Form DL44 "Driver License or Identification Card Application" - California

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  1. What Is a DL 44?
  2. How to Get a DL 44 Form?
  3. Preview Document
  4. Download Form DL44 PDF
  5. California Form DL 44 Instructions

What Is a DL 44?

Form DL 44, Driver License or Identification Card Application, is a document issued by the California Department of Motor Vehicles (DMV). The application is supposed to be used when the filer is applying for:

  • A driver license or ID card;
  • Renewing their driver license or ID card (if it is expired or near the expiration date);
  • A duplicate of their driver license, or for a replacement of their ID card (if it was lost or stolen);
  • A correction or a name change in their driver's license or ID card.

Apart from the reasons listed above, the application can also be used to apply for a senior ID, remove restrictions from a driver's license, or to change or add the class of a vehicle. This application was last revised on October 1, 2008.

How to Get a DL 44 Form?

This document is only available through official sources since every copy of the form is serialized and has a unique number. A legal copy of this form can only be obtained at a local DMV office. However, if an applicant would like to acquaint themselves with its content, a DL 44 sample is available for download below.

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California Form DL 44 Instructions

Form DL-44 consists of several parts, with each one of them dedicated to a different field of information.

  1. In the first part of the document, the filer must refer to the reason they are applying. The document offers the filer to choose from:
    • Driver License. This includes any changes connected with a driver license;
    • Identification Card. If the filer wants to get, replace, or renew their ID Card, they should choose this option;
    • Name Change/Correction. Individuals can choose this option if their application is connected with correcting or changing their name on a driver's license or ID Card.
  2. The next part of the application is for identification purposes and is supposed to be filled in by every filer regardless of the reason they are applying. Here the filer must provide personal information such as their Driver's License or ID number and date of expiration, full legal name, date of birth, social security number (SSN), full address, and a description of their appearance.
  3. The document also contains a section for those filers who are not eligible for an SSN. In this section, those filers who don't have an SSN certify that an SSN has never been issued in their name, and they will provide their SSN when one will be assigned to them.
  4. Part four is supposed to be filled out only by those filers who are applying for a driver's license, regardless of whether they are applying for a renewal, for a duplicate, or else. In this part, the filer must designate what kind of license is needed:
    • Basic License. This includes Basic Class C or a motorcycle;
    • Non-Commercial License. Class A or Class B;
    • Ambulance Certificate. Only for those drivers who are authorized to drive an ambulance and respond to emergency calls.
  5. The rest of the form contains questions about a previous driver's license or ID Card the filer had and any medical condition that might affect their ability to drive. It also has two special sections, one of them is supposed to be filled out if the filer wants to register as an organ donor, another one is for those who want to register to vote or to change their voting address (or political affiliation).
  6. If a form is being filled out by a driver who is under 18, then their parent or guardian must sign it with the filer in the area provided.
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Download Form DL44 "Driver License or Identification Card Application" - California

