Download Dmv Dld 128 Template Open Editor Now

Download Dmv Dld 128 Template

The DMV DLD 128 form is a declaration used by individuals in Nevada to certify their homeless status. This form allows eligible applicants to request a waiver of fees for a duplicate Driver’s License, Instruction Permit, or Identification Card. If you believe you qualify, consider filling out the form by clicking the button below.

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Dmv Dld 128 Example

Field Services Division

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

DECLARATION OF HOMELESS STATUS

I hereby certify under penalty of perjury that I am homeless and qualify for the waiver of fees for a duplicate Driver’s License, Instruction Permit, or Identification Card, as prescribed in Nevada Revised Statutes Chapter 483.

I understand that the fees will be waived not more than one time and that I will be required to reimburse the Department the amount of the photo fee at the time of my renewal, if I am employed at the time.

I am requesting a duplicate

Driver’s License

Identification Card

Instruction Permit

Applicant’s Printed Name _____________________________________________________

Driver License/Identification Card Number (if known) _______________________________

Social Security Number ______________________________________________________

Date of Birth _______________________________________________________________

Address Where I Am Staying

 

 

__

________

 

City

 

 

State:

 

Zip:

____

Signature of Applicant _______________________________________________________

Dated this ________________ day of ______________________________, 20__________

DMV Representative ________________________________________________________

Dated this ________________ day of ______________________________, 20__________

DLD- 128 (July 2005)

Guide to Writing Dmv Dld 128

Filling out the DMV DLD 128 form is an important step for individuals seeking to declare their homeless status in order to request a waiver for fees associated with obtaining a duplicate driver's license, instruction permit, or identification card. After completing this form, it will be submitted to the DMV for processing, and you may need to provide additional information or documentation as required.

  1. Obtain the form: You can download the DMV DLD 128 form from the Nevada DMV website or pick up a physical copy at your local DMV office.
  2. Fill in your name: Write your printed name in the designated space at the top of the form.
  3. Driver License/ID Number: If you know your driver license or identification card number, write it in the provided box. If not, you can leave it blank.
  4. Social Security Number: Enter your Social Security Number in the appropriate field.
  5. Date of Birth: Fill in your date of birth using the format specified on the form.
  6. Address: Provide the address where you are currently staying. Include the city, state, and zip code.
  7. Signature: Sign the form in the designated area to certify that the information you provided is accurate.
  8. Date the form: Write the date on which you are filling out the form.
  9. DMV Representative Signature: Leave the section for the DMV representative blank; they will fill it out when you submit the form.

After completing these steps, ensure that all information is accurate and legible. Then, submit the form to your local DMV office, either in person or via fax, if applicable. Be prepared to answer any questions they may have or provide additional documentation if required.

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Understanding Dmv Dld 128

What is the DMV DLD 128 form?

The DMV DLD 128 form is a declaration used in Nevada for individuals who are homeless. It allows them to request a waiver of fees for a duplicate Driver’s License, Instruction Permit, or Identification Card. This form is particularly important for those who may not have the financial means to pay for these essential documents.

Who is eligible to use the DMV DLD 128 form?

Eligibility for the DMV DLD 128 form is specifically aimed at individuals who are homeless. To qualify, applicants must certify their homeless status under penalty of perjury. This form can only be used for one fee waiver, so it's crucial to understand the requirements and implications before applying.

What information do I need to provide on the form?

When filling out the DMV DLD 128 form, applicants must provide several key pieces of information. This includes their printed name, Driver License or Identification Card number (if known), Social Security number, date of birth, and the address where they are currently staying. It is important to fill out all sections accurately to avoid delays in processing.

What happens after I submit the DMV DLD 128 form?

Once you submit the DMV DLD 128 form, a DMV representative will review your application. If approved, you will receive a waiver for the fees associated with obtaining a duplicate Driver’s License, Instruction Permit, or Identification Card. However, keep in mind that if you are employed at the time of your renewal, you will be required to reimburse the Department for the photo fee.

Can I use the DMV DLD 128 form more than once?

No, the DMV DLD 128 form can only be used for a fee waiver on one occasion. This means that if you have previously received a waiver, you will not be eligible to use this form again. It’s essential to plan accordingly and ensure that you have all necessary documents in order for your application.

Where can I get assistance with the DMV DLD 128 form?

If you need assistance with the DMV DLD 128 form, you can reach out to the DMV Field Services Division. They have offices in Reno/Sparks/Carson City and Las Vegas. You can call them at (775) 684-4DMV (4368) for the northern region or (702) 486-4DMV (4368) for the Las Vegas area. For rural Nevada, the toll-free number is (877) 368-7828. Additionally, you can visit their website at www.dmvnv.com for more information.

