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11/15/2016

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OnlineDriverLicense/IDApplicationConfirmation
CreateDate:11/15/2016
Thankyouforusingthisonlineapplicationservice.Tocompletetheprocess,bringthebarcodeandyouridentificationdocumentsto
anMVDofficeorAuthorizedThirdPartyDriverLicenseproviderwithin30daysofthedatelistedabove.
Thisconfirmationdoesnotguaranteethatyouareeligiblefor,orwillbeissuedalicenseorID.Youmustvisitanofficetocomplete
theapplicationprocess.
BarcodeInstructions:
Pleasemakesurethebarcodeprintsclearly.Ifyouareunabletoclearlyprint,pleasewritedownthebarcodenumberandbringit
withyou.Youmayalsostorethebarcodeonamobiledevice.
PrintBarcode

PleaseclearlyprintyourLastandFirstnamebelow:
ApplicantLastName:

ApplicantFirstName:

DW0361169

IdentificationRequirements
ArizonaRevisedStatutes283153(D)providesthattheMotorVehicleDivision(MVD)mustnotissuetoorrenewa
driverlicenseornonoperatingidentificationlicenseforapersonwhodoesnotsubmitproofsatisfactorytoMVDthat
theapplicant'spresenceintheUnitedStatesisauthorizedunderfederallaw.MVDisrequiredtodeterminethateach
applicantmeetstherequirementsofthelaw.Identificationrequirementsmaychangewithoutnotice.

Inaddition,totheitemslistedaboveyouneedatleasttwodocumentsonefromthePrimarylistandonefrom
theSecondarylistbelowonemusthaveaclearphotoofyou
Ifyoudonothaveadocumentwithaclearphotoofyou,youwillinsteadhavetopresentthreedocuments
fromthePrimaryandSecondarylistsbelowatleastoneofwhichhastobefromthePrimarylist
Allmustbeoriginalsorcertifiedcopies,inEnglish,certifiedbytheissuingagency
IfyourcurrentlegalnameisdifferentfromyourPrimarydocument,youmustshowlegalproofofeachname
change,suchasamarriagecertificate,divorcedecree,orcourtorder.Inadditionyoumustfirstchangeyour
namewiththeSocialSecurityAdministration.
MVDreservestherighttoreview,considerandrequestadditionalinformationand
documentationinmakingdeterminationsregardingage,identityandauthorizedpresence.
MVDmayretainimagesorcopiesofanydocument(s)presented.

PrimaryIdentificationDocuments
EnhancedDriverLicenseorEnhancedIDCardissuedbyanystateintheUS(Evidencedbytheword
"Enhanced"printedonthecard.)
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11/15/2016

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BirthCertificateissuedbyanystate,territoryorpossessionoftheUS(Hospitalrecords/certificatesandCalifornia
CertifiedAbstractsofBirtharenotacceptable.)
DelayedBirthCertificateissuedbyanystate,territoryorpossessionoftheUS
USCertificateofBirthAbroad(FS240,545orDS1350)
USPassportorPassportCard
ArizonaIDCard
TribalCertificateofIndianBlood
TribalorBureauofIndianAffairsAffidavitofBirth
ForeignPassportwithUSVisaorVisaWaiverI94W(Green)orAdmissionStamp(classesWB&WTeligiblefor
IDcardonly)
I94Formpresentedwithoutpassport.Ifwithoutphoto,mustprovideotheracceptableformofstateID.
PermanentResidentCard/ResidentAlienCard,I551
USCISEmploymentAuthorizationCard(EAC),exceptforanEACwithoneofthefollowingcategorycodes:A11
(DeferredEnforcedDeparture),C14(DeferredAction)
RefugeeTravelDocumentI571
USCertificateofNaturalization
USCertificateofCitizenship
USMilitaryDD214
USMilitaryIDCard(activeduty,reserveandretired)
RecordofpreviousArizonaDriverLicense,IDCardorInstructionPermit
AffidavitofIdentification(withphotoandwithin15daysofissue)fromArizonaDepartmentofCorrections
ReleasedOffenderID(withphoto)fromArizonaDepartmentofCorrections
ALPHAProgram/CommunityReEntryIDfromtheMaricopaCountySheriff'sOffice
AffidavitofIdentification(withphotoandwithin15daysofissue)fromMaricopaCountyAdultProbation
Department

SecondaryIdentificationDocuments
DriverLicense,IDCardorInstructionPermitissuedbyanystate,territoryorpossessionoftheUS
ArizonaCertificateofBirth(ForeignBorn)
SocialSecurityCard
USMilitaryDependentIDCard
USArmedForcesDriverLicense
USDepartmentofVeteransAffairsCard
USDepartmentofJusticeInmateIDCard
MotorVehicleRecordorClearanceLetter(within30daysofissue)
LegalGuardianCertificate
SelectiveServiceCard
W2Form
ConcealedWeaponsPermit
MedicalInsuranceIDCard(includingAHCCCSIDcard)
ProfessionalLicense
BankCard
CreditCard
EmployeeIDBadge(withphoto)
SchoolID(withphoto)
MarriageCertificateissuedbyanystate,territoryorpossessionoftheUS
CertifiedLetterofIdentificationforaWardoftheCourt,issuedbyacourtorgovernmentagencyintheUS

DecreesfromCourtofRecord
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Adoption Bankruptcy Divorce Emancipation LegalGuardian NameChange

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