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HQ
MICROGRAPHICS
44
USE ONLY
A Public Service Agency
DRIVER LICENSE OR IDENTIFICATION CARD APPLICATION
DO NOT DUPLICATE
3
PURPOSE FOR YOUR VISIT:
FOR DMV USE ONLY
the appropriate box(es). PRINT USING BLACK OR BLUE INK ONLY.
1
READ ALL INFORMATION PROVIDED ON THE FRONT AND BACK OF THIS FORM.
BD/LP Code ___________________
DRIVER LICENSE (DL)
IDENTIFICATION CARD (ID)
NAME CHANGE/
State/Country __________________
Original DL/Permit
Remove Restriction
Original ID Card/Renewal
CORRECTION
DOCUMENT#
Renewal
Change/Add Class
Senior ID Card/Renewal (Age 62+)
DL
_____________________________
Duplicate
Replacement
ID CARD
Review: Primary _______________
____ Lost ____ Stolen
____ Lost ____ Stolen
Complete Parts 2,
Secondary Tech ID/Date
_____________________________
Complete Parts 2 through 8.
Complete Parts 2, 3, 5A, 6 & 7 only.
3, 5, 6 & 7 only.
PLEASE PROVIDE THE FOLLOWING:
2
NOTE:
You must use your true full name. Original documentation may be required. Refer to the California Driver Handbook.
Driver License
ID Card Number
State
Country
Expires
Birth Date
Social Security Number
OR
OR
MO
DAY
YR
MO
DAY
YR
–
–
/
/
/
/
First Name
Middle Name
Last Name
Suffix (Jr., Sr., III)
Mailing Address, P.O. Box, or Private Mail Box
Include Box Number, St., Ave., Rd., Blvd., etc.
Number, Street, Apt/Space No., City, State, Zip Code
(
),
Address Where You Live
If different from mailing address
, Number, Street, Apt/Space No., City, State, Zip Code
(
)
Sex
Hair Color
Eye Color
Height
Weight
M
F
3
ARE NOT
COMPLETE THIS SECTION ONLY IF YOU
ELIGIBLE FOR A SOCIAL SECURITY NUMBER:
I certify under penalty of perjury under the laws of the State of California that no Social Security Number has ever been issued to me and I am not presently eligible
for a Social Security Number. I understand that pursuant to Vehicle Code Section 12801 I must provide my Social Security Number to the Department of Motor
Vehicles when one is assigned to me.
Signature
Date
X
4
LICENSING NEEDS: 3
the appropriate box(es). Refer to the California Driver Handbook for additional information.
B
ASIC LICENSE
Basic Class C
Motorcycle
NON-COMMERCIAL LICENSE
AMBULANCE CERTIFICATE
If basic license only, go to Part 5.
Class A
Class B
5
THE FOLLOWING QUESTIONS MUST BE ANSWERED:
A.
Have you applied for a Driver License or Identification Card in California or another state/country using a different name
Yes
No
or number within the past ten (10) years? ............................................................................................................................................................
If yes, print name, DL/ID number, and state or country _______________________________________________________________________________
Yes
No
B.
Have you had your driving privilege or a driver license cancelled, refused, delayed, suspended, or revoked?......................................................
If yes, indicate date and reason below.
____________________
_______________________________________________________________________________________________
DATE
REASON
C.
Within the last five years, have you had or experienced any of the medical conditions specified on the back of this form
that affects your ability to operate a motor vehicle safely? Please read the “Medical Information” on the back of this
form before answering. ................................................................................................................................................................................
Yes
No
If yes, briefly explain: _________________________________________________________________________________________________________
6
DO YOU WISH TO REGISTER TO VOTE OR CHANGE POLITICAL AFFILIATION OR VOTER ADDRESS?
DO YOU WISH
Y
YES—Complete the
VOTER
I am a registered voter; I moved and wish to update my voter record.
TO REGISTER TO
attached voter form.
CHANGE
C
to a new county—Complete the attached voter form.
VOTE OR CHANGE
OF
S
w i t h i n t h e s a m e c o u n t y — D o n o t c o m p l e t e t h e a t t a c h e d
N
NO—Do not complete
POLITICAL AFFILIATION?
ADDRESS
form. Your voter record will be automatically updated.
attached voter form.
7
DO YOU WISH TO REGISTER TO BE AN ORGAN AND TISSUE DONOR?
If you mark “YES!” you will be added to the Donate Life California organ and tissue donor
YES! I want to be an organ and
registry and a pink donor dot will be printed on the front of your driver license or identification
DO YOU WISH TO
tissue donor.
card. If you are currently registered, you must check “YES!” to have the pink donor dot
REGISTER TO BE AN
