Fillable Form Georgia Driver License Renewal Form

What is the Georgia Driver's License Renewal form?

Form DDS-23 MIR or also known as the Georgia Driver's License Renewal Form is a document by the Georgia Department of Driver Services (DDS). It is used to renew a Georgia driver’s license. Moreover, residents may also use it to apply and replace their Georgia driver’s license, driver’s permit, or identification card.

Where to get the Georgia Driver's License Renewal form?

A blank copy of the Georgia Driver's License Renewal form is available for download on the Georgia Department of Driver Services website.

For your convenience, you can electronically fill out the Georgia Driver's License Renewal form using PDFRun.

How to fill out the Georgia Driver's License Renewal form?

Here is a detailed guide on how to fill out the Georgia Driver's License Renewal form:

Mark the appropriate box to determine the type of applicant that applies to you. You may select:

• Military
• Students
• Temporarily Employed Out of State
• Physically Unable to Visit CSC in Person

Section A: Form Information

Do you now have or have you ever had a Georgia Driver’s License, Identification Card or Permit?

Mark Yes if you now have or have ever had a Georgia Driver’s License; otherwise, mark No.

Georgia Driver’s License/ID/Permit#

If yes, enter your Georgia Driver’s License, ID, or permit number.

Social Security #

Enter your Social Security Number (SSN).

Full legal name

Enter your full legal name in the following format: First Name, Middle or Maiden Name, Last Name.

Suffix

Mark the appropriate box to determine your suffix, if applicable. You may select:

• Jr.
• Sr.
• II
• III
• IV

Mailing Address

Enter your mailing address, including your Street or Post Office box, Apartment number, City, State, and ZIP Code.

Residential Address

Enter your residential address, if different from your mailing address, including your Street Address, Apartment number, City, State, and ZIP Code.

Phone #

Enter your phone number.

Alt. Phone #

Enter your alternate phone number.

Email

Enter your email address.

Birthdate

Enter the date of your birthday in the following format: month/date/year.

Gender

Mark the appropriate box to determine your sex. You may select:

• M
• F

Height

Enter your height in feet and inches.

Weight

Enter your weight.

Eye Color

Enter the natural color of your eyes.

Section B: Legal Status

Mark the box that determines your legal status. You may select:

• I am a United States citizen
• I am a legal permanent resident
• I am a qualified alien or nonimmigrant under the Federal Immigration and Nationality Act and lawfully present in the United States — If marked, enter the Alien Registration number or I-94 number for noncitizens.

Section C: Answer each question

Item 1

Mark the appropriate box to determine what you are applying for. You may select:

• Driver’s License or Permit
• Identification Card
• Reinstatement

Item 2

Mark Yes if you have ever had a Georgia, out-of-state, or foreign driver’s license, identification card or permit; otherwise, mark No.

If yes, please list (a) State or country, (b) Name on Card, (c) Card Number, (d) Expiration date.

Item 3

Mark Yes if your driver’s license, permit, or privilege to drive is currently revoked, suspended, cancelled, or denied; otherwise, mark No.

If yes, list down the most recent:

• State where your driver’s license, permit, or privilege to drive is revoked, suspended, cancelled, or denied.
• Action whether it is revoked, suspended, cancelled, or denied
• Date of action or the date when your driver’s license, permit, or privilege to drive is revoked, suspended, cancelled, or denied.

Item 4

Mark Yes, if you brought your Georgia, out-of-state, or foreign driver’s license, identification card or permit with you today; otherwise, mark No.

If No, Mark the appropriate box to determine the reason. You may select:

• A Law Enforcement or Official has it.
• It is damaged, lost, or stolen.
• New Customer.

Item 5

Mark Yes, if you are wearing prescription glasses or contact lenses for driving; otherwise, mark No.

Item 6

Mark Yes, if you have ever suffered with seizures, fainting, or other loss of consciousness; otherwise, mark No.

If yes, enter the date of the last episode in the following format: month/date/year.

Item 7

Mark Yes, if you were born on the same date as any of your brothers and sisters or if you have any identical siblings; otherwise, mark No.

If yes, enter their full names.

Item 8

Mark Yes, if you want to have “Organ Donor” displayed on your license or ID; otherwise, mark No.

Item 9

Mark Yes, if you want to donate $1 to the Georgia Drive for Sight Program for the prevention of blindness; otherwise, mark No.

Item 10

Mark Yes, if you like to donate to the Georgia Student Finance Authority for educational aid to children whose parents were public safety employees and were disabled or killed in the line of duty.

If yes, mark the box to determine the amount of donation. You may select:

• $1
• $5
• $10

Item 11

Mark Yes, if you are a male U.S. citizen or immigrant under the age of 26 years old; otherwise, mark No.

If yes, mark the box that applies to your status with the Selective Service System. If you have registered already, mark yes; otherwise, mark No.

Section D: Voter Registration

Item 1

Mark the box if you want to opt out of voter registration.

Item 2

Mark the appropriate box to determine your race. You may select:

• American Indian
• Asian or Pacific Islander
• Black
• Hispanic or Latino
• Multiracial
• White
• Other
• Refuse

Customer’s Signature

Enter your signature.

Date

Enter the date the form was signed. Follow the format: month/day/year.

Section E: Other (Optional Information)

Item 1

Enter the name of your emergency contact.

