TRANSACTION TYPE
LICENSE
(complete sections A, B, C, D, E*, F* G)
A. APPLICANT’S INFORMATION (COMPLETE ALL FIELDS)
TELEPHONE:
SUFFIX:
RI DRIVER’S LICENSE # / R.I. ID # / PERMIT #:DATE OF BIRTH: (MM/DD/YY) GENDER: SOCIAL SECURITY NUMBER:
HEIGHT: FT./IN. WEIGHT: LBS.
HAIR COLOR:
COUNTRY: STATE/PROVINCE: CITY:
CONTINUED ON BACK
C. PHYSICAL INFORMATION (COMPLETE ALL FIELDS)
D. GENERAL QUESTIONS (COMPLETE ALL FIELDS)
NEW
PASSPORT / EMPLOYMENT AUTHORIZATION / RESIDENT ALIEN CARD #:
MALE FEMALE
Do you want to register (or continue to be registered) as an Organ and Tissue Donor?
ACTIVE MILITARY: 100% DISABLED VETERAN:
YES NO
B. PLACE OF BIRTH (COMPLETE ALL FIELDS)
( )
BLACK
(check one)
BROWN
BLUE
GREEN
HAZEL
GRAY DICHROMATIC BLACK BROWN
GRAYBLONDE
RED
BALDWHITE
PINK
NOTICE TO MALES 18 TO 26 YEARS OF AGE:
LAST NAME: FIRST NAME: MIDDLE NAME:
RESIDENCE ADDRESS
STREET ADDRESS: CITY/TOWN: STATE:
STREET ADDRESS: CITY/TOWN: STATE:
MAILING ADDRESS (IF DIFFERENT FROM RESIDENCE)
2.
1.
confidential.)
If you are under age 16, you will not be registered to vote. If you are at least age 16, you will be pre-registered to vote. (You must be at least age 18 to vote.)
YES NO
EYE COLOR:
(check one)
YES NO
LI-1 rev. 4/19
VETERAN DESIGNATION:
YES
(DD 214 MUST BE SHOWN,
STATING “HONORABLE DISCHARGE”)
APPLICATION FOR LICENSE,
IDENTIFICATION CARD
AND PERMIT (LI-1)
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DIVISION OF MOTOR VEHICLES
600 New London Avenue, Cranston, RI 02920-3024
Phone: 401-462-4368 www.dmv.ri.gov
Party: __________________________________
APT/UNIT # or FLOOR #:
APT/UNIT # or FLOOR #:
USE BLACK OR BLUE INK ONLY
Are you a U.S. citizen?
RENEW DUPLICATE OUT-OF-STATE
UPDATE _______________
IDENTIFICATION CARD
PERMIT
(complete sections A, B, C, D, E*, G)
NEW RENEW DUPLICATE
UPDATE _______________
COMPUTERIZED KNOWLEDGE EXAM
(choose one language)
ENGLISH
SPANISH PORTUGUESE
OTHER (INCLUDING ASL)**
**Pre-scheduled appointment required see website
ZIP CODE:
ZIP CODE:
NO
YES
NO
3.
We will use your information to update your voter registration or register you to vote.
4.
IF YOU ARE TRANSFERRING A LICENSE FROM ANOTHER STATE, PLEASE COMPLETE THE FOLLOWING INFORMATION BELOW:
STATE: __________ RESTRICTIONS: _______________
MOTORCYCLE
(complete sections A, B, C, D, G)
PERMIT
DUPLICATE PERMIT
LICENSE
LIC. #: _______________ EXP.: _______________ ENDORSEMENTS: _______________
FOR DMV USE ONLY •
EYE TEST RESULTS
WITH CORRECTIVE LENSES?
YES
NO
RESTRICTION:RESULTS:
CHECK
CASH CC
____________________________
TIN:
AMOUNT: ______________
IDENTITY ________________________________________
P.O.R. TWO _______________________________________
S.S. CARD _______________________________________
OTHER __________________________________________
Do not use my information for voter registration. (Your decision not to register to vote is confidential. If you register, the place where you register is
REAL ID CREDENTIAL NON REAL ID CREDENTIAL
REAL ID CREDENTIAL OPT-IN/OPT OUT BOX (Please select desired credential type)
P.O.R. ONE _______________________________________
Note: Non REAL ID Credentials will have “NOT FOR FEDERAL IDENTIFICATION” on the card.
