Get NY DS-115 2022-2024

REQUEST FOR NYS DRIVING PRIVILEGES To request clearance for New York State driving privileges please provide the information below and include the appropriate non-refundable fee as follows Due to a fee increase effective August 18 2017 the fee you are required to pay is based on the date your request is processed The fee is 25 for requests processed no later than August 17 2017. The fee is 100 for requests processed on or after August 18 2017 no exceptions can be made. NOTE Effective August 18 2017 DMV will no longer be able to accept the 25 fee. To avoid a delay in processing your application please consider the mailing time and submit the correct fee amount when mailing your application* Full Last Name Full First Name Date of Birth mm/dd/yy Sex MI Daytime Phone Number Area Code - Optional M F X / NYS Driver License Learner Permit or Non-Driver ID Card Number if available - CURRENT OUT-OF-STATE RESIDENCE ADDRESS Apt. Number Number and Street City or Town State Zip Code MAILING ADDRESS IF DIFFERENT THAN RESIDENCE Signature required X Sign name in full Date You must pay the appropriate fee with a check or money order made payable to Commissioner of Motor Vehicles. Mail your payment and this completed form to NYS Department of Motor Vehicles 6 Empire State Plaza Room 336 Albany NY 12228 Attention Driver Improvement Unit DS-115 5/22. The fee is 100 for requests processed on or after August 18 2017 no exceptions can be made. NOTE Effective August 18 2017 DMV will no longer be able to accept the 25 fee. To avoid a delay in processing your application please consider the mailing time and submit the correct fee amount when mailing your application* Full Last Name Full First Name Date of Birth mm/dd/yy Sex MI Daytime Phone Number Area Code - Optional M F X / NYS Driver License Learner Permit or Non-Driver ID Card Number if available - CURRENT OUT-OF-STATE RESIDENCE ADDRESS Apt. To avoid a delay in processing your application please consider the mailing time and submit the correct fee amount when mailing your application* Full Last Name Full First Name Date of Birth mm/dd/yy Sex MI Daytime Phone Number Area Code - Optional M F X / NYS Driver License Learner Permit or Non-Driver ID Card Number if available - CURRENT OUT-OF-STATE RESIDENCE ADDRESS Apt. Number Number and Street City or Town State Zip Code MAILING ADDRESS IF DIFFERENT THAN RESIDENCE Signature required X Sign name in full Date You must pay the appropriate fee with a check or money order made payable to Commissioner of Motor Vehicles. Number Number and Street City or Town State Zip Code MAILING ADDRESS IF DIFFERENT THAN RESIDENCE Signature required X Sign name in full Date You must pay the appropriate fee with a check or money order made payable to Commissioner of Motor Vehicles. Mail your payment and this completed form to NYS Department of Motor Vehicles 6 Empire State Plaza Room 336 Albany NY 12228 Attention Driver Improvement Unit DS-115 5/22. The fee is 100 for requests processed on or after August 18 2017 no exceptions can be made. NOTE Effective August 18 2017 DMV will no longer be able to accept the 25 fee. To avoid a delay in processing your application please consider the mailing time and submit the correct fee amount when mailing your application* Full Last Name Full First Name Date of Birth mm/dd/yy Sex MI Daytime Phone Number Area Code - Optional M F X / NYS Driver License Learner Permit or Non-Driver ID Card Number if available - CURRENT OUT-OF-STATE RESIDENCE ADDRESS Apt. Number Number and Street City or Town State Zip Code MAILING ADDRESS IF DIFFERENT THAN RESIDENCE Signature required X Sign name in full Date You must pay the appropriate fee with a check or money order made payable to Commissioner of Motor Vehicles.