De 36 Form PDF Details

Applying for a driver license or an ID card in Michigan involves a detailed process as outlined in the DE-36 form, an essential document governed by the state's Department of State. This form serves as a comprehensive application that individuals must complete, whether they are applying for their very first license, renewing an existing one, or undergoing processes like duplication or correction of their current documents. It is crucial for applicants to provide accurate information across various sections, including personal identification details, residence address, and legal presence verification. The form also inquires about an applicant's health status related to driving capabilities, and it offers the option to sign up for the organ donor registry—a decision that could potentially save lives. Furthermore, the DE-36 form touches upon the legal implications of providing false information, underlining the seriousness of the application process and the potential consequences of dishonesty. Equally important, applicants must navigate through questions about current license suspensions or revocations in Michigan or any other state, emphasizing the significance of a clean driving record. Completing this form is a critical step toward achieving or maintaining driving privileges in Michigan, with department personnel standing by to assist applicants and ensure compliance with state laws and requirements.

QuestionAnswer
Form NameDe 36 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmichigan state id application form de 36, PID, MICHIGAN, michigan driver license application form

Form Preview Example

MICHIGAN DEPARTMENT OF STATE DRIVER LICENSE AND ID CARD APPLICATION

Making a false statement on a driver license or ID card application can result in fines or criminal prosecution and action against your driving privilege. Department personnel will notify law enforcement if they believe a fraudulent application is being made.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WOULD YOU LIKE YOUR NAME ADDED TO THE ORGAN DONOR

YES

 

 

 

 

 

 

 

 

 

 

 

FULL LEGAL NAME (First)

(Middle)

(Last)

REGISTRY?

NO

 

 

 

 

 

 

 

 

IN THE LAST SIX MONTHS*, HAVE YOU HAD A FAINTING SPELL,

YES

 

 

 

 

 

 

 

 

BLACKOUT, SEIZURE, OR OTHER LOSS OF CONSCIOUSNESS?

 

 

 

 

 

 

 

 

 

 

 

RESIDENCE ADDRESS (Required)

 

 

 

COUNTY

(*Twelve months if applying for a chauffeur or commercial driver license.)

NO

 

 

 

 

 

 

 

 

IS YOUR DRIVER LICENSE CURRENTLY SUSPENDED, REVOKED,

YES

 

 

CITY

 

 

 

ZIP CODE

CANCELLED OR DENIED IN MICHIGAN OR ANY OTHER STATE?

NO

 

 

 

 

 

 

 

 

 

 

 

 

CHECK ONE:

 

YES

 

 

 

 

 

 

MALE

WILL YOU BE OPERATING A MOTORCYCLE ON PUBLIC ROADS?

 

 

 

 

 

 

 

 

 

PHONE NUMBER

 

 

 

FEMALE

 

NO

 

 

 

 

 

 

 

 

IN THE LAST SIX MONTHS*, HAVE YOU HAD A MEDICAL

YES

 

 

 

 

 

 

 

 

CONDITION WHICH AFFECTED YOUR ABILITY TO DRIVE?

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH (Month/Day/Year)

 

EYE COLOR

HEIGHT (FT/IN)

WEIGHT

(*Twelve months if applying for a chauffeur or commercial driver license.)

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

ARE YOU A CITIZEN OF THE UNITED STATES?

YES

 

 

 

 

 

 

 

 

 

 

 

PERMANENT MAILING ADDRESS (If different from residence)

 

 

 

 

NO

 

 

 

 

 

 

 

 

ARE YOU A RESIDENT OF THE STATE OF MICHIGAN?

YES

 

 

 

 

 

 

 

 

 

 

 

MAILING ADDRESS CITY

 

 

STATE

ZIP CODE

 

NO

 

I certify under the penalty for perjury that I am a legal Michigan resident, the statements made on this application are true, and that a court is not holding my license.

