Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD
FEES
Please type or print in ink.
 Original Identification Card
New
$ ______
 Renewal of Identification Card
Renew
$ ______
 Duplicate Identification Card
Duplicate
$ ______
 Address Change on Identification Card
Address Change
$ ______
Original and duplicate ID cards $51, renewal $26, address change $4.25, which includes a Technology fee.
Applicant’s Full Legal Name __________________________________________________________________________
Physical Address __________________________________________________________________________________
Mailing Address ___________________________________________________________________________________
Date of Birth ________________
DLN___________________
Social Security Number ___________________
 Male
Height ______ft. ______in.
Hair Color ______________
 Female
Weight ___________lbs.
Eye color _______________
_______________________________________________________
________________________________
Signature of Applicant
Date
******************************************************************************************************************************************
Notification of Lost, Stolen or Destroyed Identification Card
I, _______________________________________________________________________________________________
(Name of cardholder)
Physical Address __________________________________________________________________________________
City _________________________________ State __________ Zip _____________ Phone No _________________
do hereby certify that the Nevada Private Bidder identification card issued to me has been lost, stolen or destroyed.
______________________________________________________
________________________________
Signature of cardholder
Date
OB 250 (02/2017)
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
APPLICATION FOR PRIVATE BIDDER IDENTIFICATION CARD
FEES
Please type or print in ink.
 Original Identification Card
New
$ ______
 Renewal of Identification Card
Renew
$ ______
 Duplicate Identification Card
Duplicate
$ ______
 Address Change on Identification Card
Address Change
$ ______
Original and duplicate ID cards $51, renewal $26, address change $4.25, which includes a Technology fee.
Applicant’s Full Legal Name __________________________________________________________________________
Physical Address __________________________________________________________________________________
Mailing Address ___________________________________________________________________________________
Date of Birth ________________
DLN___________________
Social Security Number ___________________
 Male
Height ______ft. ______in.
Hair Color ______________
 Female
Weight ___________lbs.
Eye color _______________
_______________________________________________________
________________________________
Signature of Applicant
Date
******************************************************************************************************************************************
Notification of Lost, Stolen or Destroyed Identification Card
I, _______________________________________________________________________________________________
(Name of cardholder)
Physical Address __________________________________________________________________________________
City _________________________________ State __________ Zip _____________ Phone No _________________
do hereby certify that the Nevada Private Bidder identification card issued to me has been lost, stolen or destroyed.
______________________________________________________
________________________________
Signature of cardholder
Date
OB 250 (02/2017)
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