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Title: Arizona Identification Card Application Form (40-5122)
Document ID: 0
Document Completed:
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Title: Arizona Identification Card Application Form (40-5122)
Document ID: 0
Document Completed:
No Document History |
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Form 40-5122, Driver License/Identification Card Application, or commonly referred to as the Arizona Identification Card Application form, is a state-level application form by the Arizona Department of Transportation (DOT) — Motor Vehicle Division (MVD).
Exclusive to residents of Arizona, the Arizona Identification Card Application form is used when applying for an identification card for travel and non-travel purposes. Aside from its use as a form to apply for an ID card in the state, it can also be used in applying for a driver’s license, driving permit, motorcycle driver’s license, and a limited-use driver’s license for an active duty military, student, or family member.
You can download and print a copy of the Arizona Driver’s License Application form on the Arizona Motor Vehicle Division’s official website to complete manually. For your convenience, you can use an online PDF editor, such as PDFRun, to fill out the application form electronically.
Answer the two-page application form accurately to avoid any problems with your application for an identification card.
What are you applying for?
Mark the appropriate box to determine your type of application. There are two types of application: Driver License (DL) and Identification Card (ID).
Driver License (DL)
Identification Card (ID)
Have you ever had a DL/ID issued in Arizona?
Mark the Yes box if you have been previously issued a driver’s license or identification card in Arizona.
Social Security Number
Enter your nine-digit Social Security Number (SSN).
Applicant Name
Enter your full legal name in the following format: First Name, Middle Name, Last Name. This will appear on your Arizona driver’s license or identification card.
Suffix
Enter your suffix, if you have any.
Residence Street Address
Enter the full address where you live, including the Apartment or Unit Number, City, State, and Zip.
Mailing Address
Enter the full address where you want to receive your mail, if different from your residence address, including the Apartment or Unit Number, City, State, and ZIP.
Mark the Appear on License box if you want your mailing address to appear on your license, instead of your residence address.
Sex
Mark the appropriate box to determine your sex. You may select:
Weight
Enter your weight in pounds.
Height
Enter your height in feet and inches.
Eye Color
Enter your natural eye color.
Hair
Enter your natural hair color.
Date of Birth
Enter the date you were born in the following format: Month, Day, Year.
The next lines are numbered items.
Item 1
Mark Yes if you wish to register to vote or update your existing voter registration and you are a U.S. Citizen; otherwise mark No.
Mark the appropriate box if you want to be on the permanent early voting list and receive an early ballot by mail each election you are eligible.
Party Preference
Mark the box to determine which political party you want to be affiliated with. You can select:
Item 2
Mark the DONOR♥ box if you want to become an organ or tissue donor and join the DonateLifeAZ Registry. By marking the box, DONOR♥ will appear on your driver’s license.
Item 3
Mark the box if you are a U.S. Military veteran who was enlisted, drafted, inducted, or commissioned to serve in the active military, naval, or air service, and was not dishonorably discharged. By marking the box, “Veteran” will appear on your driver’s license.
Item 4
Mark the box if you have a medical condition and you want to display it on your license or identification card. Proof of your medical condition is a requirement.
Item 5
Mark Yes if you have a physical, psychological, or visual condition (other than wearing corrective lenses), or alcohol/drug dependency and taking medications affecting your ability to operate a vehicle safely. The Please Explain box requires an explanation for your condition.
Item 6
Mark Yes if you have ever been determined to be incapacitated by a court.
Item 7
Mark the box if you consent to the release of your personal information contained in your driver’s license and vehicle record. By marking the box, you also understand that this is not a one-time consent that applies only to a specific individual or organization, but is instead a general consent that applies to all requests from any and all individuals or organizations for any purpose until you revoke in writing. Take note that consent for a vehicle record applies to all owners.
If you certify under penalty of perjury that the information you have provided is true and correct, sign the form to continue with your application.
Applicant Signature
Affix your signature.
