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.
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 ________________________________________________________
DLD- 128 (July 2005)
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.
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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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.
Not signing the form: Many applicants forget to sign the form. Without a signature, the application is incomplete.
Missing information: Failing to fill in all required fields can lead to delays. Double-check that every section is complete.
Incorrect Social Security Number: Entering an incorrect Social Security Number can cause issues with verification.
Providing an outdated address: Make sure to list the address where you are currently staying. An outdated address can lead to confusion.
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.
Ignoring the date: Forgetting to date the form can result in processing delays. Always include the date when you submit your application.
Failing to provide identification: If you’re applying for a duplicate, ensure you have the necessary identification ready, even if the fees are waived.
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.
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.