Form DP-5 "Voluntary License/Identification Card Surrender" - Nevada

What Is Form DP-5?

This is a legal form that was released by the Nevada Department of Motor Vehicles - a government authority operating within Nevada. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the Nevada Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DP-5 by clicking the link below or browse more documents and templates provided by the Nevada Department of Motor Vehicles.

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Download Form DP-5 "Voluntary License/Identification Card Surrender" - Nevada

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Field Services Division
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada or Outside Nevada (877) 368-7828
Fax: (775) 684-4829
Website:
www.dmvnv.com
VOLUNTARY LICENSE/IDENTIFICATION CARD SURRENDER
I hereby voluntarily surrender my Nevada driver’s license or identification card to the Department of Motor
Vehicles.
Printed Name
DL/ID Card No.________________________
AS IT APPEARS ON SURRENDERED CARD
Address
Date of Birth____________
Reason:  Insurance Reasons
 Moving out of Nevada
 Confidential Medical Purposes
 Choose not to drive
 Other
Signature of Person Surrendering Card
Date
Field Services Representative
Date
DP-5(9/2015)
Field Services Division
555 Wright Way
Carson City, NV 89711
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Rural Nevada or Outside Nevada (877) 368-7828
Fax: (775) 684-4829
Website:
www.dmvnv.com
VOLUNTARY LICENSE/IDENTIFICATION CARD SURRENDER
I hereby voluntarily surrender my Nevada driver’s license or identification card to the Department of Motor
Vehicles.
Printed Name
DL/ID Card No.________________________
AS IT APPEARS ON SURRENDERED CARD
Address
Date of Birth____________
Reason:  Insurance Reasons
 Moving out of Nevada
 Confidential Medical Purposes
 Choose not to drive
 Other
Signature of Person Surrendering Card
Date
Field Services Representative
Date
DP-5(9/2015)