Information about the Wisconsin Driver License (DL)/Identification Card (ID)

Application (form MV3001)

You will need to visit a DMV service center and present an MV3001 application when
you are:
• applying for an original or duplicate driver’s license or instruction permit
• renewing an existing driver’s license
• applying for an ID card, which can only be issued at a DMV service center (if you
hold a valid Wisconsin driver’s license, you are not eligible for an ID card)
• applying for an occupational license

An application may only be submitted through the mail if you are unable to renew or
obtain a duplicate driver’s license because you are a Wisconsin resident who is
temporarily out-of-state. More information about renewing when out of state...

Fees

Applying for a license

 Wisconsin Driver License (DL)/Identification Card (ID) Application Instructions
Acceptable proof of identity and residency are required.
APPLICATION COMPLETION REQUIREMENTS SOCIAL SECURITY NUMBER (SSN) If you have a SSN, you must pro-
¨ DL customers, complete sections A, B and C. vide it. Your SSN may be used: 1) For purposes authorized by law; 2) To
If under age 18, complete section D also. link your driver license and vehicle registration records. Your SSN must
correspond with the number issued by the Social Security Administration,
¨ CDL customers, complete sections A, B, C and E. Your Federal which is required by s.343.14(2)(bm) Wis. Stats. Federal regulation 49
Medical Certificate is required, unless you drive a school bus or CFR, Part 383.153 requires a SSN for commercial driver license privileges.
drive for a political subdivision.
WARNING Any person who, on applying for a driver license or ID card,
¨ ID card customers complete sections A and B.
presents fraudulent or altered documents or makes a false statement to the
DONOR Check the box if you wish to help others by donating your issuing officer or agency, may be subject to a fine of not more than $1,000,
organs, tissue and eyes upon your death. Your gift will be used to or imprisonment for not more than 6 months, or both, revocation of driver
save and improve lives through transplantation, therapy, research or license privilege for one year or cancelation of the ID card.
education. If you are at least 18, checking the box indicates your legal
RELEASE OF INFORMATION The Department uses information provided
consent for donation. You do not have to answer this question to obtain
to issue driver licenses in Wisconsin, collect fees and enforce laws. Under
a license or ID card.
Wisconsin open records law and s.341.17(9) Wis. Stats., the department
NOTICE to Males age 18-25 By submitting this application, you may make nonconfidential information available to others for business
consent to be registered with the Selective Service System, if required purposes. If you want your name and address withheld from vehicle record
by Federal law. You also authorize the Department of Transportation to requesters, please indicate in Section A.
forward any information contained in this application that is requested
INSURANCE No person may operate a motor vehicle in Wisconsin
by the Selective Service System for the purpose of registering you as
unless the owner or driver of the vehicle has liability insurance in effect
provided in s.343.14(2)(em) and s.343.234 Wis. Stats.
for the vehicle being operated and carries proof of insurance whenever
ADA The Wisconsin Department of Transportation complies with the driving. Failure to have insurance could result in up to a $500 fine.
Americans with Disabilities Act (ADA). Refer to Wis. Stat. 344.61-344.65 for full details.

OFFICE USE ONLY Reason for Reissue

Date Processor ID Product Type

REGI CDLI CYCI SPRI JUVI MPDI

Wisconsin or Out-of-State License Number State Expiration Date ID
PROB RGLR OCCL SPRR JUVP NON
Legal Presence Name/DOB Proof Identity Residency Proof Application Type AMD
ORG RNW DUP REI RSM COA
Temporal Class(es) Issued
Visual Acuity Without RX With RX Field of Vision
In Degrees A B C D M
Endorsements
Right Eye 20/ 20/ F H N P S T
Federal Medical Certificate Shown
Left Eye 20/ 20/ YES Expires NO
Corrective Lenses Color Perception Hearing (CDL Only) Driver Education Amount
YES NO P C Check Cash Acct. $
Examiner ID Test Score Highway Signs Knowledge

X
(Processor Signature) (Processor ID)

Clear Form

SECTION A - CUSTOMER - PLEASE PRINT Check one. I am applying for: Driver License Identification Card
Customer Name - First, Middle Initial, Last Birth Date - Month Day Year Social Security Number

