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Fillable Form Louisiana Driver License Renewal

This form allows the applicant to request renew his/her driver's license in case of expiry, loss, or theft.

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What is the Louisiana Driver’s License Renewal form?

The Louisiana Driver’s License Renewal Form is a one-page form issued by the Louisiana Department of Public Safety and Corrections. This form is most commonly used by residents of the state of Louisiana to request either an identification card or a renewed license if their previous one has expired or request a duplicate license in the event that their previous one has either been lost, stolen, or destroyed.

Can I fill out the Louisiana Driver’s License Renewal form?

If you are a resident of the state of Louisiana and your license or identification card has been lost, stolen, damaged, or has simply expired then you are eligible to fill out the Louisiana Driver’s License Renewal form.

What do I need to fill out the Louisiana Driver’s License Renewal form?

To fill out the Louisiana Driver’s License Renewal form, you will need the personal information that is required from you in this form.

Specifically, you will need to provide your driver’s license or identification card number, date of birth, social security number (SSN), race, sex, eye color, height, andweight. You may also provide your daytime phone number, otherwise known as the number through which you can be contacted between the hours of 9:00 AM and 5:00 PM, but this is not required for the purpose of this form.

Additionally, you will have to write down your full legal name, which includes your last name, first name, middle name, otherwise known as your maiden name, and your suffix if you have one.

You will then have to provide details regarding your address. If you have a temporary out of state address, please indicate so by writing it down in the space provided. If this address is an apartment, please indicate as well the apartment or unit number. Write down as well as the corresponding city or town, state, and ZIP code.

You will also need to provide similar information regarding your permanent Louisiana address. This means you will need to indicate your residential address, with the corresponding city or town and ZIP code.

The form will also ask you a series of “Yes or No” questions, meaning you will have to know whether or not you:

  • Are a citizen of the United States
  • Have ever experienced loss of consciousness other than normal sleep
    • If you answer yes to this question, you will be asked to explain how it happened
  • Currently have any physical or mental condition which could impair your ability to safely operate a motor vehicle
  • Wear contact lenses or glasses when driving.

If you are a minor or a child, you will also need the consent of your parent or legal guardian. Specifically, you will need your parent/guardian to affix his or her signature on the form.

If you would like to request a name change, you may also provide your new name in the provided space.

How do I fill out the Louisiana Driver’s License Renewal form?

We will be guiding you through the process of filling out the Louisiana Driver’s License Renewal form through a step-by-step tutorial.

Before attempting to fill out this form, look through every line of the form to understand what kind of information you will be needing to provide. For your convenience, we have a list of everything you would need for this form in the previous section.

Ensure that all information that you are about to write down in this form is completely truthful and accurate. This is a government-issued document and thus should be treated with the utmost care and attention.

Reason for filling out this form
Before being asked anything else, you will be asked to provide your reason for filling out the Louisiana Driver’s License Renewal form.

If you wish to renew your expired license, then you should mark the box labeled “Renewal Request”.

If you wish to renew your lost or stolen license or ID card, then you should mark the box labeled “Duplicate Request”.

Details
You will be needing to provide personal information and other details to fill out this part of the Louisiana Driver’s License Renewal form.

In the first box, write down your driver’s license number or identification card number if you know it. If you do not know your license or ID card number, then you may leave this box blank. Following this line, input your date of birth in the MM/DD/YY format. Next, write down your SSN. Afterward, write down your race as well as your sex. Then, write down your eye color, followed by your weight and height.

You may also choose to indicate your daytime phone number in the space provided. This is otherwise known as the number through which you can be contacted between the hours of 9:00 AM to 5:00 PM. Writing down your phone number, however, is entirely optional and you may choose to not do so.

Name
In this part, you will have to write down your full legal name.

Start this by first writing down your last name or family name. Follow this by writing your first name. Finally, write down your middle name and suffix if you have one.

Addresses
In this part, you will have to write down details regarding your address.

If you have a temporary out of state address, then please indicate so in the space provided. If this is an apartment, write down the apartment number or unit number. Additionally, indicate the city, town, state, and ZIP code.

You will also have to write down your permanent Louisiana residence address. Write this down in the space provided. Indicate as well the corresponding city, town, and ZIP code.

Yes or No Questions
This part of the form will ask you a series of “Yes or No” questions. Mark your answer to each question in the appropriate box. Specifically, you will be asked:

  • Are you a citizen of the United States?
  • Have you ever experienced any loss of consciousness other than normal sleep?
    • If you answered yes to this question, you will have to provide an explanation
  • Do you currently have any physical or mental condition which could impair your ability to safely operate a motor vehicle?
  • Do you wear contact lenses or glasses while driving?

Parental Consent
If you are a minor, you will be required to fill out this section of the form. If you are not a minor, then you are free to ignore this part.

First, have your parent or legal guardian check the box appropriate for his or her relationship to you. They may mark the box noting that they are a custodial parent, legal domiciliary parent, or legal guardian.

Afterward, write down your license number or identification card number, and then print your name once again, in the format of first name, middle name or maiden name, and then your last name.

To validate all the information of this part, your guardian will have to affix his or her signature above their full legal name in the format of first name, middle name or maiden name, and then last name.

Name Change
If you have changed your name, you are allowed to place your new name on the renewed or replacement license.

If you are changing your name, ensure that the appropriate documents are attached to this form. Write down the name currently on your license or identification card. Afterward, place the name you will be changing to.

Verification
To verify your identity and all the information you have provided on this form, please write the date of signing and affix your signature

After you have completed all of this form’s requirements, congratulations, you have successfully filled out the Louisiana Driver’s License Renewal form.

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