DMV-22E (Rev 6/2020) 2
ALL DRIVER LICENSE OR ID CARD APPLICANTS ONLY MUST COMPLETE SECTION 1 OR SECTION 2
By checking this box, you affirmatively decline the transmission of your information for voter registration/update purposes.
NOTE: Opting out of this process will not change your current voter registration preferences.
SECTION 2
NOTE: Do not complete this section if you chose to opt-out by checking the box above. If both sections are completed, this entire application will be labeled as
incomplete and not processed.
Are you 18 years or older?
Are you currently 17 and would like to preregister? You will be able to vote when you turn 18.
If you are eligible, you will be registered to vote or have your voter registration updated. Unless you opt-out, we will send your
information to your County Clerk/Registrar. If you had a felony conviction, you are eligible to vote on release from prison. Your choice to
register to vote or not and the place where you register are confidential and will not affect the assistance or services provided to you by the
DMV. Nevada Revised Statute Chapter 293.
If applicable, check one of the following: (The Uniformed And Overseas Citizens Absentee Voting Act)
Domestic Military (or military spouse or dependent) on active duty and absent from Nevada voting residence
Overseas Military (or military spouse or dependent) on active duty and absent from Nevada voting residence
Overseas Citizen residing outside the U.S. (not applicable to those traveling/vacationing outside the U.S.)
Political Party Selection – Check Only One Box
Democratic Party Independent American Party Libertarian Party
Nonpartisan (no party affiliation) Republican Party
Other Party – Write in here: ________________________________________________________
A voter registration record must indicate a major political party in order to vote for candidates in a primary election. A new voter registration
record will default to “nonpartisan” (no political party) unless a political party is indicated above. If you are already registered to vote in
Nevada, no party selection during this transaction will result in your record using your previous political party preference.
If you are active duty military residing outside of Nevada and you do not have an active Nevada physical address, indicate which County
you would like your voter registration information to be forwarded to. COUNTY: _________________________
Voter registration applications are also available in Spanish and Tagalog and can be found on the DMV website at: https://dmvnv.com
ALL DRIVER LICENSE OR ID CARD APPLICANTS MUST ANSWER THE QUESTIONS BELOW
If you were born male and are at least 18-26 yrs. old and DO NOT check the box, you will be registering for Selective
Service. You will remain eligible for federal student loans, grants, benefits relating to job training, most federal jobs and,
if applicable, citizenship in the United States.
NO, I am not
eligible or do not
wish to register
I have a U.S. Armed Forces honorable discharge and wish to have a veteran designation placed/retained on my license.
If your card does not already have a veteran designation, you must present proof of honorable discharge.
Have you ever served on active duty in the Armed Forces of the United States and separated from such service under
conditions other than dishonorable?
Have you ever been assigned to duty for a minimum of 6 continuous years in the National Guard or a reserve
component of the Armed Forces of the United States and separated from such service under conditions other than
dishonorable?
Have you ever served the Commissioned Corps of the United States Public Health Service or the Commissioned Corps
of the National Oceanic and Atmospheric Administration of the United States in the capacity of a commissioned officer
while on active duty in defense of the United States and separated from such service under conditions other than
dishonorable?
Would you like to be an organ donor and have that indicated on your license or identification card?
If you would you like to donate $1 or more to the anatomical gift account, indicate how much here: $______________
**NOTE: If you are a US Government employee, active duty military, or dependent of such person, stationed outside of Nevada DMV
and do not have a primary Nevada physical address, please Contact Us for instructions on your address change or voter registration.
I hereby certify, under penalty of perjury, that all statements in this application are true and correct. I attest that I am a legal
resident of Nevada. I understand that any misstatement of facts on this application may cause the cancellation or denial of my
driver’s license pursuant to NRS 483.420. “I swear or affirm I am a U.S. citizen. I will be at least 18 years old by the date of the next
election, or I am at least 17 years old. I will have continuously resided in Nevada at least 30 days in my county and at least 10 days
in my precinct before the next election at which I intend to vote. The physical address listed herein is my sole legal place of
residence and I claim no other place as my legal residence. If I am preregistering to vote, I understand and acknowledge that I will
be deemed to have registered to vote as of the date of my 18th birthday unless my preregistration is cancelled by any of the
means or for any of the reasons for cancelling voter registration pursuant to Chapter 293 of the Nevada Revised Statutes. I am not
currently serving a term of imprisonment for a felony conviction. I declare under penalty of perjury that the foregoing is true and
correct.”
Applicant Name _________________________________________ DL/ID Number ________________________
Applicant Signature ______________________________________ Date ____________________________________