printed on your license or identification card. If you wish to remove your name from the
ORGAN AND TISSUE
$2 voluntary contribution to
donor registry, you must contact Donate Life California (see back). The Department of Motor
DONOR?
support and promote organ and
Vehicles can only remove the pink donor dot from your license or identification card.
tissue donation.
FOR DRIVER UNDER 18, PARENT/GUARDIAN SIGNATURES REQUIRED:
8
BOTH MUSTSIGN
If both parents/guardians have joint custody,
. I/We accept civil liability for this minor.
Mother’s/Guardian’s Signature
Date
Daytime Phone Number
X
(
)
Address Street
Apt No.
City
State
Zip
Father’s/Guardian’s Signature
Date
Daytime Phone Number
X
(
)
Address Street
Apt. No.
City
State
Zip
CERTIFICATION:
I have read, understand and agree with the contents of this form, including the certifications on the BACK of this form.
9
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
STOP
Do not sign until instructed to do so by a DMV employee.
Applicant’s Signature
FOR DMV FIELD OFFICE USE ONLY
X
Date
Daytime Phone Number
(
)
DL 44 (REV. 10/2008)
HQ
MICROGRAPHICS
44
USE ONLY
A Public Service Agency
DRIVER LICENSE OR IDENTIFICATION CARD APPLICATION
DO NOT DUPLICATE
3
PURPOSE FOR YOUR VISIT:
FOR DMV USE ONLY
the appropriate box(es). PRINT USING BLACK OR BLUE INK ONLY.
1
READ ALL INFORMATION PROVIDED ON THE FRONT AND BACK OF THIS FORM.
BD/LP Code ___________________
DRIVER LICENSE (DL)
IDENTIFICATION CARD (ID)
NAME CHANGE/
State/Country __________________
Original DL/Permit
Remove Restriction
Original ID Card/Renewal
CORRECTION
DOCUMENT#
Renewal
Change/Add Class
Senior ID Card/Renewal (Age 62+)
DL
_____________________________
Duplicate
Replacement
ID CARD
Review: Primary _______________
____ Lost ____ Stolen
____ Lost ____ Stolen
Complete Parts 2,
Secondary Tech ID/Date
_____________________________
Complete Parts 2 through 8.
Complete Parts 2, 3, 5A, 6 & 7 only.
3, 5, 6 & 7 only.
PLEASE PROVIDE THE FOLLOWING:
2
NOTE:
You must use your true full name. Original documentation may be required. Refer to the California Driver Handbook.
Driver License
ID Card Number
State
Country
Expires
Birth Date
Social Security Number
OR
OR
MO
DAY
YR
MO
DAY
YR
–
–
/
/
/
/
First Name
Middle Name
Last Name
Suffix (Jr., Sr., III)
Mailing Address, P.O. Box, or Private Mail Box
Include Box Number, St., Ave., Rd., Blvd., etc.
Number, Street, Apt/Space No., City, State, Zip Code
(
),
Address Where You Live
If different from mailing address
, Number, Street, Apt/Space No., City, State, Zip Code
(
)
Sex
Hair Color
Eye Color
Height
Weight
M
F
3
ARE NOT
COMPLETE THIS SECTION ONLY IF YOU
ELIGIBLE FOR A SOCIAL SECURITY NUMBER:
I certify under penalty of perjury under the laws of the State of California that no Social Security Number has ever been issued to me and I am not presently eligible
for a Social Security Number. I understand that pursuant to Vehicle Code Section 12801 I must provide my Social Security Number to the Department of Motor
Vehicles when one is assigned to me.
Signature
Date
X
4
LICENSING NEEDS: 3
the appropriate box(es). Refer to the California Driver Handbook for additional information.
B
ASIC LICENSE
Basic Class C
Motorcycle
NON-COMMERCIAL LICENSE
AMBULANCE CERTIFICATE
If basic license only, go to Part 5.
Class A
Class B
5
THE FOLLOWING QUESTIONS MUST BE ANSWERED:
A.
Have you applied for a Driver License or Identification Card in California or another state/country using a different name
Yes
No
or number within the past ten (10) years? ............................................................................................................................................................
If yes, print name, DL/ID number, and state or country _______________________________________________________________________________
Yes
No
B.
Have you had your driving privilege or a driver license cancelled, refused, delayed, suspended, or revoked?......................................................
If yes, indicate date and reason below.
____________________
_______________________________________________________________________________________________
DATE
REASON
C.
Within the last five years, have you had or experienced any of the medical conditions specified on the back of this form
that affects your ability to operate a motor vehicle safely? Please read the “Medical Information” on the back of this
form before answering. ................................................................................................................................................................................
Yes
No
If yes, briefly explain: _________________________________________________________________________________________________________