Common mistakes

  1. Not signing the form: Many applicants forget to sign the form. Without a signature, the application is incomplete.

  2. Missing information: Failing to fill in all required fields can lead to delays. Double-check that every section is complete.

  3. Incorrect Social Security Number: Entering an incorrect Social Security Number can cause issues with verification.

  4. Providing an outdated address: Make sure to list the address where you are currently staying. An outdated address can lead to confusion.

  5. Not understanding the fee waiver: Some applicants misunderstand the fee waiver policy. Remember, it applies only once and must be reimbursed if you are employed at renewal.

  6. Ignoring the date: Forgetting to date the form can result in processing delays. Always include the date when you submit your application.

  7. Failing to provide identification: If you’re applying for a duplicate, ensure you have the necessary identification ready, even if the fees are waived.

Document Data

Fact Name Details
Form Purpose The DLD 128 form is used to declare homeless status for individuals seeking a waiver of fees for a duplicate driver’s license, instruction permit, or identification card.
Governing Law This form is governed by Nevada Revised Statutes Chapter 483, which outlines the regulations regarding driver's licenses and identification cards.
Fee Waiver Individuals can qualify for a fee waiver only once. If employed at the time of renewal, reimbursement of the photo fee will be required.
Contact Information For assistance, individuals can contact the Field Services Division at (775) 684-4DMV in Reno/Sparks/Carson City or (702) 486-4DMV in Las Vegas.
Form Availability The DLD 128 form can be accessed online through the Nevada DMV website at www.dmvnv.com.
Signature Requirement The form must be signed by the applicant to certify the truthfulness of the information provided regarding their homeless status.
Identification Number Applicants are encouraged to provide their driver license or identification card number if known, to facilitate the processing of their request.
Submission Instructions Once completed, the form should be submitted to the appropriate DMV office, along with any required documentation.

Documents used along the form

When dealing with the DMV DLD 128 form, several other documents may be necessary to ensure a smooth process. Each of these documents serves a specific purpose and can help clarify your situation or provide additional information. Here’s a list of commonly used forms and documents that often accompany the DLD 128.

  • Application for a Duplicate Driver's License: This form is used to request a replacement for a lost or stolen driver's license. It helps verify your identity and ensures you receive a new license promptly.
  • Proof of Identity: Documents such as a birth certificate or passport are often required to confirm your identity. These documents help the DMV verify who you are when issuing a duplicate license.
  • Proof of Residency: A utility bill, lease agreement, or bank statement can serve as proof of where you currently live. This document is crucial for establishing your current address.
  • Social Security Card: Presenting your Social Security card may be necessary to confirm your Social Security number. This helps prevent identity theft and ensures accurate record-keeping.
  • Lease Agreement: A completed Lease Agreement form can serve as proof of residency, detailing your rental information and supporting your application process.
  • Affidavit of Homelessness: If you are homeless, this document can provide additional proof of your status. It may be required to support your application for fee waivers.
  • Identification Card Application: If you are applying for a state ID instead of a driver's license, this form is essential. It outlines your request for an identification card.
  • Payment Receipt for Fees: If you have previously paid any fees related to your license or ID, keeping a copy of the receipt can be helpful. This document serves as proof of payment.

Gathering these documents can make the process of obtaining your duplicate driver’s license or ID smoother. Always check with your local DMV for any specific requirements or additional forms that may be needed. Being prepared can save you time and reduce stress.

Similar forms

  • Form DL 44: This form is used in California for applying for a driver’s license or ID card. Like the DLD 128, it also includes a declaration of status, allowing individuals to certify their eligibility for specific waivers.
  • Form 1-797: This is a notice of action used by the U.S. Citizenship and Immigration Services. Similar to the DLD 128, it serves as an official document that provides information about a person's status, although it pertains to immigration rather than driving privileges.
  • Form DMV 101: This form is used in various states to apply for a fee waiver for driver's licenses or ID cards. Like the DLD 128, it requires the applicant to declare their financial situation and eligibility for fee waivers.
  • Form 8606: This IRS form is used for reporting nondeductible contributions to traditional IRAs. While it deals with financial matters, it shares the aspect of requiring a declaration of status, similar to the DLD 128’s declaration of homelessness.
  • Ohio Living Will Form: To ensure your medical preferences are respected, you can refer to our comprehensive Ohio Living Will resources that guide you through the creation and use of this crucial document.
  • Form 20-100: This is a form used for requesting a duplicate of a lost or stolen identification card in certain states. It parallels the DLD 128 in that it allows individuals to request a duplicate while providing necessary personal information.
  • Form 4506-T: This form allows individuals to request a transcript of their tax return. Similar to the DLD 128, it requires personal information and serves to verify an individual's status, though in the context of tax records.