Select “Yes” if you have been issued a license/ID in another jurisdiction in the last 10 years and enter your jurisdiction and License ID numbers on the space provided. If not, select “No”’.

Do you have a suspended or revoked license or a pending license suspension/revocation in ANY jurisdiction within the previous five years?
Select “Yes” if you have a suspended or revoked license or a pending license suspension/revocation in any jurisdiction within the previous five years and provide a letter of explanation including the date of the incident. If not, select “No”.

Have you been refused a license by any jurisdiction within the previous five years?
Select “Yes” if you have been refused a license by any jurisdiction within the previous five years and provide a letter of explanation including the date of the incident. If not, select “No”.

APPLICANTS THAT OWE A CHILD SUPPORT OBLIGATION ONLY: Do you owe an obligation that is more than six months in arrears?
Select “Yes” if you owe an obligation that is more than six months in arrears. If not, select “No”.

APPLICANTS THAT OWE A CHILD SUPPORT OBLIGATION ONLY: Are you the subject of a child support-related warrant, subpoena, or court order?
Select “Yes” if you are the subject of a child support-related warrant, subpoena, or court order. If not, select “No”.

Level 2 GDL Applicants ONLY: Have you been convicted of a traffic violation in the past six months?
Select “Yes” if you have been convicted of a traffic violation in the past six months. If not, select “No”.

Level 3 GDL Applicants ONLY: Have you been convicted of a traffic violation in the past 12 months?
Select “Yes” if you have been convicted of a traffic violation in the past 12 months. If not, select “No”.

Do you have any visual or medical condition(s) affecting your ability to drive safely?
Select “Yes” if you have any visual or medical condition(s) affecting your ability to drive safely and provide a letter of explanation. If none, select “No”.

Do you wish to be designated on your license as an organ donor?
Select “Yes” if you wish to be designated on your license as an organ donor. If not, select “No”.

Do you wish to be designated on your license as a diabetic?
Select “Yes” if you wish to be designated on your license as a diabetic. If not, select “No”.

Do you wish to be designated on your license as hearing impaired?
Select “Yes” if you wish to be designated on your license as hearing impaired. If not, select “No”.

Veterans of the United States Military ONLY: Do you wish to have the United States Veterans designation on your license?
Select “Yes” if you wish to have the United States Veterans designation on your license. If not, select “No”.

Have you ever experienced seizures or loss of consciousness, emotional or mental illness, alcohol or drug problems, or any physical condition that requires you to use special equipment to drive?
Select “Yes” if you have experienced seizures or loss of consciousness, emotional or mental illness, alcohol or drug problems, or any physical condition that requires you to use special equipment to drive and provide a letter of explanation. If not, select “No”.

Age 18 and up ONLY: Do you wish to register to vote?
Select “Yes” if you wish to register to vote. If not, select “No”.

Do you wish to make a contribution to the West Virginia State Police Forensic Laboratory Fund?
Select “Yes” if you wish to make a contribution to the West Virginia State Police Forensic Laboratory Fund and enter the amount on the space provided. If not, select “No”.

Do you wish to make a contribution to the West Virginia Department of Veterans Assistance?
Select “Yes” if you wish to make a contribution to the West Virginia Department of Veterans Assistance and select the corresponding amount you wish to contribute. If not, select “No”.

Type of License/ID Applicant Wishes to Obtain
Select the appropriate choice (Instruction Permit, Skills Test, Level 3 License, Instruction Permit “E”, Skills Test E, Instruction Permit “F”, Motorcycle Skills, Motorcycle Endorsement, Transfer, Renewal, Duplicate License, “For Federal Identification” Federally Compliant Card, Child ID Card, ID Card, or Secondary-ID Card)

Physician/ Audiologist Certification for Medical Endorsement
I certify that the applicant named herein is
Select the appropriate choice (diabetic, deaf, or hard of hearing).

Signature
Provide the signature of the physician.

Medical License Number
Provide the physician’s medical license number.

State
Enter the state that the physician is located.

Address
Enter the address where the physician is located.

Business Phone Number
Enter the business phone number of the physician.

Affidavit of West Virginia Residency
Full Name of Homeowner
Enter the full name of the homeowner.

Full Name of Applicant
Enter the full name of the applicant.

Street Address
Enter the street address.

City
Enter the city.

State
Enter the state.

Zip Code
Enter the zip code.

Signature of Homeowner
Provide the signature of the homeowner.

WV Driver’s License/ID Number
Provide the driver’s license or ID Number.

Applicant Signature
Provide your signature.

Date
Provide the date you signed and completed the form.

Parent/Guardian Signature
If you are under 18 years old, let your parent or guardian sign on the space provided.

Date
Provide the date your parent or guardian completed the form.

Submission

This form may be submitted online through the DMV website or by mailing it to 1525 Deckers Creek Blvd, Morgantown, WV 26505.