X SIGNATURE OF APPLICANT

DATE (Month/Day/Year)

APPLICATION TYPE (Circle one)

TIP ORIG. REN. DUP. CORR. VAL.

LICENSE TYPE

O C M GDL 1 GDL 2 GDL 3 PID

GROUP DESIGNATION

A B C

ENDORSEMENTS

CY F H N P R S T SEAS.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CORRECTIVE LENS?

 

CDL RESTRICTIONS

 

SAVE CASE NUMBER

 

 

 

 

SOCIAL SECURITY DOCUMENT PRESENTED

YES

NO

 

28

29

30

 

 

 

 

 

 

 

 

 

 

 

LEGAL PRESENCE DOCUMENT PRESENTED

 

 

 

 

 

 

 

 

 

 

 

 

U.S. BIRTH CERTIFICATE

 

 

 

STATE

 

 

 

 

COUNTY

 

 

FILE #

(original or certified copy)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. PASSPORT OR PASSPORT CARD

 

 

COUNTRY

 

 

 

 

EXP. DATE

 

 

FILE #

(valid, unexpired)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ARRIVAL AND DEPARTURE FORM

 

 

ISSUE DATE

 

 

 

 

EXP. DATE

 

 

FILE #

(I-94)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. VISA

 

 

 

 

 

TYPE (F-1, J-1 etc.)

 

 

 

EXP. DATE

 

 

FILE #

(immigrant or non-immigrant)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PERMANENT RESIDENT CARD (I-551)

 

 

ISSUE DATE

 

 

 

 

EXP. DATE

 

 

FILE #

(valid, unexpired)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYMENT AUTHORIZATION CARD

 

 

ISSUE DATE

 

 

 

 

EXP. DATE

 

 

FILE #

(EAD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATE OF CITIZENSHIP

 

 

ISSUE DATE

 

 

 

 

FILE #

 

 

 

(N-560, N-561)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CERTIFICATE OF NATURALIZATION

 

 

ISSUE DATE

 

 

 

 

FILE #

 

 

 

(N-550, N-570, N-578)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONSULAR REPORT OF BIRTH ABROAD

 

 

ISSUE DATE

 

 

 

 

FILE #

 

 

 

(FS-240, DS-1350, FS-545)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IDENTITY DOCUMENT PRESENTED

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S./CANADIAN DRIVER LICENSE or PID

 

 

STATE

 

 

 

 

DL/PID #

 

 

FILE #

(valid or expired less than 1 year)

 

 

 

 

 

 

 

 

 

 

 

 

 

FOREIGN PASSPORT

 

 

 

COUNTRY

 

 

 

 

EXP. DATE

 

 

FILE #

(valid or expired less than 1 year)

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. MILITARY ID CARD (DD-2, DD1173, CAC card)

 

ISSUE DATE

 

 

 

 

EXP. DATE

 

 

FILE #

(valid or expired less than 1 year)

 

 

 

 

 

 

 

 

 

 

 

 

 

U.S. LEGAL DOCUMENTS

 

 

 

STATE

 

 

 

 

TYPE

 

 

FILE #

(marriage, divorce, adoption, legal name change)

 

 

 

 

 

 

 

 

 

 

 

 

PHOTO ID CARD

 

 

 

ISSUE DATE

 

 

 

 

EXP. DATE

 

 

FILE #

(issued by federal or Michigan or tribal government agency)

 

 

 

 

 

 

 

 

 

 

 

 

U.S. SCHOOL RECORDS

 

 

 

ID TYPE

 

 

 

 

SCHOOL

 

 

CITY, STATE, TELEPHONE #

(photo, diploma, transcript, yearbooks)

 

 

 

 

 

 

 

 

 

 

 

 

 

MDOC PRISONER ID CARD

 

 

 

FILE #

 

 

 

 

 

 

 

 

 

 

(requires verification)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OTHER

 

 

 

 

 

TYPE

 

 

 

 

 

 

 

 

 

