Application for International Driving Permit
or
Inter-American Driving Permit

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

International Driving Permit (Fee and 2 Passport Type Photos signed on back)	Inter-American Driving Permit (Fee and 2 Passport Type Photos signed on back)
MANDATORY REQUIREMENTS
(1) Attach 2 recent signed Passport Type Photos (2" X 2")	(2) Enclose permit fee

Mr. Mrs. Ms. (Circle One)

PRINT NAME IN FULL. No Initials

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 YOU NOW HOLD A VALID U.S.A. OR TERRITORIAL DRIVER'S LICENSE, AND FOR WHICH YOU DESIRE THIS PERMIT:
MOTORCYCLE PASSENGER CAR VEHICLE OVER 7,700 LBS. VEHICLE WITH HEAVY TRAILER

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, AND THAT THE LICENSE INDICATED HAS NOT BEEN SUSPENDED NOR REVOKED.

I FURTHER CERTIFY THAT I UNDERSTAND THAT A VALID STATE DRIVER'S LICENSE MUST ACCOMPANY THIS PERMIT, AND THAT THIS PERMIT IS VALID ONLY AS LONG AS THE STATE LICENSE IS VALID, BUT NOT TO EXCEED ONE YEAR FROM THE DATE THE PERMIT ISSUED.

(please click HERE to download the additional FORM to be filled out.)

SIGNATURE (signature mandatory for Issuance of Permit)

DATE

THIS IS YOUR MAILING LABEL
Please print to ensure prompt delivery