Nevada Dmv 128 Form PDF Details

In the heart of Nevada's approach towards addressing the needs of its homeless population, the Nevada DMV 128 form emerges as a pivotal document, underscoring the state's commitment to inclusive support and aid. Designed specifically to assist individuals without a stable residence, this form lays the foundation for the waiver of fees associated with obtaining a duplicate driver's license, instruction permit, or identification card. By acknowledging the challenges faced by homeless individuals, Nevada Revised Statutes Chapter 483 empowers those in precarious living situations by exempting them from certain fees, albeit with the understanding that the photo fee must be reimbursed upon employment and renewal of the card. The form simplifies the application process by requesting basic personal information, such as the applicant’s name, driver's license or identification card number, social security number, and date of birth, alongside temporary residency details. It also touches upon the opportunity for male applicants between the ages of 18 and 26 to register with the Selective Service, thereby remaining eligible for federal benefits including student loans and job training. Through a declaration made under penalty of perjury, applicants affirm the truthfulness of their information, understanding the potential legal consequences of misstatements. This initiative reflects Nevada's broader efforts to ensure that all residents, regardless of their housing status, have access to essential identification documents, thereby promoting inclusivity and support within the community.

QuestionAnswer
Form NameNevada Dmv 128 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdmv homeless id voucher, how to get an id if your homeless in nevada, id card, can i get a nevada id online

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 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 one time only and that I must reimburse the Department the

cost of the photo fee when I renew my card, if I am employed at the time.

I am requesting a duplicate

Driver’s License

Identification Card

Instruction Permit

Applicant’s Printed Name ___________________________________________________________

Driver’s License/Identification Card Number (if known) _____________________________________

Social Security Number _____________________________________________________________

Date of Birth ______________________________________________________________________

Address where I am staying __________________________________________________________

City _____________________________________________ State _________ Zip______________

(Effective 7/1/2010) If you are a male at least 18 and less than 26 years of age, would you like to register with the Selective Service? By registering, you will remain eligible for federal student loans, grants, job training benefits, most federal jobs and, if applicable, citizenship in the United States.

Yes

No

If yes, please initial here ____________

I hereby certify under penalty of perjury that all statements in this application are true and correct. I agree and understand that any misstatement of material facts may cause cancellation and/or denial of my driver’s license, instruction permit or identification card under NRS 483.420 and 483.530. I further understand that any misstatement of facts may be a misdemeanor or felony under NRS 483.530 and may be punishable pursuant to NRS 193.130.

Signature of Applicant _______________________________________________________

Date:_____________________________________________________________________

DMV Representative ________________________________________________________

Date:_____________________________________________________________________

DMV-128 (Rev. 7/2010)

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