BMV FORM NO. (2019-02) – REV. Aug. 12-2019
BMV FORM NO. (2019-02) – REV. Aug. 12-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES IDENTIFICATION CARD APPLICATION FORM APPLICANT INFORMATION Name: Date of Birth: SSN: Phone: Current address: City: State: ZIP Code: Gender: Weight: Eye Color: Hair Color: Height: Blood Type: Place of Birth: Identification Type: REALID ID Regular ID Organ Donor Glasses: Yes No MAILING ADDRESS (IF DIFFERENT) Mailing Address: Allergies: Email Address: DISCLAIMERS WARNING UNDER TITLE 20, SECTION 548 VIC, IT IIS IN VIOLATION “TO USE FALSE OR FICTITIOUS NAMES ON ANY APPLICATION FOR A DRIVER’S LICENSE OR IDENTIFICATION CARD, OR KNOWINGLY TO MAKE FALSE STATEMENT, KNOWNINGLY TO CONCEAL A MATERIAL FACT OR OTHERWISE COMMIT A FRAUD IN ANY SUCH APPLICATION.” MINOR CONSENT TO TITLE 20, SECTION 374, SUB-DIVISION OF THE VIRGIN ISLANDS CODE, BEING THE PARENT, GUARDIAN OR OTHER PERSON RESPONSIBLE FOR THE CARE, CUSTODY OR CONTROL OF A MINOR (UNDER THE AGEOF 18), I HEREBY GIVE MY CONSENT TO THE U.S. …
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BMV FORM NO. (2019-02) – REV. Aug. 12-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES IDENTIFICATION CARD APPLICATION FORM APPLICANT INFORMATION Name: Date of Birth: SSN: Phone: Current address: City: State: ZIP Code: Gender: Weight: Eye Color: Hair Color: Height: Blood Type: Place of Birth: Identification Type: REALID ID Regular ID Organ Donor Glasses: Yes No MAILING ADDRESS (IF DIFFERENT) Mailing Address: Allergies: Email Address: DISCLAIMERS WARNING UNDER TITLE 20, SECTION 548 VIC, IT IIS IN VIOLATION “TO USE FALSE OR FICTITIOUS NAMES ON ANY APPLICATION FOR A DRIVER’S LICENSE OR IDENTIFICATION CARD, OR KNOWINGLY TO MAKE FALSE STATEMENT, KNOWNINGLY TO CONCEAL A MATERIAL FACT OR OTHERWISE COMMIT A FRAUD IN ANY SUCH APPLICATION.” MINOR CONSENT TO TITLE 20, SECTION 374, SUB-DIVISION OF THE VIRGIN ISLANDS CODE, BEING THE PARENT, GUARDIAN OR OTHER PERSON RESPONSIBLE FOR THE CARE, CUSTODY OR CONTROL OF A MINOR (UNDER THE AGEOF 18), I HEREBY GIVE MY CONSENT TO THE U.S. VIRGIN ISLANDS BUREAU OF MOTOR VEHICLES FOR THE ISSUANCE TO THE SAID MINOR OF AN IDENTIFICATION CARD. Signature of Parent/ Guardian: __________________________________________ Date: _______________________________ Signature of Applicant: Date: For more information, please call the St. Thomas BMV at (340) 774-4268, the St. Croix BMV at (340) 713- 4268 or the St. John BMV at (340) 776-6262 PLEASE READ THE INFORMATION ON THE BACK OF THIS FORM SIGN SIGN BMV FORM NO. (2019-02) – REV. Aug. 12-2019 GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR BUREAU OF MOTOR VEHICLES IDENTIFICATION CARD APPLICATION FORM The following original documents are required: When applying for a Real ID, please note there is a 1 months processing time, thus, you will be issued a temporary ID Card, until your Real ID credential is approved. 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) 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 Residential Address (NOT post office box) Bring one (1): o Deed, mortgage, payment booklet, or notarized rental agreement o Utility bill or hookup/work order with physical address printed on the bill o Home Insurance Statement o Property tax statement o Notarized statement from person you live with along with one address document (see above) in that person’s name