Dmv Form Dl 4B PDF Details

The DMV form DL 4B is a Driver License or Identification Card Application for a non-U.S. Citizen. The form is used to apply for, renew, or change the name or status on a driver license or identification card for a person who is not a U.S. citizen. The form can be used by people who are lawfully in the United States with permanent resident status, as well as people who are in the United States on temporary visas. For more information on how to fill out and submit the DL 4B form, please visit our website. Thank you for choosing our services!

QuestionAnswer
Form NameDmv Form Dl 4B
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnc dmv level 3 driving log, nc dmv driving 12hr log sheet, fortimesrequiringsupervi, driving log to advance to nc level 3

Form Preview Example

Form DL4B

09/2011

DRIVING LOG TO ADVANCE TO N.C. LEVEL 3 FULL PROVISIONAL DRIVER LICENSE

REQUIREMENTS:

Complete a minimum of 12 hours of driving.

At least 6 of the 12 hours must be at night.

The log must be signed by a supervising driver and turned in to DMV upon application for the Level 3 driver license.

A supervising driver must be a parent, grandparent, or guardian of the license holder or a responsible person approved by the parent or guardian, and must be a licensed driver who has been licensed for at least five years.

Note: A limited provisional level 2 license allows the license holder to drive without supervision (a) from 5:00 a.m. to 9:00 p.m.,

(b)when driving directly to or from work, and (c) when driving directly to or from an activity of a volunteer fire department, volunteer rescue squad, or volunteer emergency medical service, if the driver is a member of the organization.

Customer Name:

 

Customer’s DL Number:

 

 

 

 

 

 

 

(Please Print Name)

 

 

 

 

 

 

 

 

 

 

I

, do certify that the information on this form is true and accurate and is

 

(Print Supervising Driver’s Name)

 

 

 

 

 

 

 

 

 

 

in accordance with N.C. G.S. 2011(f),

 

 

 

 

/

/

 

 

 

 

 

 

 

(Supervising Driver’s Signature)

 

 

 

(Date)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Notice: If the Division has cause to believe that a driving log has been falsified, the limited provisional licensee shall be required to complete a new driving log with the same requirements and shall not be eligible to obtain a full provisional license for six months.

DATE

TIME OF

DAY

TIME OF

NIGHT

AMOUNT OF DRIVING TIME (E.G. # HOURS)

SUPERVISING DRIVER’S

PRINTED NAME

(for times requiring supervision)

SUPERVISING

DRIVER’S DL

(Number and State)

Total Day Hours Driven:_______

Total Night Hours Driven:_______

Grand Total:_______

 

 

 

 

 

 

 

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