Pursuant to RI Gen. Laws 31-10-47(a), “(a)ny male, United States citizen or immigrant who is at least eighteen (18) years of age, but less than twenty-
six (26) years of age shall be registered in compliance with the requirements of section 3 of the "Military Selective Service Act", 50 U.S.C. App. 451 et
seq., when applying to receive a driver's license, renewal or identification card or renewal.” Pursuant to RI Gen. Laws 31-10-47(b), the applicant
recognizes that by submitting this application he is consenting to registration with the Selective Service system, if so required by federal law.
(If you are currently registered as an organ and tissue donor, you will remain registered only if you chose YES every time.)
Visit donatelifenewengland.org for more information.
EMAIL ADDRESS:
I acknowledge that receiving a Rhode Island Permit, License or ID card may cancel or invalidate any Permit, License or ID Card
from another state per the laws of that state. Customer must initial the line to the right of this statement to acknowledge that
they have read this statement.
________________
INITIAL HERE
F XM
MINOR LAW CHAPTER 31-10 OF THE GENERAL LAWS OF RHODE ISLAND, 1956 AS AMENDED. CERTIFICATION BY PARENT(S) OR SUCH RESPONSIBLE PERSON AS
INDICATED IN CHAPTER § 31-10 FOR A MINOR UNDER 18 YEARS OF AGE.
E*. AFFIDAVIT OF LOST LICENSE, LOST ID OR LOST PERMIT (COMPLETE ONLY IF LOST PERMIT, LICENSE OR ID)
I, THE UNDERSIGNED, DECLARE UNDER PENALTY OF PERJURY THAT THE RHODE ISLAND LICENSE, IDENTIFICATION CARD OR PERMIT
ISSUED TO ME WAS LOST, DESTROYED OR STOLEN. IF THE RHODE ISLAND LICENSE, IDENTIFICATION CARD OR PERMIT AGAIN COMES
INTO MY POSSESSION, I WILL IMMEDIATELY RETURN THE SAME TO THE DIVISION OF MOTOR VEHICLES.
F*. VOLUNTARY TERMINATION OF A LICENSE AFFIDAVIT (COMPLETE ONLY IF SURRENDERING YOUR RI LICENSE)
PLEASE ACCEPT THIS ATTACHED LICENSE FOR TERMINATION UNDER THE AUTHORITY OF THE STATE STATUTES REGARDING VOLUNTARY
TERMINATION.
APPLICANT’S SIGNATURE:
DATE:
(MM/DD/YY)
LICENSE #: EXPIRATION DATE:
DATE:
(MM/DD/YY)
IF A MINOR IS APPLYING FOR A PERMIT, COMPUTERIZED KNOWLEDGE EXAM, OR FIRST LICENSE, THE APPLICATION MUST BE SIGNED BY A PARENT, LEGAL
GUARDIAN, LICENSED FOSTER PARENT, OR RESPONSIBLE ADULT. IF THERE IS NO QUALIFIED PARENT, LEGAL GUARDIAN, OR LICENSED FOSTER PARENT,
ANOTHER RESPONSIBLE ADULT WILLING TO ASSUME THE OBLIGATION IMPOSED UNDER §31-10-1 – 31-10-33 MAY SIGN. IN THE EVENT THE PARENT, LEGAL
GUARDIAN, LICENSED FOSTER PARENT, OR RESPONSIBLE ADULT IS NOT PRESENT AT THE TIME THE APPLICATION IS SUBMITTED TO THE DMV, THEN THE
SIGNATURE ON THE FORM WILL ONLY BE ACCEPTED IF NOTARIZED. COURT PAPERS OR APPROPRIATE DOCUMENTATION MUST BE PRESENTED TO THE DMV
WHEN A LEGAL GUARDIAN OR LICENSED FOSTER PARENT IS SIGNING FOR A MINOR.
MOTHER’S/FATHER’S/GUARDIAN’S SIGNATURE:
DO YOU CONSENT TO SUCH DISCLOSURE?
