Get CA DMV DL 410 FO 2020

DL 410 FO REV. 3/2019 WWW Page 1 of 3 Print Clear Form SECTION 1 PLEASE TELL US ABOUT YOURSELF Use your true full name. SIGNATURE DATE X SECTION 9 WHERE TO MAIL The renewal fee for basic driver license is 36. 00. If you marked the box to make a 2 voluntary contribution to support and promote the Donate Life California organ and tissue donor registry include the 2 voluntary contribution with your check or money order made payable to DMV and mail this form to DMV Attn Renewal by Mail Unit PO Box 942890 Sacramento CA 94290-0001 Please write your driver license number on the back of your payment document. Dmv.ca.gov to review payment options at your local DMV field office. If you are mailing your renewal payment must be by check. Checks should be payable to DMV. Once this application form and fee have been submitted no refunds will be made. DMV uses the information on this form to determine your eligibility for a Driver License or Identification Card and for the administration of driver license laws. A Public Service Agency CALIFORNIA DRIVER LICENSE RENEWAL BY MAIL ELIGIBILITY INFORMATION INSTRUCTIONS In order to complete your renewal by mail you must provide your Social Security Number and be under 70 years old when your current license expires to renew by mail. If you answer YES to any of the questions below STOP and make an appointment to visit your local DMV office to renew in person. If you answer No to all questions below please complete the attached form. ARE YOU ELIGIBLE TO RENEW BY MAIL Have your last two licenses been renewed by mail Has your license been expired for more than one year Does your license expire more than 60 days from today Are you currently on any type of driving probation Are you changing/correcting your name Do you have a driver license from more than one state or jurisdiction WITHIN THE PAST TWO YEARS Were you convicted of any Vehicle Code moving violations Did you fail to appear in court for any Vehicle Code moving violation Were you suspended for driving under the influence or for refusing or failing to complete a chemical or preliminary alcohol screening PAS test Have you been at fault in one or more collisions as reported by law enforcement DISCLOSURES MEDICAL INFORMATION The following conditions that may affect your ability to operate a motor vehicle safely include but are not limited to loss of consciousness episode of marked confusion caused by any condition which may bring about recurring lapses disease disorder or disability examples of these are epilepsy diabetes stroke cataracts Parkinson s disease decrease or change in your vision due to cataracts macular degeneration diabetic retinopathy glaucoma retinitis pigmentosa or other progressive condition health problems because of alcohol or drug abuse. DMV can remove the pink dot from your DL/ID card but cannot remove you from the registry. Would you like to make a voluntary contribution Mark this box to provide a 2 voluntary contribution to support and promote organ and tissue donation. Page 2 of 3 IMPORTANT CONTINUE TO NEXT PAGE. WE CANNOT PROCESS YOUR RENEWAL WITHOUT PAGES 2 3. DL410FO1 If you are enrolled in a confidential address program such as Safe At Home skip to Section 8. FOR U.S. CITIZENS ONLY. SECTION 6 VOTER REGISTRATION It is a crime to intentionally provide incorrect information on a voter registration form. State law requires eligible citizens be automatically registered to vote unless they choose not to in this section. 6a. Are you a United States citizen. Mylowcostauto. com or by calling 866 602-8861. CRIMINAL PROSECUTION FINANCIAL RESPONSIBILITY PAYMENTS / REFUNDS Visit www. dmv.ca.gov to review payment options at your local DMV field office. If you are mailing your renewal payment must be by check. Checks should be payable to DMV. Once this application form and fee have been submitted no refunds will be made.