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Get NY DMV MV-664.1MP 2015

Eted application to the issuing agent in the area where you live. Please bring your New York State driver license with you when you apply for the waiver. INFORMATION ABOUT PERSON WITH DISABILITY (Please print, and sign by the arrow.) Last Name First Address: No. and Street Apt. No. M.I. City State o Male o Female Date of Birth Telephone No. Zip Code ( ) Driver License Number and Expiration Date: Do you have license plates.

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