Legal Guardian Certificate
This section is for driver’s license and identification card applicants. A parent or legal guardian must answer this section.
Mark the appropriate box to determine your relationship with the applicant. You can select:
You must consent that you are responsible for any negligence or willful misconduct caused by the minor applicant by signing the Arizona Identification Card application form.
Parent or Guardian Name
Enter your full legal name.
Parent or Guardian Signature
Affix your signature.
Driving Practice Certificate
This is to certify that the minor applicant completed at least 30 hours of supervised driving practice, including at least 10 hours at night for a graduated driver’s license; at least 30 hours of motorcycle riding practice for a motorcycle license or motorcycle endorsement
Parent or Guardian Name
Enter your full legal name.
Parent or Guardian Signature
Affix your signature.
PDFRun is an online PDF editor platform that enables its users to find, edit, electronically sign, download, and share forms and documents anytime and anywhere, using any device.
With a cloud-based archive of thousands of forms and documents, it fast-tracks the document management processes of many professionals and businesses of different sizes, across many industries.
Through its user-friendly and easy-to-navigate interface, users may also upload their own files to fill out, edit, convert, e-sign, and share to multiple recipients to request signatures.
PDFRun streamlines document management processes, improves documentation workflows, and enhances its users’ efficiency, resulting in better productivity and an increase in work output.
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Use the File button to access functions such as New PDF, New Page, Organize Pages, Save, Save As, Print, Export, Share Link, Email, and Postal Mail.
Use the Text button to add texts, numbers, and symbols to your document. To customize the texts, you will be able to access additional tools, such as the Bold, Italics, Underline, and Strikethrough buttons, the text alignment options, such as Left, Center, Right, and Justified buttons, the Bulleted List and Numbered List buttons, the Font Styles and the Font Sizes drop-down lists, and the Font Color and Font Highlight Color selection tools.
Use the Signature button to add a signature to your document and to assign a signatory. You will have the option to Type, Draw, or Upload your signature.
Use the Image button to add an image, logo, or photo to your document. The accepted formats are .jpg, .jpeg, and .png.
Use the Date button to add a date to your document. The default date format is MM/DD/YYYY, but you can modify it by typing the date format you prefer. Initially, it will display the current date, but you will be able to change it. To customize the date, you will be able to access additional tools, such as the Move text button, the Font Styles and the Font Sizes drop-down lists, the Bold, Italics, and Underline buttons, and the text alignment options, such as Left, Center, Right, and Justified buttons.
Use the Check button to add a check symbol to your document. To customize the check symbol, you will be able to access the Size adjustment tool.
Use the Cross button to add a cross symbol to your document. To customize the cross symbol, you will be able to access the Size adjustment tool.
Use the Whiteout button to white out or erase items in your document.
Use the Redact button to censor items in your document.
Use the Marker button to highlight items in your document. To customize the marker, you will be able to access the Color selection and Size adjustment tools.
Use the Insert button to add Icons, Header, Footer, Watermark, Comment, and Sticky Note to your document. The Icons button allows you select shapes such as Arrow Left, Arrow Right, Arrow Up, Arrow Down, Thumbs Up Thumbs Down, Question Mark, Exclamation Point, Circle, and Square; the Header button allows you to add a header; the Footer button allows you to add a footer; the Watermark button allows you to add a watermark by typing or uploading an image; the Comment button allows you to leave a comment in any part of the document; the Sticky Note allows you to post a note to any part of the document.
Use the Zoom button to zoom in and zoom out your document.
Use the Undo button to negate the last command done to your document.
Use the Redo button to reverse your last Undo.
Use the Help button to read instructions about how to use PDFRun’s online editor.
Use the Send for Signing button when you are done editing your document and you want to send it to another person for signing. You will need to provide the information of the recipient of your document to proceed.
Use the Email button when you are done editing your document and you want to send it to another person via email. You will need to provide the information of the recipient of your document to proceed.
Use the Download button when you are done editing your document and you want to save a copy of it to your device.
Use the Done button to finish editing your document.