Get In State Form 54580 2019-2025

Filling out the IN State Form 54580 online is a straightforward process, designed to assist users in requesting an interim or extension license from the Indiana Bureau of Motor Vehicles. This guide provides clear, step-by-step instructions to ensure that you can complete the form accurately and efficiently.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the IN State Form 54580. This will allow you to open the form in an online editor.
2. Begin by reviewing the instructions provided at the top of the form. Ensure you understand the requirements related to your situation—whether you are applying for an interim or extension license.
3. Fill in your reason for the request, selecting either 'Interim' or 'Extension' as applicable to your circumstances.
4. Enter your Indiana Driver's License Number and the date of expiration in the designated fields. Ensure accuracy in this information to avoid processing delays.
5. Provide your legal name as it appears on your Indiana credential, including your first, middle, and last names.
6. Input your Indiana legal address, including the number and street, city, state, and ZIP code. Verify that this address matches BMV records to prevent your request from being denied.
7. Enter the last four digits of your Social Security Number in the required field. Remember, this disclosure is mandatory for processing your application.
8. Fill in your date of birth using the specified format (mm/dd/yyyy) to ensure proper identification.
9. Provide a valid telephone number and email address for any follow-up communications.
10. Indicate your expected date of return to Indiana in the specified format. Ensure this date aligns with the requirements outlined in the form.
11. If applicable, enter your temporary mailing address, ensuring all information is accurate.
12. Review all entered information carefully for accuracy, as making a false statement may carry legal consequences.
13. Sign the form to certified that the information provided is true and correct. Include your printed name and the date to complete this step.
14. Once all fields are completed, you can save your changes, download the document, print it, or share it as needed.

Ensure a smooth application process by completing your IN State Form 54580 online today.