Fillable Form Wisconsin Driver License Replacement

What is the Wisconsin Driver’s License Replacement Form?

Form MV3001, Wisconsin Driver License (DL) Application, or also referred to as the Wisconsin Driver’s License Replacement Form, is used by Wisconsin residents to apply for a driver’s license, commercial driver’s license instructional permit, or new commercial driver’s license endorsement.

How to fill out the Wisconsin Driver’s License Replacement Form?

Applicants can download and print a PDF copy of the Wisconsin Driver’s License Replacement Form from the Wisconsin Department of Transportation (WisDOT) website that they can manually complete. They can also fill out the Wisconsin Driver’s License Replacement Form electronically on PDFRun.

To fill out the Wisconsin Driver’s License Replacement Form, you must provide the following information:

Commercial Driver License Applicant Only

Item 1

Mark YES if you have had a loss of consciousness or muscle control caused by a neurological condition, like a seizure disorder in the past 5 years; otherwise, mark NO.

Item 2

Mark YES if you have taken insulin to control a diabetic condition in the past 2 years; otherwise, mark NO.

Item 3

Mark YES if you have taken oral medication to control a diabetic condition in the past 2 years; otherwise, mark NO.

Item 4

Mark YES if your hearing is impaired; otherwise, mark NO.

Item 5

Mark YES if you have held a valid operator’s license in the last 10 years from any jurisdiction or state other than Wisconsin; otherwise, mark NO.

If you marked YES, enter all of the states applicable.

Item 6

Mark YES if the vehicle you will be operating is equipped with air brakes; otherwise, mark NO.

Item 7

Mark YES if you meet all of the driver qualifications as required by 49 CFR 391, Qualifications of Drivers and Longer Combination Vehicle (LCV) Driver Instructions, to operate a commercial vehicle; otherwise, mark NO.

If you marked NO, please read the Motor Carrier Safety FAQs in the Wisconsin Commercial Driver’s Manual.

Item 8

Answer this question if you are a School Bus, Commercial Driver’s License Instructional Permit, and New Commercial Driver’s License Class or Endorsement applicant.

Mark YES if the vehicle in which you will take the commercial driver’s license skills test representative of the vehicle you will operate or intend to operate; otherwise, mark NO.

Item 9

Answer this question if you are a School Bus applicant.

Mark YES if you have been convicted of an offense identified on Form MV3740, School Bus or Alternative Vehicle License Information Request, in Wisconsin or any other jurisdiction or state; otherwise, mark NO.

If you marked YES, enter the date and place where you have been convicted of an offense.

Driver’s License Applicant Under Age 18 Only

Applicant Certification

You must certify that in the past six months, you have not been ticketed for a moving violation that has or may result in a conviction. You understand that falsifying this statement will result in the cancellation of your probationary license.

Applicant Signature

Affix your signature.

School Certification

Have your authorized school official or instructor certify that you are enrolled in an approved behind-the-wheel training which begins no later than 60 days from the date of signing.

School Identification Number

Enter your school identification number.

School Name

Enter the name of your school.

Official Wisconsin Department of Transportation (WisDOT) Test Results

Knowledge Test

Have your authorized school official or instructor mark the appropriate box which corresponds to your knowledge test. The authorized school official or instructor may select:

• Pass
• Fail

Highway Sign Test

Have your authorized school official or instructor mark the appropriate box which corresponds to your highway sign test. The authorized school official or instructor may select:

• Pass
• Fail

Authorized School Official or Instructor Signature

Have your authorized school official or instructor affix his or her signature.

Date Signed

Have your authorized school official or instructor enter the date of signing.

Sponsor Certification

Have your adult sponsor certify that he or she accepts liability and verifies that you are not a habitual truant and you meet the educational requirements for licensure. He or she must also certify that you have accumulated at least 30 hours of driving experience, 10 of which were at night.

Minor Name

Enter your full legal name.

Sponsor Name

Have your adult sponsor enter his or her full legal name.

Relationship to Applicant

Have your adult sponsor enter his or her relationship with you.

