Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
APPLICATION FOR BUSINESS IDENTIFICATION CARD
FEES
Please type or print in ink.
 Dealer
 Original Identification Card
New
$ ______
 Rebuilder
 Renewal of Identification Card
Renew
$ ______
 Wrecker
 Duplicate Identification Card
Duplicate
$ ______
Original and duplicate dealer and rebuilder ID cards $51, renewal $26. All wrecker ID cards $51, which includes a
Technology fee.
Business Name __________________________________________
Business License No _____________________
Physical Address __________________________________________________________________________________
City _______________________________ State __________ Zip _____________ Phone No ___________________
Mailing Address ___________________________________________________________________________________
City _______________________________ State __________ Zip _____________ Phone No ___________________
Applicant’s Full Legal Name _________________________________________
DLN______________________
_______________________________________________________
________________________________
Signature of Applicant
Date
_______________________________________________________
________________________________
Signature of Principal
Date
******************************************************************************************************************************************
Notification of Lost, Stolen or Destroyed Identification Card
I, ___________________________________________, of _________________________________________________
(Principal’s name)
(Business name)
Physical Address __________________________________________________________________________________
City _________________________________ State __________ Zip _____________ Phone No _________________
Business License No ___________________, do hereby certify that the Nevada ______________________ identification
(Dealer, rebuilder or wrecker)
card issued to _____________________________, has been lost, stolen or destroyed.
(Name of cardholder)
______________________________________________________
________________________________
Signature of Principal
Date
OBL 252 (02-2017)
Occupational and Business Licensing
555 Wright Way
Carson City, Nevada 89711
(775) 684-4690
www.dmvnv.com
APPLICATION FOR BUSINESS IDENTIFICATION CARD
FEES
Please type or print in ink.
 Dealer
 Original Identification Card
New
$ ______
 Rebuilder
 Renewal of Identification Card
Renew
$ ______
 Wrecker
 Duplicate Identification Card
Duplicate
$ ______
Original and duplicate dealer and rebuilder ID cards $51, renewal $26. All wrecker ID cards $51, which includes a
Technology fee.
Business Name __________________________________________
Business License No _____________________
Physical Address __________________________________________________________________________________
City _______________________________ State __________ Zip _____________ Phone No ___________________
Mailing Address ___________________________________________________________________________________
City _______________________________ State __________ Zip _____________ Phone No ___________________
Applicant’s Full Legal Name _________________________________________
DLN______________________
_______________________________________________________
________________________________
Signature of Applicant
Date
_______________________________________________________
________________________________
Signature of Principal
Date
******************************************************************************************************************************************
Notification of Lost, Stolen or Destroyed Identification Card
I, ___________________________________________, of _________________________________________________
(Principal’s name)
(Business name)
Physical Address __________________________________________________________________________________
City _________________________________ State __________ Zip _____________ Phone No _________________
Business License No ___________________, do hereby certify that the Nevada ______________________ identification
(Dealer, rebuilder or wrecker)
card issued to _____________________________, has been lost, stolen or destroyed.
(Name of cardholder)
______________________________________________________
________________________________
Signature of Principal
Date
OBL 252 (02-2017)
ADVERTISEMENT