YES
G. SIGNATURE
NO
DATE:
COMMISSION EXPIRATION DATE
(MANDATORY):
(MM/DD/YY)
NOTARY PRINTED NAME:NOTARY PUBLIC SIGNATURE:
EXCEPT AS AUTHORIZED BY LAW, THE DMV WILL NOT DISCLOSE PERSONAL INFORMATION WITHOUT YOUR CONSENT.
THE UNDERSIGNED (HEREINAFTER REFERRED TO AS “APPLICANT”) SWEARS THAT, IN COMPLIANCE WITH TITLE 31, CHAPTER 47 OF THE GENERAL LAWS, MOTOR
AND OTHER VEHICLES, KNOWN AS THE MOTOR VEHICLE REPARATIONS ACT, HE/SHE WILL NOT OPERATE OR BE ALLOWED TO OPERATE THE MOTOR VEHICLE
DESCRIBED IN THE REGISTRATION NOR OTHER MOTOR VEHICLE UNLESS ALL SUCH MOTOR VEHICLES ARE COVERED FOR FINANCIAL SECURITY. PENALTIES FOR
FAILURE TO COMPLY WITH PROVISIONS OF THE ACT MAY RESULT IN FINES AND/OR SUSPENSION OF LICENSE AND REGISTRATION.
I, THE UNDERSIGNED, HEREBY MAKE APPLICATION FOR EITHER A LICENSE, STATE IDENTIFICATION CARD OR PERMIT AND DECLARE UNDER PENALTY OF
PERJURY THAT ALL STATEMENTS MADE ON THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
APPLICANT’S SIGNATURE:
I AM MAKING THIS REQUEST ON BEHALF OF MYSELF AND HEREBY ACKNOWLEDGE THE FOLLOWING:
(a) A RECORD OF THIS TRANSACTION WILL BE ENTERED INTO A LICENSE FILE AS A VOLUNTARY SURRENDER.
(b) I WILL BE PRECLUDED UNDER LAW FROM MAKING APPLICATION FOR ANOTHER LICENSE/PERMIT TO OPERATE FOR A PERIOD OF:
OPERATOR’S LICENSE = 6 MONTHS CHAUFFEUR’S LICENSE = 1 YEAR
(c) PRIOR TO ANOTHER LICENSE BEING ISSUED, WRITTEN AND ROAD EXAMINATIONS WILL BE REQUIRED.
(d) AFTER THIS VOLUNTARY TERMINATION, I WILL BE REQUIRED TO PAY ALL REQUIRED LICENSING FEES IF APPLICATION IS MADE FOR
ANOTHER LICENSE.
NOTE: TERMINATION WILL NOT BE PROCESSED WITHOUT LICENSE OR AFFIDAVIT COMPLETED.
MY REASON FOR REQUESTING TERMINATION ON A VOLUNTARY BASIS IS:
LICENSE PHYSICALLY SURRENDERED?
NOTE: IF LICENSE, ID OR PERMIT IS LOST, PLEASE COMPLETE “SECTION E” BELOW.
DATE: (MM/DD/YY)
APPLICANT’S SIGNATURE:
YES NO
FOR ENFORCEMENT OFFICE ONLY
STAMP
IDENTITY _______________________________
P.O.R. ONE _____________________________
S.S. CARD ______________________________
VALID UNTIL _________________
DATE
DMV OFFICIAL ________________
OTHER ________________________________
LI-1 rev. 4/19
P.O.R. TWO _____________________________
COMMISSION STATE (MANDATORY):
New Permit
Driver Education Certificate (if under 18) ¹
- If you have a driving certificate, that has not
been approved by CCRI, you must take the
knowledge exam test.
¹ If under 18 years of age and applying for a
learner’s permit, the LI-1 form must be notarized if
parent/guardian has a different last name than
applicant.
American Sign Language (ASL) computerized
permit exams or selected foreign language permit
exams (please refer to DMV website for details)
require a pre-scheduled appointment.