Residence Address - Street Apt # City State ZIP Code County of Residence

Mailing Address - ONLY If Different from Residence Apt # City State ZIP Code

Sex Race Eyes Hair Weight Height Former Name If Changed Since Last License

Reason for Name Change

Please check the box if you wish to have your name/
address withheld from lists the Department sells. Marriage Divorce Other

Check ONLY ONE of the following three boxes. I certify that I am a:

U.S. Citizen
Do you wish to register to be an organ and tissue donor? Yes Permanent or Conditional Permanent Resident
Temporary Visitor
I certify that the information on this application is true under penalty of
perjury and I am a resident of Wisconsin.
WISCONSIN DRIVER LICENSE/IDENTIFICATION CARD APPLICATION
MV3001 12/2010 Ch.343 Wis. Stats. Wisconsin Dept. of Transportation X
(Customer Signature) (Date)
SECTION B - DRIVER LICENSE/IDENTIFICATION SECTION C - ALL DRIVER LICENSE CUSTOMERS ONLY
CARD CUSTOMER
YES NO YES NO
1. Has your license, ID card or operating privilege ever been
revoked, suspended, cancelled, disqualified or denied?
  1. Do you need glasses or contact lenses for driving?
 
If yes, give date and place.
2. Have you been convicted of operating while intoxicated
OUTSIDE of Wisconsin?

  2. In the past year, have you had a loss of consciousness or

muscle control, caused by any of the following conditions?

 
If yes, give date and place.
If yes, check condition(s) and give date(s.)

3. Do you hold a valid driver's license/identification card

FROM ANOTHER STATE/COUNTRY?

 
If yes, list.

Traumatic Brain Seizure

Years of licensed driving experience in the U.S. and
 or Head Injury (2)  Heart (6)  Mental (3)  Disorder (4)
Canada?

Muscle or
 Diabetes (5)  Lung (7)  Nerve (2)  Stroke (2)

SECTION D - DRIVER LICENSE CUSTOMERS UNDER AGE 18 ONLY

Applicant Certification: I certify that in the past 6 months, I have not Sponsor Certification: As the adult sponsor, I accept responsibility
been ticketed for a moving violation that has or may result in a conviction. and verify that minor is not a habitual truant and meets the educational
I understand that falsifying this statement will result in the cancellation of requirements under s.343.15 Wis. Stats. and, if required for this
my probationary license. Applicant Signature - Required application, has accumulated at least 30 hours of driving experience,
10 of which were at night.
Minor Name - Print
X
School Certification: I certify under s.343.14(5) Wis. Stats., that this
applicant is enrolled in approved behind-the-wheel training which begins Sponsor Name - Print Relationship to Customer
no later than 60 days from date signed.
School Name Sponsor Wisconsin DL/ID Number Sex Birth Date

Sponsor Signature (Must be Notarized)

Official WI DOT Test Results (line out if not used)

X
State of Wisconsin County of Subscribed and sworn to
Knowledge Test Highway Sign Test before me this date
Pass Fail Pass Fail
Authorized School Official/Instructor Signature Date Signed Notary Public or DOT Authorized Agent My Commission Expires

X X
Do NOT Use Notary Seal

SECTION E - COMMERCIAL DRIVER LICENSE CUSTOMERS ONLY

If applying for an HME, complete form MV3735.

If applying for a school bus endorsement, complete form MV3740.

YES NO YES NO
1. In the past 5 years, have you had a loss of consciousness
or muscle control, caused by a neurological condition, for

  6. In the past 5 years, have you been convicted of a felony or

offense against public morals in Wisconsin or any other
 
example, seizure disorder?
jurisdiction? If yes, give date and place.

7. Is the vehicle you will be operating equipped with air

2. In the past 2 years, have you taken insulin to control a
diabetic condition?
  brakes?
 
8. Do you meet all the driver qualifications as required by
3. In the past 2 years, have you taken oral medication to
control a diabetic condition?
  49 CFR 391 to operate a commercial vehicle? If not, see
 
publication BDS218.
9. Is the vehicle in which you will take the commercial driver
4. Is your hearing impaired? (hard of hearing)
  license skill test representative of the type of vehicle you

 
will operate or intend to operate?

5. Have you held a valid operator's license in the last 10

years from any jurisdiction (state) other than Wisconsin?
 
If yes, list all states.

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