Dmv Dld 128 Form PDF Details

In the landscape of assistance provided to homeless individuals within Nevada, the DMV DLD 128 form emerges as a vital document, encapsulating the state's commitment to ensuring access to critical identification documents regardless of an individual's housing status. This form facilitates a waiver for the fees associated with obtaining a duplicate Driver's License, Instruction Permit, or Identification Card for those who certify under penalty of perjury their status as homeless. Anchored by the provisions within Nevada Revised Statutes Chapter 483, the form not only highlights the state's approach to supporting its homeless residents but also underscores a larger narrative of inclusivity and access to essential services. The waiver, noteworthy for its one-time application, balances compassion with fiscal responsibility, requiring reimbursement of the photo fee upon employment and renewal of the document. Available through various contact points including Reno/Sparks/Carson City, the Las Vegas area, and rural Nevada, it ensures wide accessibility, also reflecting on the state's digital footprint through online access. The process necessitates applicants to provide personal details such as social security number, date of birth, and current residing address, ensuring a secured and verified transaction with the state's Field Services Division. By encapsulating these elements, the DMV DLD 128 form embodies a critical mechanism for supporting some of Nevada’s most vulnerable citizens, enabling them not only to reclaim an essential piece of identification but also to take a significant step towards reintegrating with society's mainstream avenues.

QuestionAnswer
Form NameDmv Dld 128 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesid for homeless, how can a homeless person get an id in florida, declaration of homelessness florida, florida dmv homeless declaration form pdf

Form Preview 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)

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Part no. 1 for filling out homeless driver's license

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DMV Representative, Signature of Applicant, and Identification Card of homeless driver's license

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