Massachusetts ID Application Form PDF Details

Navigating the process of acquiring a Massachusetts ID, whether for driving, identification, or both, involves a detailed application form designed to gather essential personal information and preferences from the applicant. This multi-purpose form, catering to Class D, M, or D/M license and ID card applicants, outlines several critical steps and requirements, including the selection between various options such as a Learner’s Permit, Mass ID Card, Liquor ID Card, and others, coupled with the necessity to choose between issuance, renewal, change of information, duplicate, or out-of-state conversion. Intricately, it dives into the identification requirements, mandating applicants above 18 to present three forms of ID, and establishes the method of payment for the associated fees, accepting various forms, including cash, check, and credit cards. Furthermore, it touches upon essential declarations about organ donation, military status, veteran status, cognitive or physical impairments, and a section dedicated to voter registration, highlighting the form's comprehensive nature in addressing legal and civic responsibilities. The process accentuates the importance of clear, truthful communication, enforcing penalties for perjury, and ensuring the integrity of the information provided, thereby affirming the form's role not just as a procedural necessity but as a gateway to lawful driving and civic participation within the state of Massachusetts.

QuestionAnswer
Form Name Massachusetts ID Application Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names how to apply for ma identification, mass real id application, mass id card, real id application ma pdf, massachusetts lic100 form

Form Preview Example

Class D, M, or D/M License and ID Card Application

Please make your selection below. If you select one of the options from line 2, you must also select one of the options from line 3.

NOTE: Mass ID cards and Liquor ID cards cannot be converted from other states. Permits and Liquor ID cards cannot be renewed.

1

Learner’s Permit Exam

Reinstatement

 

2

License Mass ID Card

Liquor ID Card Permit

 

3 Issuance Renewal Change of Information Duplicate Out-of-State Conversion

Fees are payable by Cash, Check, Money Order, MasterCard, Visa, American Express or Discover. Go online to www.massrmv.com for additional payment

options. If paying by check, make payable to “MassDOT.” PLEASE FILL OUT FORM CLEARLY IN BLACK OR BLUE INK

A

IDENTIFICATION REQUIREMENTS

 

 

For most transactions, including license conversions, applicants over the age of

You must also produce your social security number (SSN) that the RMV can verify

 

with the U.S. Social Security Administration (SSA) as having been issued to you.

 

18 must present three forms of ID which include:

 

 

 

roof of date of birth roof of signature roof of Massachusetts residency

If you do not have an SSN, an acceptable written denial notice not more than 60

 

Applicants under 18 years of age must only provide proof of date of birth. The

 

days old, from the Social Security Administration (SSA) is required. You must also

 

parent/guardian must sign the certiication on the back of this application.

provide proof of an acceptable visa status, an I-94, and a current non-U.S. Passport.

 

 

 

Please see the Driver’s Manual for the identiication requirements you must satisfy to obtain a license or ID card and the list of “Acceptable Forms of Identiication” that may satisfy those requirements. The list is also on our website at www.massrmv.com.

 

MA Assigned License/ID/Permit Number

License Class

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

D

M D/M*

 

 

 

‑

 

 

‑

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*D & M permits require separate applications

 

 

 

 

 

 

 

 

 

 

 

BGENERAL INFORMATION

Last Name

First Name

Middle Name

Date of Birth

 

Sex

Height

 

 

 

 

Month

Day

Year

 

Feet

Inches

 

 

 

 

 

 

M

F

 

 

 

 

 

 

Mailing Address (Where you want us to send your Driver’s License/ID card and future notices from City/State

 

 

Zip Code

 

the RMV). U.S. Post Ofice MAY NOT deliver if your name is NOT on the mailbox.

Residential Address (Where you actually reside) Same as above

City/State

Zip Code

C

REQUIRED INFORMATION Questions 1-4 to be completed by all

applicants. Questions 5-8 to be completed by License/Permit applicants

 

1.

