APPLICATION FOR INTERNATIONAL DRIVING PERMIT
or
INTER-AMERICAN DRIVING PERMIT
FEE FOR EACH PERMIT $10.00
Issuance of Permit is restricted to persons EIGHTEEN YEARS or over who hold a valid U.S.A. or Territorial License. PERMIT VALID FOR ONE YEAR. Not renewable.
CHECK DESIRED PERMIT
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International Driving Permit (Fee $10.00 and 2 Passport Type Photos signed on back) |
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Inter-American Driving Permit *** (see reverse side) (Fee $10.00 and 2 Passport Type Photos signed on back) |
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MANDATORY REQUIREMENTS
(1) Attach 2 recent signed Passport Type Photos (2" x 2")
(2)Enclose permit fee of $10.00 (NO CASH)
(3)If mailing application, a photocopy of U.S. Driver's License must accompany completed application.
NOTE: IT IS IMPORTANT THAT YOUR U.S.A. OR TERRITORIAL LICENSE BE CARRIED WITH THE PERMIT
----------AT ALL TIMES. The International or Inter-American Permit is not valid for driving in the United States.
PRINT NAME IN FULL. No Initials
Mr. Mrs. Ms. (Circle One)
FIRST__________________________MIDDLE______________________________LAST_____________________________________________________________
PHONE_______________________________________HOME STREET ADDRESS__________________________________________________________________
CITY______________________________________________________________STATE___________________________________ZIP CODE__________________
U.S. DRIVER'S LICENSE NO.__________________________________________STATE OF ISSUE_____________________EXPIRATION DATE______________
BIRTHPLACE:
CITY________________________________________________________STATE OR COUNTRY_____________BIRTH DATE (MO . DAY YEAR)_____________
DATE PERMIT TO BE EFFECTIVE_______________________________________DEPARTURE DATE FROM U.S.______________________________________
FOREIGN ADDRESS (If known)___________________________________________________________________________________________________________
PLEASE CHECK THE APPROPRIATE BOX BELOW TO INDICATE THE TYPE OF VEHICLE FOR WHICH YOU NOW HOLD A VALID U.S.A. OR TERRITORIAL DRIVER'S LICENSE, AND FOR WHICH YOU DESIRE THIS PERMIT: