Guam Dmv Appointment Form PDF Details

The Guam DMV Appointment Form is a critical document for anyone seeking to apply for a Guam driver's license, whether it's for a new license, a renewal, or a duplicate. The form is detailed and requires applicants to provide comprehensive information, including personal details such as name, date of birth, social security number, and contact information. It distinguishes between different types of licenses, including operator, chauffeur, learner's permit, intermediate license, motorcycle, and taxicab licenses, catering to a wide range of driving needs on the island. For minors under the age of 18, additional requirements are set, including parental consent which underscores the importance of responsibility and legality in the licensing process. The form also inquires about the applicant's health and any disabilities that might affect driving capabilities, alongside questions regarding drug or alcohol addiction, previous license suspensions, or traffic violations, aiming to ensure the safety of all road users. Moreover, compliance with the U.S. Selective Service System for male applicants near their 18th birthday is mandated, highlighting the integration of national legal obligations within the licensing procedure. This exhaustive form encapsulates not only the steps to obtaining a driver’s license in Guam but also the commitment to road safety, legal compliance, and accountability.

QuestionAnswer
Form NameGuam Dmv Appointment Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesguam dmv schedule appointment, guam drivers license application, guam driver's license renewal online, guam dmv

Form Preview Example

APPLICATION FOR GUAM DRIVER'S LICENSE

For RENEWALS and DUPLICATES, complete Part A only. Part B must be completed if the first-time applicant is under the age of 18.

PART A

Date: _______________

 

 

License #:____________________

 

NEW

 

RENEWAL

 

COPY

License applied for (Check one):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Operator

 

 

Chauffeur

 

Learner's Permit

 

License Expires: ________________

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Intermediate License

For office use only:

 

 

 

 

 

 

Motorcycle

 

 

 

 

 

 

 

 

 

 

 

Taxicab

 

 

 

Full Licensure

 

Vision Test results:

 

 

Name:

(Last)

 

(First)

 

(Middle)

 

 

 

Social Security No.:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address:

Date of Birth Home Ph.:

Residence Address:

Work Ph.:

SEX

Height Weight

EYE HAIR COLOR COLOR

Previous

License

Type Code Restrictions

(See back of driver’s lic.)

Occupation

Employer

CITIZENSHIP (Check one):

 

U.S.A.

 

 

 

F.S.M. – Which state: _________________

 

 

Belau

 

Others: __________________

ORGAN DONOR (Check one): Yes

 

 

 

No

 

 

 

 

 

Applicants under the age of eighteen (18) years of Age must provide parental consent to

be an organ donor under the Uniform Anatomical Gift Act. /ref Organ Donor Act of 1998 P.L. 24-249/. See parental consent below.

 

 

 

Do you have normal use of your hands and feet?

 

If no, explain:

 

 

 

 

 

 

 

 

 

 

 

Do you understand traffic signs and signals?

 

 

 

 

 

If no, explain:

 

 

 

 

 

 

 

 

 

 

 

Have you had a previous license suspended or revoked?

 

If yes, give date, reason and place:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Have you ever been refused an operator, chauffeur, taxicab or motorcycle License?

 

 

If yes, give date and reason:

 

Have you ever been afflicted with epilepsy, insanity, paralysis, heart condition, diabetes, or other disability, which might affect

your driving control or ability?

 

 

 

 

 

 

If yes, explain fully:

 

 

 

 

 

 

 

 

 

 

 

 

Are you a habitual drunkard or addicted to narcotic drugs or a habitual user of any other types of drugs?

If yes, explain:

 

Have you ever been convicted of or pled guilty to any traffic violation?

 

If yes, state the offence, date and place of conviction:

In compliance with Public Law 27-82 as it pertains to the U.S. Selective Service System, the following is asked of every applicant if applicable:

[] I consent to register with the Selective Service System as required by Federal Law within 30 days of my 18th birthday.

[] I decline registration with the Selective Service System as required by Federal Law.

I understand that failure to register is a federal crime punishable by up to 5 years imprisonment and a $250,000.00 fine.

I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT AND THAT I AM THE SAME PERSON DESCRIBED ON THIS APPLICATION

 

 

 

 

 

 

SIGNATURE

 

 

 

 

 

 

 

 

 

 

 

 

PART B

 

 

 

 

 

 

 

 

Date Written Test Passed:

Examiner's Initials:

 

 

 

 

 

 

 

 

 

 

 

Designated Drivers:

License No.

Social Security No.

Date of Birth

 

Signature

 

1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PARENT OR LEGAL GUARDIAN AUTHORIZATION:

 

 

 

 

 

 

 

I, ____________________________________________________, do hereby certify that I am the _______________________________________

(Mother, Father, Legal Guardian)

Of the applicant who is a minor and that all the information provided is true and correct to the best of my knowledge. I also hereby grant my consent to The Driver's License Branch to administer any and all authorized tests and to license the applicant to operate a motor vehicle on the highway.

I, ________________________, also give my consent for the applicant to be an organ donor under the Uniform Anatomical Gift Act (Yes __ No__)

Signature of Parent or Legal Guardian of the Minor

Date

Subscribed and sworn to before me this __________ day of ___________________. NOTARY PUBLIC:__________________________

REQUIREMENT OF SOCIAL SECURITY NUMBER: The furnishing of your Social Security Number is pursuant to Guam Code Annotated Title 16, § 3101 and United States Code Title 42, §405 (C)(i)(vi). This information is required for the purpose of administering the Vehicle Code of Guam.

(Rev 09/04)

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2. Just after this part is completed, go on to enter the relevant information in all these - Have you ever been afflicted with, In compliance with PL as it, I DECLARE UNDER PENALTY OF PERJURY, FOR OFFICIAL USE ONLY PART B, Date WT Taken Result, EXAM INIT, VISION RESULTS, License No, Social Security No, Date of Birth, Signature, THE PARENT OR LEGAL GUARDIAN, and I do hereby certify that I am the.

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3. This third part is simple - fill out every one of the fields in I do hereby certify that I am the, DRIVERS LICENSE SURRENDER FORM, Exp Date, I declare under penalty of perjury, and The furnishing of your Social to conclude the current step.

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