Yes

No

Do you want to be, or continue to be, registered as an

5.

Yes

No

In the past 10 years, have you held any class of driver’s

 

 

 

 

 

organ & tissue donor?

 

 

 

license in any other state, country, or jurisdiction?

 

 

 

 

If yes, the RMV will provide this information to federally-designated

 

 

If yes, where?

Class of License

 

License #

 

 

 

 

organ procurement organizations serving the Commonwealth, and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

will print this designation on your driver’s license/ID card.

 

________________________

________

________________________

 

 

 

 

 

 

 

 

(inform RMV of previous names) (use additional paper if you need more space)

 

2.

Yes

No

Are you an active duty member of the U.S. Armed Forces?

6.

Yes

No

Is your license or RIGHT to operate suspended, revoked,

 

 

 

 

canceled, withdrawn, or disqualiied here or in another

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

state, country, or jurisdiction?

 

 

 

 

 

 

3.

Yes

No

If you are a veteran of the U.S. Armed Forces, do you

 

 

 

If yes, where?

 

 

 

Exp. Date

 

 

 

 

 

 

 

If yes, why?

 

 

 

 

 

 

 

 

 

 

 

 

want the word “VETERAN” printed on your license/

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Note: If you answered yes, additional documentation may be required.

 

 

 

 

ID? If you are not a veteran, check “No.”

 

 

 

 

 

 

 

 

 

 

Do you have a cognitive, neurologic, physical, or any other

 

 

 

 

NOTE: If yes, proof of honorable discharge must be presented.

7.

Yes

No

 

 

 

 

 

 

 

 

impairment that may affect your functional ability to oper-

 

 

 

 

 

 

 

 

ate a motor vehicle safely?

 

 

 

 

 

 

4.

Yes

No

Are you currently licensed to drive in any state,

 

 

 

(The Commonwealth’s medical standards for safe operation of a motor

 

 

 

 

country, or jurisdiction?

 

 

 

vehicle are found at http://www.massrmv.com/rmv/medical/policies.htm.)

 

 

 

 

where?_____________________________________

8.

Yes

No

Are you currently taking any medication that may affect

 

 

 

 

class/type__________________________________

 

 

 

your ability to safely operate a motor vehicle?

 

 

 

 

 

 

 

Note: If you answered yes to questions 7, or 8, an RMV Service Center

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Representative must contact Medical Affairs.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOUT-OF-STATE LICENSE/PERMIT CONVERSION to be completed by applicants converting an out-of-state license or permit

License/Permit NumberLicense/Permit Class Expiration Date (month/day/year) Issue Date (month/day/year)State

 

 

D

M

D/M

 

 

 

Passenger

Motorcycle

Both

 

 

 

Your out-of-state license/permit must be surrendered to the RMV.

 

 

 

 

 

 

 

 

 

RMV USE ONLY:

 

 

 

 

 

 

Date:

Initial:

 

 

 

 

 

 

 

 

 

 

CDL Downgrade: I understand that my CDL will be downgraded to

 

 

 

 

a Class D, M, or D/M license and I authorize the RMV to process this

 

 

 

 

transaction.

 

 

 

 

 

 

Customer Signature:

 

 

 

 

 

 

 

 

 

 

 

T21042_0217

 

— Please complete REQUIRED Voter Registration and SIGNATURE Section on reverse side —

 

 

ECHANGE OF INFORMATION If you change your address, you must notify the RMV within 30 days.

Check here if your name has changed. Please print your new name in the General Information section and your previous name below.

 

Last Name

First Name

Middle Name

 

 

 

 

Check here if the address in the General Information section relects a change of Mailing Address.

Check here if the address in the General Information section relects a change of Residential Address.

 

Check here if your gender designation has changed. Note: Additional documentation will be required.