Name Change
Please note you must wait 24 hours for
name change to register with the Social Security
Administration
Current RI license or Identification card
Original government issued document
indicating name change (ex. Marriage
Certificate or Divorce Decree)
RI License/ID/Permit
Renewal or Duplicate
AND New ID
DMV Customer only needs completed LI-1
or CDL-1 form and the required supporting
documents from above.
All non U.S. citizens must bring all
supporting documents to be reviewed.
Address Change
Current RI license or Identification
card
Gender Change
Gender Designation form
Current RI license or Identification
card
Out-of-State Transfer
Your current license from the other state
If the out-of-state license is not available at time of
transfer you must submit a driving record or
verification from the other state with an Identity
Document (see list).
Motorcycle Permit
Motorcycle License
Certificate of completion from the RI Motorcycle
Safety course
Current RI license (must hold permit for 30 days)
Current license and valid motorcycle permit
Rhode Island DMV – Document Checklist
REAL ID LICENSE & ID CARDS
www.dmv.ri.gov
Rev. 2/21
NOTE: ALL REAL ID LICENSE AND ID TRANSACTIONS REQUIRE A COMPLETED LI-1 FORM AND
THE CORRECT NUMBER OF REQUIRED DOCUMENTS LISTED IN THE 2 BOXES BELOW
NOTE: EACH OF THE TRANSACTION DESCRIPTIONS BELOW REQUIRE ADDITIONAL DOCUMENTS ALONG WITH THE SUPPORTING DOCUMENTS FROM ABOVE
Proof of Identity Documents List
You must present one (1). These must bear the
applicant’s legal name and date of birth.
A
utility bill
(gas,
electric,
telephone,
cable,
oil, water,
sewer,
satellite,
heat, cell
phone)
with
the address
of
residence
clearly
stated
in the
applicant’s
name
or in the
name of
a
member of
the applicant’s
immediate
family
dated within
the
past
sixty
(60)
days;
A
personal
check
orbank statement
with the
applicant’s
name
and
address
of residence dated
within
the past
sixty
(60) days;
A
payroll check
with the
applicant’s
name
and
address
of residence dated
within
the past sixty(60) days;
A
lease
agreement currently in effect.
The
lease
agreement
must contain
the
applicant's name and
address
of
residence
and
the landlord’s
name,
address,
and telephone
number.
Handwritten
lease agreements
will not be accepted;
A
homeowner’s
or renter’s
insurance policy
for the
applicant’s
home or
apartment with the applicant’s
name
and address of residence that
is currently in effect;
An
automobile insurance policy
for
the applicant’s
motor vehicle with the
applicant’s
name
and
address
of
residence
that is currently
in
effect;
A
property tax bill
for the
applicant’s
residence
from the immediately
preceding
year;
A
letter from
a Rhode Island shelter or
halfway house
indicating
that the applicant resides at the
facility.
Such
a
letter must be on
letterhead,
must be
dated
within
the past
thirty(30) days
and
must
include
the name
and
contact
information of an
administrator
of
the shelter or
halfway house; or
A
jury
duty summons
dated within
the past
sixty
(60)
days;
A
W-2
form
with the applicant’s
name
and
address
of residence from
the immediately preceding year;
An
installmentloan contract
(automobile,
student loan)
with
the applicant’s
name
and
address
of
residence that is currently in effect;
A current
Social
Security
Administration
statement
with the
applicant’s
name
and
address
of residence;
A current
pension
or retirement account
statement
with the
applicant’s
name and
address
of residence;
A Rhode
Island-issued
firearms
permit
with the
applicant’s
name and addres if residence that is currently in effect; or
A valid
RhodeIsland driver’s
license
or
identification
card;
If
the applicant is a minor,
in addition
to any
of the
proof
of residency
documents listed
above,
the following
are accepted:
A
school
record
from
the
current
school
year
(report card,
diploma, transcript, or
ID
card)stating
the student’s address
of
residence (past
year
if
during
summer vacation)
The Rhode
Island
driver’s license
or identification
card
of
the
individual
signing
the minor's application.
Proof of Residency Documents List
You must present two (2). P.O. Box addresses will not be accepted.
