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Secure Application
Step 1:
Form Information
Name
*
Date of Birth
*
Month
January
February
March
April
May
June
July
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September
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November
December
Day
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Year
2007
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1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Place of Birth
*
Race
*
Race
Black
Hispanic
Indian (American)
Asian
White
Other
Sex
*
Sex
Male
Female
Eyes and Hair
*
Eyes
Black
Blue
Brown
Gray
Green
Hazel
Hair
Bald
Blonde
Brown
Black
Gray
Red
Height and Weight
*
Height (Feet)
4’
5’
6’
7’
Height (Inches)
0”
1”
2”
3”
4”
5”
6”
7”
8”
9”
10”
11”
Telephone (Day Time)
*
Email
*
Employer Name
*
Glasses or contacts for driving?
*
Yes
No
Hearing impaired?
*
Yes
No
Marital Status
*
Marital Status
Single
Married
Widowed
Separated
Divorced
Employment Status
*
Employment Status
Employed
Unemployed
Self-employed
Insurance Status
*
Health Insurance
Private Insurance
Public Insurance
Uninsured
Auto Insurance
Liability Coverage
Collision Coverage
Comprehensive Coverage
Medical Payments Coverage
Personal Injury Protection
Uninsured and Underinsured Motorist Protection
Vehicle
Step 2:
Address Information
Residence Address
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Mailing Address
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Step 3:
Answer Each Question
Do you have, or have you ever had, a Tennessee Driver License, CFD Learner Permit, or ID?
*
Yes
No
TN. License No.
*
Do you now have a Driver License, Permit, or ID from another State?
*
Yes
No
State
*
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
License No.
*
Has your privilege to drive ever been suspended, revoked, cancelled, or denied?
*
Yes
No
If
Yes
, list most recent:
*
County:
State:
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Date:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Reason for suspension, cancellation or denial:
Are you applying for a duplicate Driver License?
*
Yes
No
If
Yes
, choose a reason:
*
Reason
Lost
Destroyed
Are you a United States citizen?
*
Yes
No
Do you have, or are you being treated for any physical or mental disabilities that would interfere with your ability to drive?
*
Yes
No
If
Yes
, explain:
*
Are you currently an organ and tissue donor or would you like to register today?
*
Yes
No
Would you like to apply to register to vote or update your voter registration information today?
*
Yes
No
Simply marking
Yes
on this application does not update your voter registration files.
Do you give your consent to the department for release of personal information from your record?
*
Individual lookup:
*
Yes
No
Mailing advertising option:
*
Yes
No
Are you an honorably discharged veteran and do you want it displayed on your License or ID?
*
Yes
No
Must present a certified copy of DD-214.
Step {( currentStep )}:
Payment Information
Billing Name
*
Billing Address
*
The billing address and ZIP must match your credit card.
State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Billing Contacts
*
Credit Card
*
CARDHOLDER NAME
CARD NUMBER
EXPIRY MONTH
---
01
02
03
04
05
06
07
08
09
10
11
12
EXPIRY YEAR
---
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
SECURITY CODE
Drivers License Application Guide and Pre-Filling Total:
$34.95
Discount Shopping Club Membership Total:
$
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