FILE #

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RESIDENCY DOCUMENTS PRESENTED (at least two documents required)

 

 

 

 

 

 

 

 

RESIDENCY DOCUMENTS

TYPE

 

 

 

 

 

 

TYPE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYEE SIGNATURE

 

 

 

MANAGER OR DESIGNEE SIGNATURE

 

 

 

BRANCH NUMBER

X

 

 

 

 

 

X

 

 

 

 

 

 

 

 

 

 

ADDITIONAL

Refer App? (Circle one)

C

E

R

 

O

 

 

F

Request for exception? YES NO

INFORMATION

CDL

ENFORCE

RESEARCH

OTHER

FOREIGN ADDRESS

 

 

 

 

 

 

DOCUMENTS IN POSSESSION OF?

Applicant Branch

Mailed In-House

TRANSACTION #S, INCLUDING VOIDS

COMMENTS – BE SPECIFIC (Use additional pages if necessary) – If referring application or adding comments, print name, sign, and date at bottom.

DE-36 (10/12)

Authority granted under Public Act 300 of 1949, as amended.

 

WRITTEN/ORAL TEST RESULTS

 

 

CDL WRITTEN/ORAL TEST RESULTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter Date and Pass or Fail Test Score

 

 

 

General Knowledge

 

 

 

 

Air Brakes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enter Test # for Chauffeur, Moped, Motorcycle,

 

____/____/____

 

 

P______ F______

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

and Recreational Double tests.

 

 

____/____/____

 

 

P______ F______

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operator

 

 

 

 

 

 

 

 

 

Audio Test

 

 

 

 

Audio Test

 

 

 

 

_____/_____/_____

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

_____/_____/_____

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

Audio Test

 

 

 

 

 

 

 

 

 

Combination Vehicle

 

Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_____/_____/_____

 

P______ F______

 

____/____/____

 

 

P______ F______

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_____/_____/_____

 

P______ F______

 

____/____/____

 

 

P______ F______

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Road Sign Test

 

 

 

 

 

 

Audio Test

 

 

 

 

Audio Test

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

_____/_____/_____

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

_____/_____/_____

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

Moped

 

 

 

 

 

 

 

 

 

Double Trailers

 

 

 

 

School Bus

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#______

 

 

_____/_____/_____

 

P____ F____

 

____/____/____

 

 

P______ F______

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

#______

 

 

_____/_____/_____

 

P____ F____

 

____/____/____

 

 

P______ F______

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

Motorcycle

 

 

 

 

 

 

 

 

 

Audio Test

 

 

 

 

Audio Test

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#______

 

_____/_____/_____

 

P____ F____

 

 

____/____/____

 

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#______ _____/_____/_____

 

P____ F____

 

 

____/____/____

 

 

P______ F______

 

 

____/____/____

 

 

P______ F______

 

 

Recreational Double

 

 

 

 

 

 

Tanker

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#______

 

 

_____/_____/_____

 

P____ F____

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#______

 

 

_____/_____/_____

 

P____ F____

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Chauffeur

 

 

 

 

 

 

 

 

 

Audio Test

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

#______

 

_____/_____/_____

 

P____ F____

 

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

#______ _____/_____/_____

 

P____ F____

 

 

____/____/____

 

 

P______ F______

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Minor Restricted License

 

 

 

 

 

 

Hazardous Materials (No Oral Test or Foreign Language Test Allowed)

 

Segment 1 School # ______ Issued ___/___/____

 

____/____/____

 

P_____ F_____

____/____/____

 

P_____ F_____

 

DA Letter dated ____/____/____

 

 

 

 

 

 

 

____/____/____

 

P_____ F_____

____/____/____

 

P_____ F_____

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If necessary, attach an additional DE-36 to record more test scores.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DE-36 (10/12)

Authority granted under Public Act 300 of 1949, as amended.

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Filling in part 1 of drivers license application form

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Filling out section 2 of drivers license application form

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