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OUT‐OF‐STATE RESIDENT APPLICATION FOR DUPLICATE DRIVER’S LICENSE OR STATE ID
AND/OR DRIVER’S LICENSE REINSTATEMENT
MICHIGAN DEPARTMENT OF STATE
PLEASE PRINT OR TYPE INFORMATION REQUESTED
1. REQUESTOR’S INFORMATION
NAME AS IT APPEARS ON MICHIGAN DRIVER’S LICENSE OR STATE ID (FIRST, MIDDLE, LAST, SUFFIX) DATE OF BIRTH (MM/DD/YYYY)
DRIVER’S LICENSE OR STATE ID NUMBER DAYTIME PHONE NUMBER EXTENSION
( )
STREET ADDRESS (MICHIGAN RESIDENCE) CITY STATE
MI
ZIP
ONE‐TIME OUT‐OF‐STATE MAILING ADDRESS CITY STATE ZIP
2. DUPLICATE DRIVER’S LICENSE OR STATE ID
3. DRIVER’S LICENSE REINSTATEMENT
Duplicate Driver’s License/State ID Fees
(check one)
:
Operator‐ $9
Chauffeur‐ $18
Enhanced Operator‐ $24
Enhanced Chauffeur‐ $33
State ID‐ $10
Enhanced State ID‐ $30
A hard copy of your driver’s license will take
approximately 4 weeks to arrive after processing. A
Temporary Operator Permit may be printed up to 60
days after your request is processed by visiting the
Online Services section at Michigan.gov/SOS.
Reinstatement Fee Types
(check those applicable):
Standard‐ $125
Minor in Possession (MIP)‐ $125
Controlled Substance‐ $125
Watercraft‐ $125
Snowmobile‐ $125
Friend of the Court‐ Compliance Certificate must accompany $85
I need a no‐fe
e duplicate driver’s license. Yes No
If a reinstatement fee is currently due, your current Michigan credential is
not valid.
4. AUTOMATIC VOTER REGISTRATION
We will register you to vote unless you check the box below to opt out.
Are you a U.S. citizen? Yes No Don’t use my information for voter registration.
To be eligible to vote, you must be a U.S. citizen, at least 18 years old (when you vote), and a 30‐day resident of your city or township in Michigan. If you’re eligible, this
form will register you to vote unless you check the opt‐out box. If you’re already registered, checking the box won’t cancel your registration or stop your registration
address from being updated. Some voter registration information is public, but we won’t share your driver’s license or Social Security number, day or month of birth,
email, or phone number, or your decision not to register. Automatic voter registration doe
s not apply for reinstatement only applications.
5. CERTIFICATION
My signature below certifies that all statements on this application are true and correct. I certify that I am a resident of the
State of Michigan. IT IS A CRIME TO MAKE A FALSE R EPR ESENTATION ON AN APPLICATION FOR AN OFFICIAL STATE OF
MICHIGAN DRIVER’S LICENSE OR STATE ID.
__________________________________________________________________________________________________ ______________________
APPLICANT’S SIGNATURE (ADOBE SOFTWARE SIGNATURES ARE NOT ACCEPTED) DATE
6. PAYMENT METHOD
PAYMENT ENCLOSED
Check
Money Order
Make payable to
“State of Michigan”
CREDIT CARD PAYMENT (A NOMINAL PROCESSING FEE MAY BE CHARGED) NAME AS IT APPEARS ON CREDIT CARD
Discover MasterCard VISA
CREDIT CARD NUMBER EXPIRATION DATE (MM/YY) CARDHOLDER’S ZIP CODE
My signature below authorizes the Michigan Department of State to charge my account for the applicable fees.
_________________________________________________________________________________ ______________________
SIGNATURE OF CARDHOLDER (ADOBE SOFTWARE SIGNATURES ARE NOT ACCEPTED) DATE
FAX COMPLETED FORM WITH MAIL COMPLETED FORM WITH PAYMENT TO: MICHIGAN DEPARTMENT OF STATE
CREDIT CARD PAYMENT TO 517‐636‐5865
(ALLOW 7‐10 BUSINESS DAYS TO
SPECIAL SERVICES BRANCH
PROCESS REQUESTS SENT BY MAIL)
7064 CROWNER DRIVE
LANSING, MI 48918
BDVR-162 (02/04/2021)
