(
PRINT) FIRST
NAME MIDDLE NAME LAST
NAME
RESIDENCE ADDRESS
STREET:
CITY: ZIP:
MAILING ADDRESS
ADDRESS:
CITY: ZIP:
BIRTH DATE
_______ ________ ________
ISSUANCE DATE
_______ ________ ________
EXPIRATION DATE
_______ ________ ________
SEX BLOOD TYPE ALLERGY TO DRUGS GLASSES
YES NO
HEIGHT
_____FT _____IN
WEIGHT
__________ LBS
EYE COLOR
HAIR COLOR
CLASS OF LICENSE DRIVING RESTRICTIONS DRIVER’S LICENSE TYPE
REALID DL Regular DL
(REAL ID: 1 MONTH PROCESSING TIME)
SOCIAL SECURITY NUMBER
__________ __________ ____________
LICENSE NUMBER
:
PLACE OF BIRTH:
ORGAN DONOR
YES NO
EMAIL ADDR.
:
PHONE #:
MILLITARY DRAFT REGISTRATION
“BY SUBMITTING THIS APPLICATION, I AM CONSENTING TO REGISTRATION WITH THE SELECTIVE SERVICE
SYSTEM, IF SO REQUIRED BY FEDERAL LAW. IF UNDER (18) YEARS OF AGE, I UNDERSTAND THAT I WILL BE
REGISTERED AS REQUIRED BY FEDERAL LAW WHEN I ATTAIN EIGHTEEN (18) YEARS OF AGE. “
WARNING
UNDER TITLE 20, SECTION 548 VIC, IT IS IN VIOLATION “TO USE FALSE OR FICTITIOUS NAMES IN ANY
APPLICATION FOR A DRIVER’S LICENSE OR IDENTIFICATION CARD, OR KNOWINGLY TO MAKE A FALSE
STATEMENT, KNOWINGLY CONCEAL A MATERIAL FACT OR OTHERWISE COMMIT A FRAUD IN ANY SUCH
APPLICATION.”
_____________________________________________ _____________________
Signature Date
BMV FORM NO. (2019-01) – REV. Jun. 23, 2020
GOVERNMENT OF THE VIRGIN ISLANDS
OF THE UNITED STATES OFFICE OF THE GOVERNOR
BUREAU OF MOTOR VEHICLES
DRIVER’S LICENSE APPLICATION FORM
PLEASE READ THE INFORMATION ON THE BACK OF THIS FORM
click to sign
signature
click to edit
In order to obtain a Driver’s License
(Initial, duplicate or renewal)
All documents must be original
The REAL ID Act of 2005 requires the following
documents:
When applying for a Real ID, please note there is a 1 month processing time, thus, you will be
issued a temporary license, until your Real ID credential is approved.
For more information or to schedule an appointment, please call the St. Thomas BMV at 774-
4268, St. Croix BMV at 713-4268, or St. John 776-6262
1
2
Identification
Bring one (1):
o Certified U.S. birth certificate
o Valid, unexpired, U.S. passport
o Certificate of Naturalization
o Certificate of Citizenship
o Consular proof of birth abroad
o Alien registration receipt card (green card,
form I-551)
o Work Authorization Permit Card
Name Change (if applicable)
o Original or certified copy of all marriage
certificates or court orders that show your
name change(s) including Divorce Decrees.
(Uncertified photo copies are not valid)
Social Security Number (SSN) – (all
nine (9) digits must appear on the
document)
Bring one (1):
o Social Security Card
o DD 214
o SSA 1099
o NON-SSA 1099
o Stamped IRB Income Tax Return
3
4
Residential Address (NOT
post-office box)
Bring two (2):
o Deed, mortgage, payment
booklet, or rental agreement
o Utility bill or hookup/work order
o Property tax statement
o Home Insurance Statement
o Notarized statement from person
you live with along with one
address document (see above) in
that person’s name
o NO TWO (2) DOCUMENTS FROM
THE SAME SOURCE
Transfer of United States
License bring:
o Valid and unexpired license
o Driving record/history from the
state license issuance
BMV FORM NO. (2019-01) – REV. Jun. 23, 2020