Get Michigan Driver's License Renewal Form

Print Form MICHIGAN DEPARTMENT OF STATE DRIVER LICENSE AND ID CARD APPLICATION Making a false statement on a driver license or ID card application can result in fines or criminal prosecution and action against your driving privilege. Department personnel will notify law enforcement if they believe a fraudulent application is being made. Middle WOULD YOU LIKE YOUR NAME ADDED TO THE ORGAN DONOR REGISTRY RESIDENCE ADDRESS Required COUNTY CITY ZIP CODE CHECK ONE MALE FEMALE PHONE NUMBER YES Twelve months if applying for a chauffeur or commercial driver license. Last IN THE LAST SIX MONTHS HAVE YOU HAD A FAINTING SPELL BLACKOUT SEIZURE OR OTHER LOSS OF CONSCIOUSNESS FULL LEGAL NAME First NO IS YOUR DRIVER LICENSE CURRENTLY SUSPENDED REVOKED CANCELLED OR DENIED IN MICHIGAN OR ANY OTHER STATE WILL YOU BE OPERATING A MOTORCYCLE ON PUBLIC ROADS CONDITION WHICH AFFECTED YOUR ABILITY TO DRIVE DATE OF BIRTH Month/Day/Year EYE COLOR HEIGHT FT/IN WEIGHT ARE YOU A CITIZEN OF THE UNITED STATES PERMANENT MAILING ADDRESS If different from residence ARE YOU A RESIDENT OF THE STATE OF MICHIGAN MAILING ADDRESS CITY STATE I certify under the penalty for perjury that I am a legal Michigan resident the statements made on this application are true and that a court is not holding my license. X SIGNATURE OF APPLICANT DATE Month/Day/Year APPLICATION TYPE Circle one TIP ORIG* REN* DUP. CORRECTIVE LENS CORR* LICENSE TYPE VAL* O C CDL RESTRICTIONS M GROUP DESIGNATION GDL 1 GDL 2 GDL 3 SAVE CASE NUMBER PID A ENDORSEMENTS B CY F H N P R S T SEAS* SOCIAL SECURITY DOCUMENT PRESENTED LEGAL PRESENCE DOCUMENT PRESENTED U*S* BIRTH CERTIFICATE original or certified copy U*S* PASSPORT OR PASSPORT CARD valid unexpired ARRIVAL AND DEPARTURE FORM I-94 U*S* VISA immigrant or non-immigrant PERMANENT RESIDENT CARD I-551 EMPLOYMENT AUTHORIZATION CARD EAD CERTIFICATE OF CITIZENSHIP N-560 N-561 N-550 N-570 N-578 CONSULAR REPORT OF BIRTH ABROAD FS-240 DS-1350 FS-545 FILE EXP. DATE ISSUE DATE TYPE F-1 J-1 etc* U*S*/CANADIAN DRIVER LICENSE or PID FOREIGN PASSPORT U*S* MILITARY ID CARD DD-2 DD1173 CAC card U*S* LEGAL DOCUMENTS marriage divorce adoption legal name change PHOTO ID CARD issued by federal or Michigan or tribal government agency U*S* SCHOOL RECORDS photo diploma transcript yearbooks MDOC PRISONER ID CARD requires verification DL/PID TYPE ID TYPE SCHOOL CITY STATE TELEPHONE OTHER IDENTITY DOCUMENT PRESENTED RESIDENCY DOCUMENTS PRESENTED at least two documents required EMPLOYEE SIGNATURE MANAGER OR DESIGNEE SIGNATURE X ADDITIONAL INFORMATION Refer App Circle one BRANCH NUMBER E R F CDL ENFORCE RESEARCH FOREIGN ADDRESS Request for exception DOCUMENTS IN POSSESSION OF Applicant Mailed In-House TRANSACTION S INCLUDING VOIDS Branch COMMENTS BE SPECIFIC Use additional pages if necessary If referring application or adding comments print name sign and date at bottom* DE-36 10/12 Authority granted under Public Act 300 of 1949 as amended* WRITTEN/ORAL TEST RESULTS Enter Date and Pass or Fail Test Score Enter Test for Chauffeur Moped Motorcycle and Recreational Double tests.