Sponsor Wisconsin Driver’s License Number or Identification Number

Have your adult sponsor enter his or her driver’s license number or identification number.

Sex

Have your adult sponsor enter his or her sex.

Birth Date

Have your adult sponsor enter his or her date of birth using the format: Month-Day-Year.

Sponsor Signature

Have your adult sponsor affix his or her signature.

State of Wisconsin County of

Have the Department of Motor Vehicles (DMV) authorized agent or notary enter your county.

Subscribed and sworn to before me on this date

Have the Department of Motor Vehicles (DMV) authorized agent or notary enter the current date.

Department of Motor Vehicles (DMV) Authorized Agent or Notary Signature

Have the Department of Motor Vehicles (DMV) authorized agent or notary affix his or her signature.

Commission Expiry Date

Have the Department of Motor Vehicles (DMV) authorized agent or notary enter the commission expiry date.

All Applicants

Social Security Number (SSN)

Enter your social security number (SSN).

Applicant Name

Enter your legal first name, middle name, and last name.

Birth Date

Enter your date of birth using the format: Month-Day-Year.

Residence Address

Enter your residence address.

Street

Enter your street.

Apartment Number

Enter your apartment number.

City

Enter your city.

State

Enter your state.

ZIP Code

Enter your ZIP code.

County of Residence

Enter your county of residence.

Mailing Address

Enter your mailing address.

Street

Enter your street.

Apartment Number

Enter your apartment number.

City

Enter your city.

State

Enter your state.

ZIP Code

Enter your ZIP code.

County of Residence

Enter your county of residence.

Sex

Enter your sex.

Race

Enter your race.

Eyes

Enter the natural color of your eyes.

Hair

Enter the natural color of your hair.

Weight

Enter your weight.

Height

Enter your height.

Former Name

Enter your full former name if you had a legal name change.

Reason for Name Change

Mark the appropriate box which corresponds to the reason for your legal name change. You may select:

• Marriage
• Divorce
• Other - Specify the reason for your legal name change.

Item 1

Mark YES if you wish to register to be an organ, tissue, and eye donor.

Item 2

Mark YES if you wish to have your name and address withheld from lists the Wisconsin Department of Transportation (WisDOT) sells.

Item 3

Mark YES if you are a veteran registered with the Wisconsin Department of Veterans Affairs (WDVA) and would like to have your veteran status indicated on your driver’s license.

Item 4

Mark YES if you have had your license, identification card, or operating privilege revoked, suspended, canceled, disqualified, or denied; otherwise, mark NO.

If you marked YES, enter all of the dates and places regarding these occurrences.

Item 5

Mark YES if you have ever been convicted of operating while intoxicated outside of Wisconsin; otherwise, mark NO.

If you marked YES, enter all of the dates and places regarding this occurrence.

Item 6

Mark YES if you hold a valid driver’s license or identification card from another state or country; otherwise, mark NO.

If you marked YES, enter all of the states and countries applicable.

Enter your years of licensed driving experience in the United States, its territories, and Canada.

Item 7

Mark YES if you need glasses or contact lenses for driving; otherwise, mark NO.

Item 8

Mark YES if you are missing a limb; otherwise, mark NO.

If you marked YES, mark YES if you have successfully passed a road test with this condition; otherwise, mark NO.

Item 9

Mark YES if you have had a loss of consciousness or muscle control caused by any of the following conditions; otherwise, mark NO.

If you marked YES, enter all of the dates when this occurred and mark the boxes which apply to your condition:

• Traumatic brain or head injury
• Stroke
• Muscle or nerve
• Mental
• Seizure disorder
• Diabetes
• Heart
• Lung

Item 10

Mark the appropriate box which corresponds to your citizenship. You may select:

• U.S. citizen
• Permanent or conditional permanent resident
• Temporary visitor

Item 11

Mark YES if you wish to donate $2.00 to organ, tissue, and eye donation efforts.

Applicant Signature

Affix your signature.

Date

Enter the current date.