6
DO YOU WISH TO REGISTER TO VOTE OR CHANGE POLITICAL AFFILIATION OR VOTER ADDRESS?
DO YOU WISH
Y
YES—Complete the
VOTER
I am a registered voter; I moved and wish to update my voter record.
TO REGISTER TO
attached voter form.
CHANGE
C
to a new county—Complete the attached voter form.
VOTE OR CHANGE
OF
S
w i t h i n t h e s a m e c o u n t y — D o n o t c o m p l e t e t h e a t t a c h e d
N
NO—Do not complete
POLITICAL AFFILIATION?
ADDRESS
form. Your voter record will be automatically updated.
attached voter form.
7
DO YOU WISH TO REGISTER TO BE AN ORGAN AND TISSUE DONOR?
If you mark “YES!” you will be added to the Donate Life California organ and tissue donor
YES! I want to be an organ and
registry and a pink donor dot will be printed on the front of your driver license or identification
DO YOU WISH TO
tissue donor.
card. If you are currently registered, you must check “YES!” to have the pink donor dot
REGISTER TO BE AN
printed on your license or identification card. If you wish to remove your name from the
ORGAN AND TISSUE
$2 voluntary contribution to
donor registry, you must contact Donate Life California (see back). The Department of Motor
DONOR?
support and promote organ and
Vehicles can only remove the pink donor dot from your license or identification card.
tissue donation.
FOR DRIVER UNDER 18, PARENT/GUARDIAN SIGNATURES REQUIRED:
8
BOTH MUSTSIGN
If both parents/guardians have joint custody,
. I/We accept civil liability for this minor.
Mother’s/Guardian’s Signature
Date
Daytime Phone Number
X
(
)
Address Street
Apt No.
City
State
Zip
Father’s/Guardian’s Signature
Date
Daytime Phone Number
X
(
)
Address Street
Apt. No.
City
State
Zip
CERTIFICATION:
I have read, understand and agree with the contents of this form, including the certifications on the BACK of this form.
9
I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
STOP
Do not sign until instructed to do so by a DMV employee.
Applicant’s Signature
FOR DMV FIELD OFFICE USE ONLY
X
Date
Daytime Phone Number
(
)
DL 44 (REV. 10/2008)
IT IS IMPORTANT THAT YOU READ AND UNDERSTAND
THE FOLLOWING INFORMATION AND CERTIFICATIONS
MEDICALINFORMATION
The following conditions that may affect your ability to operate a motor vehicle safely include, but are not limited to:
• loss of consciousness; or
• episode of marked confusion caused by any condition which may bring about recurring lapses; or
• disease, disorder, or disability (examples of these are epilepsy, diabetes, stroke, cataracts, Parkinson’s disease); or
• decrease or change in your vision due to cataracts, macular degeneration, diabetic retinopathy, glaucoma, retinitis
pigmentosa, or other progressive condition; or
• health problems because of alcohol or drug abuse.
VOTER REGISTRATION
If the voter has not received voter registration information within 30 days of requesting it, they should contact the Local Elections Office of the
Office of the Secretary of State.
ORGAN DONOR STATEMENT
If you marked on the front of the application that you want to be an organ and tissue donor upon death, your consent shall
serve as a legally binding document as outlined under the California Uniform Anatomical Gift Act. Except in the case where
the donor is under the age of 18, the donation does not require the consent of any other person. For donors under the age of
18, the legal guardian of the donor shall make the final decision regarding the donation. If you want to change your decision to
consent in the future, or if you want to limit the donation to specific organs, tissues or research, you must contact Donate Life
California by mail at 1760 Creekside Oaks Drive, # 220, Sacramento, CA 95833 or online at www.donateLIFEcalifornia.org,
or www.doneVIDAcalifornia.org.
DISCLOSURE STATEMENTS
• SOCIAL SECURITY NUMBER COLLECTION DISCLOSURE — You are required by law to provide your Social Se-
curity Number, if you are eligible for one, or your application will be denied. An applicant who is legally present
in the United States, but not authorized to work and therefore ineligible for a Social Security Number may still
be eligible for a California Driver License/Identification Card.
Authority to collect the social security number is United States Code, Title 42, Chapter 7, Subchapter II, Section 405 and California Vehicle
Code §1653.5, §12800, and §12801. It will be used in the administration of driver license laws and motor vehicle registration laws and
to respond to requests for information from the:
• Franchise Tax Board for tax administration
• Any agency operating pursuant to 42 U.S.C. 601 et seq.
It will be used to aid in the collection of monies owed in connection with:
3
failure to pay fines or failure to appear in court by an applicant
3
Aid to Families with Dependent Children
3
Child Support
3
Establishment of Paternity
• DMV verifies your social security number, name and birth date on our records with the Social Security Administration. You will not be
issued or be able to renew your driver license or identification card until the Social Security Administration verifies the information you have
provided is correct. By applying for a driver license or identification card, you authorize and consent to a search of any and all databases
at the Social Security Administration by the California Department of Motor Vehicles, to verify the information you have provided.
• DMV checks for driving record status in other jurisdictions through the National Driver Registry prior to issuance of a California driver
license. You will not be issued a California driver license if another jurisdiction has withdrawn your driving privilege.
• The mailing address listed on the front of this application will be the address shown on your driver license or identification card.
ADVISORY STATEMENT
The information required on this form pertains to eligibility for and issuance of a driver license. It is required under the authority of Division 6
of the California Vehicle Code. Failure to provide the information is cause for refusal to issue a driver license, or, in some cases, cancellation
or withdrawal of the driving privilege.
• Except as made confidential(medical informationis confidential under authority of California Vehicle Code §1808.5) or exempted under the
Public Records Act, this information is a public record and is regularly used by law enforcement agencies and insurance companies.
• Access to address information is now restricted, and will be available to various authorized requesters for limited use. Individuals can
obtain copies of their own information during regular office hours.
CRIMINAL PROSECUTION
• If you submit fraudulent information, the DMV may pursue criminal prosecution.
• Any person who uses false documents to conceal his or her true citizenship or resident alien status is guilty of a felony pursuant to
California Penal Code §114.
REFUNDS
• Once this application form and fee have been submitted, no refunds will be made.
CERTIFICATIONS
• I agree to submit to a chemical test of my blood, breath, or urine for the purpose of determining the alcohol or drug content of my blood
when testing is requested by a peace officer acting in accordance with California Vehicle Code §23612.
• I am hereby advised that being under the influence of alcohol or drugs, or both, impairs the ability to safely operate a motor vehicle.
Therefore, it is extremely dangerous to human life to drive while under the influence of alcohol or drugs, or both. If I drive while under
the influence of alcohol or drugs, or both, and as a result, a person is killed, I can be charged with murder.
• By signing this application, I certify that I was notified that if I am under 21 years of age, I cannot legally drive with a blood alcohol
concentration (BAC) of 0.01% or more. Driving with a BAC of 0.01% or more, or refusing to take, or failing to complete an alcohol
screening or drug test, results in a one-year suspension of my driving privilege.
• By signing this application, I certify that I was notified that if I am currently on court probation for a driving under the influence offense, I
cannot legally drive with a blood alcohol concentration (BAC) of .01% or more. Driving with a BAC of .01% or more results in a one-year
suspension of my driving privilege. Refusing to take, or failing to complete an alcohol screening or chemical test will result in a two to
three year suspension/revocation of my driving privilege.
• I am the person whose name appears on the front of this form. The mailing address shown is valid, existing, and
accurate. I agree to accept service of process at this mailing address according to §§415.20(b), 415.30(a), and §416.90 of the California
Civil Procedure Code.
• I understand DMV may add traffic convictions reported by other states or jurisdictions to my driving record that may result in sanctions
against my California driving privilege.
• By signing this form, I am acknowledging my presence in the United States is authorized under federal law.
• I understand I may have no more than one driver license in my possession or under my control in accordance with
California Vehicle Code §12511.
DL 44 (REV. 10/2008)
California Department of Motor Vehicles California Legal Forms United States Legal Forms

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