 

Other

 

Change gender designation to: Male Female

 

 

 

 

 

 

 

Check here if your height has changed. Current height is ft.___ in.___

 

 

 

 

 

 

FPARENTAL CONSENT FOR MINOR; INFORMATION & CERTIFICATION OF PERSON PROVIDING CONSENT

This section must be completed by a parent of the applicant, the legal guardian, the Massachusetts Child Guardian Division, or the Headmaster of the Boarding School the applicant is attending.

To the Registrar: I hereby certify I am: (check one) parent legal guardian Massachusetts Child Guardian Division boarding school headmaster

of the above-named applicant who is less than 18 years of age, but not less than 16 years of age, if applying for a Learner’s Permit or Driver’s License OR who is less than 18 years of age, but not less than 14 years of age, if applying for an ID card, and that my consent is given as required by M.G.L. Chap. 90, Section 8 for the issuance of a Driver’s License; or as required by M.G.L. Chap. 90, Section 8B for a Learner’s Permit; or by M.G.L. Chap. 90, Section 8E for an Identiication Card (ID).

False certiication is punishable by ine, imprisonment, or both (M.G.L. Chap. 90, Section 24).

Parent/Guardian’s Address:

Parent/Guardian’s Signature:

Printed Name:

If the person giving consent IS NOT a parent, proper documentation of authority must be shown.

G

VOTER REGISTRATION to be completed by all applicants

To vote in Massachusetts you must be: A U.S. CITIZEN, a resident of Massachusetts and at least 18 years old on or before the next election in your city or town, which could be a town meeting, city or town preliminary, city or town election, state primary, state election, special state primary, special state election, or special city or town election.

1. Do you want to register to vote?

Yes

No

 

“Yes” if you want to register to vote,

or you are changing your name or address and want to be registered to vote with this new information.

Check “No” if you are currently registered to vote and do not want to change your voter registration

If you answered “yes,” complete question #2 and read the Airmation Section below.

 

 

 

2. Are you a citizen of the United States of America?

Yes

No

NOTE: If you answered “no” to this question, do not complete question #3. You are not eligible to register to vote at this time.

 

3. Please indicate party enrollment or political designation (check one).

Democratic

Republican

Libertarian

No Party (unenrolled)

Political Designation (not a political party):

(Print desired designation.)

PLEASE ASK THE LICENSE CLERK FOR YOUR VOTER REGISTRATION RECEIPT

AFFIRMATION TO BE READ BY APPLICANTS REGISTERING TO VOTE

I hereby swear (afirm) that I am the person named above, that the above information is true, that I AM A CITIZEN OF THE UNITED STATES, that I am at least 16 years old and I understand that I must be 18 years old to be eligible to vote, that I am not a person under a guardianship which prohibits my registering to vote, that I am not temporarily or permanently disqualiied by law from voting because of corrupt practices in respect to elections, that I am not currently incarcerated for a felony conviction, and that I consider this residence to be my home. Signed under the penalty of perjury.

Conidentiality of voter registration information: If you register to vote, the oice at which you submit your application will remain conidential and will be used only for voter registration purposes. If you decline to register to vote, the fact that you declined to register will remain conidential and will be used only for voter registration purposes. Penalty for illegal voter registration: Fine of not more than $10,000 or imprisonment for not more than ive years or both (M.G.L., Chap. 56 , Section 8).

H

SIGNATURE OF APPLICANT (application not complete without signature)

Note: This application will be processed through the National Driver Register (NDR) and the Commercial Driver License Information System (CDLIS) to verify the status of operating privileges in other jurisdictions and the social security number will be veriied with the Social Security Administration.

I have reviewed this completed Application Form, including the Voter Registration Section, and hereby apply for a Learner’s Permit/ Driver’s License or an ID card and swear (airm), under the penalties of perjury, that the information I have provided is true and complete.

False statements are punishable by ine, imprisonment, or both (M.G.L. c 90 §24).