A valid, unexpired U.S. passport;
A certified copy of a birth certificate filed with a
State Office of Vital Statistics or equivalent agency in the
individual's State of birth;
A Consular Reportof Birth Abroad (CRBA) issued by
the U.S. Department of State, Form FS-240, DS-1350 or
FS-545;
A valid, unexpired Permanent Resident Card
(Form I-551) issued by DHS or INS;
An unexpired Employment Authorization Document
(EAD) issued by DHS, Form I-766 or Form I-688B;
An unexpired foreign passport with a valid,
unexpired U.S. visa affixed accompanied by the
approved I-94 form documenting the applicant's most
recent admittance into the U.S.;
A Certificate of Naturalization issued by DHS, Form
N-550 or Form N-570; or
A Certificate of Citizenship, Form N-560 or Form
N-561, issued by DHS.
Proof of a change to the name contained on the
applicant’s primary identity document must be
demonstrated with a document issued by an authorized
government agency.
If you have obtained or renewed your passport within
the last 6 months, please bring an additional Identity
Document, as your passport may not verify with the
national database.
Note: All U.S. Territories driver’s license transfers and RI State ID cards are only done at the DMV Cranston Headquarters.
These transactions are not performed at any DMV or AAA branch office.
$letter issued by a Rhode Island state agency or a federal agencyZLWKWKHDSSOLFDQWVQDPHDQGDGGUHVVRIUHVLGHQFHDSSURYLQJQDPH
DQGaddress of residence approving the applicant’s receipt of benefits from an entitlement program dated within the past sixty (60) days;
PROOF OF SOCIAL SECURITY NUMBER: PROVIDE YOUR SOCIAL SECURITY NUMBER ON THE LI-1 OR CDL-1 FORM OR A LETTER ISSUED BY THE SOCIAL SECURITY ADMINISTRATION
STATING THAT THE APPLICANT IS NOT ELIGIBLE TO RECEIVE A SOCIAL SECURITY NUMBER
New Permit
LI-1 form
A certified birth certificate (not a copy) or Proof of
Identity Document (see list)
Driver Education Certificate (if under 18) ¹
- If you have a driving certificate, that has not
been approved by CCRI, you must take the
knowledge exam test.
Two (2) Proof of residency (see list)
¹ If under 18 years of age and applying for a
learner’s permit, the LI-1 form must be notarized if
parent/guardian has a different last name than
applicant.
American Sign Language (ASL) computerized
permit exams or selected foreign language permit
exams (please refer to DMV website for details)
require a pre-scheduled appointment.
Name Change
Please note you must wait 24 hours for
name change to register with the Social Security
Administration)
LI-1 or CDL-1 form
Current RI license or Identification card
Original government issued document
indicating name change (ex. Marriage
Certificate or Divorce Decree)
New ID
LI-1 form
A certified birth certificate (not a copy) or
Proof of Identity Document (see list)
Two (2) Proof of residency (see list)
RI License/ID/Permit
Renewal or Duplicate
LI-1 or CDL-1 form
One identity document (see list)
All non U.S. citizens must bring all
supporting documents to be reviewed.
Address Change
LI-1 or CDL-1 form
Current RI license or Identification
card
Gender Change
LI-1 or CDL-1 form
Gender Designation form
Current RI license or Identification
card
Out-of-State Transfer
LI-1 or CDL-1 form
Your current license from the other state
Two (2) Proof of residency (see list)
If the out-of-state license is not available at time of
transfer you must submit a driving record or
verification from the other state with an Identity
Document (see list).
Motorcycle Permit
Motorcycle License
LI-1 or CDL-1 form
Certificate of completion from the RI Motorcycle
Safety course
Current RI license (must hold permit for 30 days)
LI-1 or CDL-1 form
Current license and valid motorcycle permit
Proof of Identity Documents List
You must present one (1). These must bear the
applicant’s legal name and date of birth.
A
utility bill
(gas,
electric,
telephone,
cable,
oil, water,
sewer,
satellite,
heat, cell
phone)
with
the address
of
residence
clearly
stated
in the
applicant’s
name
or in the
name of
a
member of
the applicant’s
immediate
family
dated within
the
past
sixty
(60)
days;
A
personal
check
orbank statement
with the
applicant’s
name
and
address
of residence dated
within
the past
sixty
(60) days;
A
payroll check
with the
applicant’s
name
and
address
of residence dated
within
the past sixty(60) days;
A
lease
agreement currently in effect.
