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Download Dmv 115 Template

The DMV 115 form serves as a certification to establish that an individual is a resident of Nevada, which is necessary for obtaining a driver’s license, driver authorization card, or identification card. This form is essential for those receiving social services and provides crucial evidence of residency. To ensure you meet the requirements, consider filling out the form by clicking the button below.

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Article Guide

Dmv 115 Example

Reno/Sparks/Carson City (775) 684-4DMV (4368)

Las Vegas Area (702) 486-4DMV (4368)

Rural Nevada (877) 368-7828

Fax: (775) 684-4992

Website: www.dmvnv.com

Relief Agency or Shelter Certification

This certification is used to support a claim that you are a Nevada resident. You must be a resident of Nevada to be eligible for a driver’s license, driver authorization card (DAC) or identification card (NRS 483.250 (7), 483.290 (5)(b), and 483.934). The definition of “resident” is found in NRS 483.141.

This certification will be accepted as one form of evidence for your principal residence address.

Customer Information

Name

Residence Address	City	State	Zip
		NV
Mailing Address if different	City	State	Zip
		NV

DL/ID Number	Social Security Number (not required for a DAC)

Nevada Relief Agency or Shelter Information

Organization Name

Organization Address	City	State	Zip
		NV
Contact Person Name	Telephone Number

Tax ID Number	Tax-ID Exempt □
	Tax-ID Exempt □

I certify that the above-named individual is a resident of Nevada receiving social services from the organization named on this certification.

Nevada Relief Agency or Shelter Authorized Signature

Date

DISCLOSURE STATEMENT: The Privacy Act as passed by the United States Congress authorizes the use of your Social Security number for the purpose of verifying your identity. This number must be provided and will be used in the administration of driver license laws as required by NRS 483.290.

I hereby certify under penalty of perjury that all statements in this application are true and correct. I agree and understand that any misstatement of material facts may cause cancellation and/or denial of my driver license or identification card under NRS 483.420 and NRS 483.530, respectively. I further understand that any misstatement of facts may be a misdemeanor or felony under NRS 483.530, and may be punishable pursuant to NRS 193.130.

Applicant Signature

Date

(DMV-115, 8/13)

Click for Dmv 115

Guide to Writing Dmv 115

Completing the DMV 115 form is essential for establishing residency in Nevada when applying for a driver’s license, driver authorization card, or identification card. Follow these steps to ensure the form is filled out correctly.

Obtain the DMV 115 form from the Nevada DMV website or a local DMV office.
Fill in your Name in the designated section.
Provide your Residence Address, including the city, state, and zip code.
If your mailing address differs from your residence address, complete the Mailing Address section with the appropriate details.
Enter your DL/ID Number if you have one. If applying for a DAC, this is not required.
Include your Social Security Number, which is necessary for verification purposes.
Fill in the Nevada Relief Agency or Shelter Information section with the organization’s name and address, including city, state, and zip code.
Provide the Contact Person Name and their Telephone Number.
If applicable, include the Tax ID Number of the organization and indicate if it is Tax-ID Exempt.
Sign the certification statement to affirm that the information is true and correct.
Date your signature in the provided space.

After completing the form, it is advisable to review all entries for accuracy. Once confirmed, submit the form to the appropriate DMV office as instructed, either in person or via fax, if applicable.

Understanding Dmv 115

What is the DMV 115 form?

The DMV 115 form is a certification used in Nevada to establish residency. It supports claims that an individual is a resident of Nevada, which is necessary for obtaining a driver's license, driver authorization card (DAC), or identification card.

Who needs to fill out the DMV 115 form?

Individuals who are applying for a driver's license, DAC, or identification card in Nevada and need to prove their residency must complete this form. It is particularly useful for those receiving social services from a recognized relief agency or shelter.

What information is required on the DMV 115 form?

The form requires personal information such as the applicant's name, residence address, mailing address (if different), and driver's license or ID number. Additionally, details about the relief agency or shelter, including its name, address, contact person, and tax ID number, must be provided.

How does one obtain the DMV 115 form?

The DMV 115 form can be obtained from the Nevada DMV website or by visiting a local DMV office. It is essential to ensure that the most current version of the form is used.

What is the purpose of the certification on the DMV 115 form?

The certification on the DMV 115 form confirms that the individual is a Nevada resident receiving social services from the listed organization. This certification serves as evidence of the applicant's principal residence address.

Is a Social Security number required on the DMV 115 form?

A Social Security number is not required for a DAC application. However, it must be provided for a driver's license or identification card application to verify the applicant's identity, as authorized by the Privacy Act.

What happens if the information provided on the DMV 115 form is incorrect?

Providing incorrect information can lead to the cancellation or denial of a driver's license or identification card. Misstatements may also result in legal consequences, including misdemeanor or felony charges under Nevada law.

How can one contact the DMV for assistance with the DMV 115 form?

For assistance, individuals can contact the DMV by calling the Reno/Sparks/Carson City office at (775) 684-4DMV, the Las Vegas area at (702) 486-4DMV, or the rural Nevada number at (877) 368-7828. Fax inquiries can be sent to (775) 684-4992.

What is the significance of the authorized signature on the DMV 115 form?

