When individuals find themselves in situations where they cannot surrender their driver license, learner permit, or license plates to the Department of Motor Vehicles (DMV), the MV 1441 3 form offers a solution. This document, titled "Certification of Lost License, Permit or Plates," serves an important role in the process for those seeking to have their license or registration restored post suspension or revocation. By filling out this form, users provide a detailed explanation for their inability to return the specified items to DMV, thereby starting or continuing their compliance with the suspension or revocation stipulations. Notably, the form requires comprehensive personal information alongside the specifics of the items that cannot be turned in, including a requirement for additional documentation in cases of stolen or lost license plates. Significantly, completing this form has the effect of invalidating the items in question, thus preventing their misuse. Moreover, it brings an additional layer of accountability, requiring the signatory to certify the truthfulness of their statement under the penalty of perjury, underscoring the legal seriousness of the document. The MV 1441 3 form thus stands as a critical tool for individuals navigating the suspension or revocation of their driving privileges, blending necessary bureaucratic procedure with measures intended to safeguard personal and public interests.
| Question | Answer |
|---|---|
| Form Name | Mv 1441 3 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | mv 78b form online, 1441 3 form, mv 1441 3, nys police form mv 78b |
CERTIFICATION OF LOST LICENSE, PERMIT OR PLATES
Use this form to explain why you can’t turn in your driver license, learner permit or license plates to DMV.
Your license and/or registration may be restored to you after you serve a suspension or revocation period. In most cases, the date you give this form to DMV will begin your compliance with the suspensionor revocation. If the effective date of theorder is laterthan the dateDMVreceivesthisform,yourcompliancewillbeginonthateffectivedate.
Instructions:
Providealltheinformationrequestedbelow.Pleaseprintyournameandmailingaddressexactly as they are printed on
your driver license, learner permit or vehicle registration.
Putacheckintheboxnexttoeachoftheitemsbelowthatyoucan’tturnintoDMV.
Inthe“Explanation”section,explainwhyyoucan’tturnintheitemsthatyoucheck.
Signinthe“Customer’sSignature”box,andreturnthisformtoanyDMVoffice.
Filingthisformwillinvalidatetheitemsthatyoucheckbelow(documentsand/orlicenseplates).Ifyoufindyoursuspended/ revokeddriverlicense,learnerpermitorlicenseplatesafteryougivethisformtoDMV,youmustimmediatelyturnintoa DMVofficeanyitemsthatyoufind.
Name __________________________________________________ |
DateofBirth: |
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MailingAddress __________________________________________________ |
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(Month/Day/Year) |
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__________________________________________________ |
ClientID# ______________________________ |
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__________________________________________________ |
(orFEINif |
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acorporation) |
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Iamunabletoturninthefollowingitem(s)totheDepartmentofMotorVehicles:
oPhotoDriverLicense
oInterim/TemporaryDriverLicenseorLearnerPermit
oLearnerPermit
oLicensePlates(pleasewritetheplatenumberhere)____________________________.A police report and form
VehicleIdentificationNumber____________________________________Year_________Make_____________________
Explanation:
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________
Certification: Underthepenaltyofperjury,Icertifythat,tothebestofmyknowledge,theexplanationaboveistrue.
Customer’s Signature
Date
/ /
WARNING: FALSE STATEMENTS ARE PUNISHABLE UNDER SECTION 210.45 OF THE PENAL CODE. DRIVING A MOTOR VEHICLE WHILE YOUR LICENSE OR REGISTRATION IS SUSPENDED OR REVOKED IS A MISDEMEANOR,ANDISPUNISHABLEBYLAW.
