I wish to have my social security number removed from DMV Records, pursuant to RSA 263:40-a.
I do not wish to have my photograph retained in the records of the Department of Safety. (RSA 260:14).
I wish to have my legal address appear on the back of my driver license or I.D. card.
I am 18 years old and consent to registration with the Selective Service System as required by Federal Law. (RSA263:5-c).
Make checks payable to: State of NH - DMV
LICENSE TYPE ORIGINAL RENEWAL
Operator $50.00 $50.00
$10.00 $10.00
Non-Driver Identification
Operator/Motorcycle
REAL ID
LICENSE TYPE ORIGINAL RENEWAL
Motorcycle Only $55.00 $55.00
Motorcycle Endorsement $30.00 $ 5.00
Motor Driven Cycle $55.00 $55.00
Moped $ 8.00 $ 8.00
DSMV450 (Revised 1/20)
Payment Method: CASH CHECK CREDIT CARD MONEY ORDER
State of New Hampshire Department of
Safety
Division of Motor
Vehicles
APPLICATION FOR DRIVER LICENSE OR NON-DRIVER ID
CARD
PLEASE PRINT CLEARLY IN BLUE OR BLACK INK
I AM APPLYING FOR
Original License/NH license Renewal
Non – Driver ID Card
in exchange for a license from
another US State, the District of
Columbia or Canadian Province Motorcycle Endorsement
or a US Territory (includes 3 Wheel and motor driven cycle)
Do you have, or did you ever have a New Hampshire driver license or non-driver ID card? YES NO
Do you have or did you ever have a driver license that is valid or that expired within the past twelve months issued by another
US State, the District of Columbia or a Canadian Province? YES NO
If “YES”, where was it issued? Date of Expiration:
Type of License:
License ID No.:
IDENTIFICATION INFORMATION
PLEASE CHECK BOX IF MAILING AND LEGAL ADDRESS ARE THE SAME
FIRST NAME (REQUIRED) MIDDLE (REQUIRED) LAST NAME (REQUIRED) SUFFIX (Sr, Jr, etc.)
ADDRESS WHERE YOU GET YOUR MAIL (REQUIRED)
ADDRESS WHERE YOU LIVE (REQUIRED)
(ALL ARE REQUIRED)
DATE OF BIRTH
GENDER
HEIGHT WEIGHT EYE COLOR HAIR COLOR
(REQUIRED IF FIRST OR ORIGINAL NH DRIVER LICENSE OR REAL ID)
SOCIAL SECURITY INFORMATION TELEPHONE NUMBER (OPTIONAL) E-MAIL ADDRESS (OPTIONAL)
( ) -
OPTIONAL (CHECK ANY THAT APPLY)
I wish to add the Veteran Indicator
(Additional documents required)
I wish to have my social security
number removed from DMV
Records, pursuant to RSA 263:40-a
(Does not apply to REAL ID)
I do not wish to have my photo-
graph retained in the records
of the Department of Safety
(RSA 260:14)
(Does not apply to REAL ID)
I wish to have my legal address appear on the back of
my driver license or ID card. (Required on REAL ID)
I am 18 years old and consent to registration with the Selective
Service System as required by Federal Law (RSA 263:5-c)
(Only for males age 18 – 25)
By signing above, I certify that I have paid all resident taxes or Interest and Dividends Tax (RSA 77) for which I am liable, and,
if required, insurance certificates are on file with the Director of Motor Vehicles. My driving privileges are not subject to or under
disqualification, suspension or revocation by any jurisdiction (does not apply to non-driver ID).This application is signed under
penalty of unsworn falsification pursuant to RSA 641:3.
Are you a United States Citizen?
Are you a New Hampshire Resident?
CHECK HERE TO
SAVE A LIFE
By checking this box, you consent to Organ & Tissue Donation pursuant to RSA 263:41. Donation information
will be provided to federally-designated organizations so that your decision to donate may be honored.
Vision Test With CL Without CL
POUNDS FEET INCHES OTHER
$80.00
$60.00 $60.00
