Driver Information

Driver’s License and ID Card Online Renewal

Driver Information

* All fields are required.

NOTE: Enter names below exactly as they appear on current license do not include suffix (Jr, Sr) if listed on your card.

Driver License Number

Last Four (4) Digits of Your SSN

First Name

Last Name

Do not include suffix (Jr., Sr.) if listed on your current license.

Email Address

Date of Birth

Enter the date of your Vision Screening

Vision test date must be within a year of the application date.

I hereby certify that the information provided is true, accurate, and complete to the best of my knowledge.

Please upload a copy of your Vision screening Form TC 94-202 completed by a credentialed medical specialist or vision specialist within the last year of exam.

Medical Questions

Have you suffered a seizure within the past 90 days?

Yes

Have you suffered any seizures or blackouts in the past three (3) years?

Yes

Last Seizure Date

Do you have any physical, mental, or emotional issues that would prevent you from operating a vehicle safely?

Yes

Do you have a license or ID revoked in any jurisdiction?

Yes

Jurisdiction Revoked In