Enter the phone number of your emergency contact.

Item 2

Mark Yes, if you want your blood type displayed on your identification card.

If yes, mark the appropriate box to determine your blood type. You may select:

• A+
• A-
• B+
• B-
• AB+
• AB-
• O+
• O-

Section F: Required Signature

Customer’s Signature

Affix your signature.

Date

Enter the date the form was signed.

Section G: Additional signature required for customers under 18 years of age.

Enter the name of parent, guardian, or responsible adult approving the issuance of this driver’s license or instructional permit.

Parent, Guardian or Responsible Adult Signature

Affix the signature of the parent, guardian or responsible adult approving the issuance of this driver’s license or instructional permit.

Date

Enter the date it was signed by a parent, guardian, or responsible adult.

Birth Date

Enter the date of birth of a parent, guardian, or responsible adult.

Driver’s License/Identification/Social Security #

Enter either the driver’s license number, identification card number, or the Social Security number of a parent, guardian, or responsible adult.

Georgia Department of Driver Services Application for Non Commercial License Vision Screening Results

Instructions

1. Section A must be completed by the applicant.
2. Sections B and C must be completed by an optometrist or by an ophthalmologist.
3. The applicant must sign the form in section C in the presence of an optometrist or ophthalmologist.

Section A - Customer Information - To be completed by the applicant.

Driver’s License Number

Enter your driver’s license number.

Date of Birth

Enter your date of birth.

Applicant’s Full Legal Name

Enter your full legal name.

Applicant’s Physical Address

Enter your complete address.

Credit Card Authorization Form

Complete this form if you are paying via credit card.

Credit Card Holder Information

Mark the appropriate box to determine the type of credit card you will be using. You may select:

• Visa
• Mastercard
• Discover
• American Express

Credit card number

Enter your credit card number.

Expiration date

Enter the expiration date of your credit card in the following format: month/year.

Exact name as it appears on the credit card

Enter the exact name that appears on your credit card.

Billing ZIP Code

Enter the ZIP Code of the billing address.

Amount to be charged

Enter the exact amount to be charged on your credit card.

Primary phone number

Enter your primary phone number.

Secondary phone number

Enter your secondary phone number.

Cardholder Signature

Affix your signature.

Date

Enter the date you signed.

Licensee/Driver Information

Name as it appears on Driver’s License/ID

Enter the exact name appearing on your credit card.

Licensee’s Driver’s License/ID Number

Enter the licensee’s driver’s license number or identification card number.

Birth date

Enter the date of your birth.

Gender (Circle One)

Encircle male if you are male and female if you are female.

DDS Mail-in Renewal Requirements

For Military:

• DDS-23 MIR form completed and notarized
• Vision Screening Results Form or DDS-274-A completed, if applicable.
• Payment of $32 in the form of check, money order, or credit card authorization.
• Signed letter from commanding officer on military unit letterhead verifying that the customer is the spouse or dependent of a member of the military currently serving at the location.

For Students:

• DDS-23 MIR form completed and notarized
• Vision Screening Results Form or DDS-274-A completed, if applicable.
• Payment of $32 in the form of check, money order, or credit card authorization.
• Signed letter from an official at the school on school letterhead verifying that the student is currently enrolled in the school, or that the customer is the spouse or dependent of a student currently enrolled in the school.

For temporarily employed out of state

• DDS-23 MIR form completed and notarized
• Vision Screening Results Form or DDS-274-A completed, if applicable.
• Payment of $32 in the form of check, money order, or credit card authorization.
• Signed letter from the customer’s employer on employer letterhead verifying that the customer is temporarily employed outside of the State of Georgia, or that the customer is the spouse of the dependent of an employee temporarily employed outside of the State of Georgia.

Physically Unable to Visit CSC in Person

• DDS-23 MIR form completed and notarized
• Vision Screening Results Form or DDS-274-A completed, if applicable.
• Payment of $32 in the form of check, money order, or credit card authorization.
• Signed verification from a licensed physician that the customer is incapacitated and unable to visit a DDS Customer Service Center in person to renew.

For Georgia Address Change

If your request for renewal includes a change of your address in Georgia, provide one document from the following:

• Utility bill issued within the last sixty (60) days
• Bank statements issued within the last sixty (60) days
• Currently valid rental contracts or receipts for payment made within the last sixty (60) days of rent
• Employer Verification
• Non-expired Georgia driver’s license, permit or identification card issued to the applicant’s parent, guardian, spouse or child
• Health insurance statement or explanation of benefits for claim
• State of Georgia or Federal Income Tax Return for current or preceding calendar year
• Annual social security statement for current or preceding calendar year
• Medicare or Medicaid statement
• School record or transcript for current or preceding calendar year
• Homeowners insurance policy or bill for current or preceding calendar year
• Mortgage, payment coupon, deed, or property tax bill for current or preceding calendar year
• Additional approved documents such as voter’s registration card, unexpired firearms license, merchant marine license, and other documents issued by Federal, State, or Municipal Government

Reminders in filling out the Georgia Driver's License Renewal Form.

• Provide accurate and true information. Falsification of application may lead to perjury.
• Take time to read the terms and agreements in this form fora better understanding
• Review your application. Check for errors in your form.
• All signatures needed must be signed in witness of the notary.
• Further information is available inthe Georgia Department of Driver Services website