The
lease
agreement
must contain
the
applicant's name and
address
of
residence
and
the landlord’s
name,
address,
and telephone
number.
Handwritten
lease agreements
will not be accepted;
A
homeowner’s
or renter’s
insurance policy
for the
applicant’s
home or
apartment with the applicant’s
name
and address of residence that
is currently in effect;
An
automobile insurance policy
for
the applicant’s
motor vehicle with the
applicant’s
name
and
address
of
residence
that is currently
in
effect;
A
property tax bill
for the
applicant’s
residence
from the immediately
preceding
year;
A
letter from
a Rhode Island shelter or
halfway house
indicating
that the applicant resides at the
facility.
Such
a
letter must be on
letterhead,
must be
dated
within
the past
thirty(30) days
and
must
include
the name
and
contact
information of an
administrator
of
the shelter or
halfway house; or
A
jury
duty summons
dated within
the past
sixty
(60)
days;
A
W-2
form
with the applicant’s
name
and
address
of residence from
the immediately preceding year;
An
installmentloan contract
(automobile,
student loan)
with
the applicant’s
name
and
address
of
residence that is currently in effect;
A current
Social
Security
Administration
statement
with the
applicant’s
name
and
address
of residence;
A current
pension
or retirement account
statement
with the
applicant’s
name and
address
of residence;
A Rhode
Island-issued
firearms
permit
with the
applicant’s
name and addres if residence that is currently in effect; or
A valid
RhodeIsland driver’s
license
or
identification
card;
If
the applicant is a minor,
in addition
to any
of the
proof
of residency
documents listed
above,
the following
are accepted:
A
school
record
from
the
current
school
year
(report card,
diploma, transcript, or
ID
card)stating
the student’s address
of
residence (past
year
if
during
summer vacation)
The Rhode
Island
driver’s license
or identification
card
of
the
individual
signing
the minor's application.
Proof of Residency Documents List
You must present two (2). P.O. Box addresses will not be accepted.
Note: All U.S. Territories driver’s license transfers and RI State ID cards are only done at the DMV Cranston Headquarters.
These transactions are not performed at any DMV or AAA branch office.
Rhode Island DMV –Document Checklist
NON REAL ID LICENSE & ID CARDS
www.dmv.ri.gov
Rev. 2/21
A letter issued by a Rhode Island state agency or a federal agency with the applicant's name and address of residence approving name
and address of residence and the landlord’s name, address, and telephone number;
A valid, unexpired U.S. passport ;
A certified copy of a birthcertificate filed with a State
Office of Vital Statistics or equivalent agency in the
individual's State of birth;
A Consular Report of BirthAbroad (CRBA) issued by
the U.S. Department of State, Form FS-240, DS- 1350 or
FS-545;
A valid, unexpired PermanentResident Card (Form I-551)
issued by DHS or INS;
An unexpired Employment Authorization Document (EAD)
issued byDHS, Form I-766 or Form I-688B;
An unexpiredforeign passport with a valid, unexpired
U.S. visa affixed accompanied by the approved I-94 form
documentingthe applicant's most recent admittance into the
U.S.;
A Certificate of Naturalization issued by DHS, Form N-550
or Form N-570;
A Certificate of Citizenship, Form N-560 or Form N- 561,
issued by DHS;
A U.S. Active Service, Retiree, or Reservist Military ID
Card;
A Native American Tribal ID Card;
A valid U.S. Driver’s License with photograph,
signature, and date of birth (must not be expired for more
than one year);
A valid U.S. Territory Driver’s License with photograph,
signature, and date of birth (must not be expired for more than
one year);
A valid Canadian Driver's License with photograph,
signature, and date of birth (must not be expired for more than
one year); or
An employment authorization document (EAD) issued by
DHS, Form I-766, that indicates a grant of deferred action under
the Deferred Action for Childhood Arrivals (DACA) Program.
Note: Non REAL ID Credentials will have “NOT
FOR FEDERAL IDENTIFICATIONon the card.
Proof of a Social Security Number
Proof of a Social Security Number