Signature:

 

Date:

The Registrar reserves the right to cancel, revoke, or recall, any permit, license, or ID card if it is determined that the applicant was not qualiied for such permit, license, or ID card.

Turning 21? Renew on or after your 21st birthday to receive a standard horizontal license.

OFFICIAL NOTICE:

Massachusetts law requires persons convicted of a sex offense to register with their local police departments. For information, call 1-800-93MEGAN.

FOR CUSTOMER SERVICE:

Call our Contact Center at 857-368-8000 • Weekdays 9 a.m.- 5 p.m.

Please visit our website for more information at:

www.massrmv.com

How to Edit Massachusetts ID Application Form Online for Free

Dealing with PDF documents online can be super easy with our PDF tool. You can fill in ma real id application here effortlessly. In order to make our editor better and more convenient to work with, we continuously develop new features, taking into consideration feedback coming from our users. With a few simple steps, you'll be able to start your PDF journey:

Step 1: Access the PDF doc inside our editor by clicking the "Get Form Button" in the top part of this page.

Step 2: When you launch the online editor, you will find the form prepared to be filled in. In addition to filling in various blank fields, you might also do several other actions with the file, that is adding custom textual content, changing the original textual content, adding images, affixing your signature to the document, and more.

This form will need specific information; in order to guarantee accuracy and reliability, be sure to take note of the tips further down:

1. Begin completing the ma real id application with a group of necessary fields. Collect all the required information and be sure not a single thing omitted!

mass id conclusion process detailed (portion 1)

2. Right after finishing this step, head on to the next stage and fill out the essential particulars in all these fields - Mailing Address Where you want us, Residential Address Where you, Same as above, CityState, Zip Code, REQUIRED INFORMATION, Questions to be completed by all, Yes, Do you want to be or continue to, Yes, In the past years have you held, If yes where, Class of License, License, and inform RMV of previous names use.

Stage no. 2 of completing mass id

Be really careful when filling in Do you want to be or continue to and If yes where, because this is the part where most users make mistakes.

3. The following portion is mostly about CHANGE OF INFORMATION, If you change your address you, Check here if your name has, Last Name, First Name, Middle Name, Check here if the address in the, Check here if the address in the, Check here if your gender, Change gender designation to, Male, Female, Other, Check here if your height has, and PARENTAL CONSENT FOR MINOR - fill in each of these blank fields.

Check here if the address in the, First Name, and Check here if the address in the inside mass id

4. To go onward, your next stage requires completing several blanks. Examples of these are VOTER REGISTRATION To vote in, Do you want to register to vote, Yes, Are you a citizen of the United, Yes No, If you answered no to this, Democratic Political Designation, Republican, Libertarian, No Party unenrolled, Print desired designation, PLEASE ASK THE LICENSE CLERK FOR, AFFIRMATION TO BE READ BY, SIGNATURE OF APPLICANT Note This, and application not complete without, which you'll find essential to carrying on with this document.

VOTER REGISTRATION To vote in, If you answered no to this, and AFFIRMATION TO BE READ BY of mass id

5. This document needs to be completed by dealing with this section. Further there is a detailed set of blanks that need appropriate details for your document usage to be faultless: I have reviewed this completed, Date, Turning Renew on or after your st, OFFICIAL NOTICE, Massachusetts law requires persons, Call our Contact Center at, FOR CUSTOMER SERVICE, Please visit our website for more, and wwwmassrmvcom.

How you can complete mass id stage 5

Step 3: Prior to submitting this form, double-check that all blanks are filled in the correct way. The moment you think it is all fine, click on “Done." Right after creating a7-day free trial account at FormsPal, it will be possible to download ma real id application or send it through email without delay. The form will also be readily accessible from your personal account menu with your every change. FormsPal guarantees safe document editor devoid of personal data record-keeping or sharing. Rest assured that your data is safe with us!

Massachusetts ID Application Form isn’t the one you’re looking for?

Related Documents