Fillable Mv2627 MV1/MV11 Add Driver(s) Addendum

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Mv2627 MV1/MV11 Add Driver(s) Addendum

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MV1/MV11 ADD DRIVER(S) ADDENDUM
Wisconsin Department of Transportation
MV2627 8/21/2018
Title No.
This form is an addendum to, and must be used in conjunction with, a completed MV1 or MV11
Primary Driver Information
Driver Legal Name (Last, First, Middle Initial) Opt Out regarding open records laws (see MV11/MV1 instructions) Birth Date
Driver Social Security Number – Required
OR
Wisconsin Driver License Number – Required
Street Address
City
State
Zip Code
Driver Daytime (Area Code) Telephone Number
P.O. Box
(if applicable)
City
State
Zip Code
Co-Driver Information
Co-Driver Legal Name
(Last, First, Middle Initial)
Birth Date
Co-Driver Social Security Number – Required
OR
Wisconsin Driver License Number – Required
Street Address
City
State
Zip Code
Driver Daytime (Area Code) Telephone Number
Mailing Address P.O. Box (if applicable) City State Zip Code
Vehicle Information
Vehicle Identification Number
(standard VIN has 17 characters)
WI License Plate to Transfer or Temporary Plate
Plate Type
Year
Make
Type
(Car, Truck, Van, etc.)
Color
Fleet No.
(Optional)
Date You First Drove This Vehicle in Wisconsin
eNotify Electronic Renewal Notification
Sign up to receive your renewal notices electronically! Instruction will be emailed to the address below
Driver Signature Date Co-Driver Signature (if applicable) Date
This form is an addendum to, and must be used in conjunction with, a completed MV1 or MV11
Driver role definition:
A role for someone who operates a vehicle on behalf of the vehicle owner or lessee. Designating a driver role on
a registration record will ensure that plates, certificates of registration, year stickers and renewal notices are mailed to the
primary driver.
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Mv2627 MV1MV11 Add Driver(s) Addendum

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Completed 10 July 2020

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