"Waiver of Registration With the United States Selective Service System" - Washington, D.C.

Waiver of Registration With the United States Selective Service System is a legal document that was released by the Washington DC Department of Motor Vehicles - a government authority operating within Washington, D.C..

Form Details:

  • Released on December 1, 2012;
  • The latest edition currently provided by the Washington DC Department of Motor Vehicles;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Washington Dc Department of Motor Vehicles.

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GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF MOTOR VEHICLES
WAIVER OF REGISTRATION WITH THE UNITED STATES
SELECTIVE SERVICE SYSTEM
In accordance with Federal law, any male, United States citizen or immigrant who is at least 18,
but less than 26 years of age, must register with Selective Service.
Pursuant to the “Access to Selective Service Registration Amendment Act of 2012”, I am
choosing NOT to use the drive license or identification card application as a means of registering
with the Selective Service System.
If required to register, I understand I must be registered with Selective Service to be eligible for
the following Federal benefits associated with the registration requirement:
Federal Student Aid (to include Pell Grant)
Job training under the Workforce Investment Act (WIA)
Federal Employment
Employment with the US Postal Service
Citizenship, if I am a US Immigrant
I also understand that failure to register with Selective Service is a felony punishable by up to
five years in prison and a $250,000 dollar fine. In addition, by failing to register, as required, I
could permanently lose those benefits associated with the registration requirement.
I am exercising my right to refuse to register with Selective Service via the DC DMV driver
license or identification card application process.
Print Name:
Signature:
Date:
This waiver form will be kept on file by DC DMV with the driver license/identification card
application.
DMV/SSS: 12/1/12
GOVERNMENT OF THE DISTRICT OF COLUMBIA
DEPARTMENT OF MOTOR VEHICLES
WAIVER OF REGISTRATION WITH THE UNITED STATES
SELECTIVE SERVICE SYSTEM
In accordance with Federal law, any male, United States citizen or immigrant who is at least 18,
but less than 26 years of age, must register with Selective Service.
Pursuant to the “Access to Selective Service Registration Amendment Act of 2012”, I am
choosing NOT to use the drive license or identification card application as a means of registering
with the Selective Service System.
If required to register, I understand I must be registered with Selective Service to be eligible for
the following Federal benefits associated with the registration requirement:
Federal Student Aid (to include Pell Grant)
Job training under the Workforce Investment Act (WIA)
Federal Employment
Employment with the US Postal Service
Citizenship, if I am a US Immigrant
I also understand that failure to register with Selective Service is a felony punishable by up to
five years in prison and a $250,000 dollar fine. In addition, by failing to register, as required, I
could permanently lose those benefits associated with the registration requirement.
I am exercising my right to refuse to register with Selective Service via the DC DMV driver
license or identification card application process.
Print Name:
Signature:
Date:
This waiver form will be kept on file by DC DMV with the driver license/identification card
application.
DMV/SSS: 12/1/12