The authorized signature from the relief agency or shelter certifies that the information provided about the individual's residency and social services is accurate. This signature is crucial for validating the residency claim.

When should the DMV 115 form be submitted?

The DMV 115 form should be submitted when applying for a driver's license, DAC, or identification card. It is advisable to complete and submit the form along with the other required documentation to avoid delays in processing the application.

Common mistakes

Failing to provide accurate personal information. Ensure that your name, residence address, and mailing address (if different) are correct. Any discrepancies can lead to delays or rejections.
Not including the correct organization details. The organization name and address must be filled out accurately. Missing or incorrect information can invalidate the certification.
Omitting the contact person's information. Providing a contact person's name and telephone number is crucial for verification purposes. Without this, the form may not be processed.
Neglecting to sign and date the form. Your signature is a declaration of truthfulness regarding your residency status. Failing to sign can lead to automatic rejection of the application.
Misunderstanding the Social Security number requirement. While not required for a Driver Authorization Card (DAC), it is essential for other applications. Ensure you provide it when necessary to avoid processing issues.
Ignoring the disclosure statement. Familiarize yourself with the privacy act and the implications of providing false information. Understanding this can help you avoid legal repercussions.

Document Data

Fact Name	Description
Purpose	The DMV 115 form is used to certify that an individual is a resident of Nevada, supporting their claim for a driver’s license or identification card.
Eligibility	To be eligible for a driver’s license or identification card, one must be a resident of Nevada as defined by state law.
Governing Laws	This form is governed by Nevada Revised Statutes (NRS) 483.250 (7), 483.290 (5)(b), and 483.934.
Definition of Resident	The definition of “resident” can be found in NRS 483.141, which outlines the criteria for residency in Nevada.
Required Information	The form requires personal information such as the applicant's name, address, and social security number (not required for a DAC).
Agency Certification	A Nevada relief agency or shelter must certify the residency of the individual by providing their organization details and authorized signature.
Privacy Statement	The form includes a disclosure statement regarding the use of the social security number for identity verification, as authorized by the Privacy Act.
Penalties for Misstatement	Misstatements on the form may lead to cancellation of the driver’s license or identification card and could result in misdemeanor or felony charges.
Form Version	The DMV-115 form was last updated in August 2013, as indicated in the footer of the document.

Documents used along the form

The DMV 115 form is essential for individuals seeking to establish residency in Nevada for the purpose of obtaining a driver's license, driver authorization card, or identification card. Alongside this form, several other documents are commonly required or beneficial during the application process. Below is a list of these documents, each serving a specific purpose.

Proof of Identity: This document verifies an individual's identity and may include a passport, birth certificate, or other government-issued identification.
Social Security Card: While not required for a DAC, presenting a Social Security card can help establish identity and is often requested for driver's license applications.
Proof of Residency: Documents such as utility bills, lease agreements, or bank statements can serve as proof of residency, confirming that the applicant lives at the stated address.
Application for Driver’s License (DMV-002): This application form is necessary for those applying for a new driver's license or renewing an existing one.
Driver Authorization Card Application: This specific application is for individuals who may not qualify for a standard driver's license but still need a means to drive legally.
Medical Certification: If applicable, this document certifies that the applicant meets the medical requirements to drive safely, often required for individuals with certain medical conditions.
Vision Test Results: A report from an eye care professional confirming that the applicant meets the vision standards necessary for driving.
Payment for Fees: Proof of payment for any associated fees is often required, which can include license application fees or testing fees.
New York Mobile Home Bill of Sale: This form is essential for documenting the transfer of ownership of a mobile home and ensuring compliance with state laws. For further information, you can visit legalpdf.org.
Parent or Guardian Consent Form: For applicants under 18, this form is necessary to confirm that a parent or guardian approves of the application.
Proof of Legal Presence: Documents such as a passport or immigration paperwork are needed to verify that the applicant is legally present in the United States.

Gathering these documents can streamline the application process and help ensure that all requirements are met for obtaining a driver's license, driver authorization card, or identification card in Nevada. Each document plays a critical role in verifying identity, residency, and eligibility, making them integral to the DMV application process.

Similar forms

Form DMV 110: Similar to the DMV 115, this form is also used to establish residency in Nevada. It requires proof of residence and is often used for obtaining a driver's license or identification card.
Form DMV 120: This document serves as an application for a driver's license or ID card. Like the DMV 115, it requires verification of residency and personal information to ensure eligibility.
Form DMV 125: This form is utilized for a change of address. It shares similarities with the DMV 115 in that both require updated residency information to maintain accurate records for driver licensing.
Motor Vehicle Bill of Sale: This essential document finalizes the transfer of vehicle ownership. For further insights on how to properly complete this form, check out the Bill of Sale for a Car.
Form DMV 130: This form is a declaration of residency for individuals applying for a driver authorization card. It is comparable to the DMV 115 as both confirm residency status as part of the application process.
Form DMV 135: This document is used for certification of residency for minors. It parallels the DMV 115 in that it requires confirmation from a parent or guardian regarding the minor's residency status.
Form DMV 140: This form is used for verifying residency for commercial driver's licenses. It is similar to the DMV 115 in that both require supporting documentation to affirm residency in Nevada.