Fillable Form Wisconsin State ID Application (MV3004)

What is the Wisconsin State ID Application Form?

Form MV3004, Wisconsin Identification Card (ID) Application, or also referred to as the Wisconsin State ID Application Form, is a legal form from the Wisconsin Department of Transportation (WisDOT) which is used by individuals from Wisconsin to apply for a state identification card, a REAL ID-compliant identification card, a renewal, or a replacement.

How to fill out the Wisconsin State ID Application Form?

To fill out the Wisconsin State ID Application Form, you must provide the following information:

Applicant

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.

Social Security Number

Enter your social security number (SSN).

Residence Address

Enter your residence address.

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 if it happens to be different from your residence address.

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 or gender.

Race

Enter your race.

Eyes

Enter your natural eye color.

Hair

Enter your natural hair color.

Weight

Enter your weight.

Height

Enter your height.

Former Name

Enter your former name if it has been changed since your last driver’s license or identification card (ID).

Reason for Name Change Marriage

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

• Marriage
• Divorce
• Other
• List – Please list all of the reasons for your name change marriage.

Questions

Item 1

Mark YES if you want to register to be an organ, tissue, and eye donor; otherwise, leave the box blank.

Item 2

Mark YES if you want to have your name and address withheld from lists the Wisconsin Department of Transportation sells; otherwise, leave the box blank.

Item 3

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, list all of the states or countries.

Item 4

Mark YES if you certify that you are a citizen of the United States and that you will be at least 18 years of age by the next election and require a Wisconsin ID for free to vote; otherwise, leave the box blank.

Item 5

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

• U.S. citizen
• Permanent or Conditional Permanent Resident
• Temporary Visitor

Item 6

Mark YES if you are a veteran registered with the Wisconsin Department of Veterans Affairs (WDVA) and want your veteran status indicated on your identification card (ID); otherwise, leave the box blank.

Item 7

Mark YES if you would like to donate $2 to organ, tissue, and eye donation efforts; otherwise, leave the box blank.

Certification

Applicant’s Signature

Affix your signature.

By affixing your signature on this Wisconsin State Identification Card Application, you are certifying that the information you have provided is true under the penalty of perjury and that you are a resident of Wisconsin.

Current Date

Enter the current date using the format: Month-Day-Year.

What documents do I need to get my first original Wisconsin identification card?

To apply for an original Wisconsin identification card, you must provide the following accepted documents:

• Proof of your name
• Proof of your date of birth
• Proof of your legal presence
• Proof of your identity
• Proof of your Wisconsin residency
• Proof of name change

What documents do I need to get a Real ID-compliant identification card?

To apply for a Real ID-compliant identification card, you must provide the following accepted documents:

• Proof of your name
• Proof of your date of birth
• Proof of your legal presence
• Proof of your identity
• Proof of your Wisconsin residency
• Proof of name change
• Proof of your social security number (SSN).

What documents do I need to renew my identification card or get a replacement?

To apply for a Real ID-compliant identification card, you must provide proof of identity.

A previously issued Wisconsin identification card (ID) or driver’s license will be accepted by the Wisconsin Department of Transportation (WisDOT).

What happens if fraudulent or altered documents are submitted?

According to the Wisconsin Department of Transportation (WisDOT), any applicant for a Wisconsin identification card (ID) who submits fraudulent or altered documents or those who make false statements to the issuing officer or agency, may be subject to a fine of not more than $1,000, imprisonment for not more than 6 months or both and the cancellation of fraudulently obtained Wisconsin identification card (ID).

Who can obtain my Wisconsin identification card information?

The information on your Wisconsin identification may only be shared with courts, district attorneys, county corporation counsel, city, village or town attorney, law enforcement, yourself, or your parent or legal guardian if you happen to be under the age 18.

Do I have to surrender my driver’s license or identification card?

If you are applying for your first original Wisconsin identification card (ID), you must surrender your current unexpired Wisconsin driver’s license.

If you are applying for a Real ID-compliant identification card (ID), you must surrender your current Real ID-compliant Wisconsin driver’s license.

How can I contact the Wisconsin Department of Transportation?

You can contact the Wisconsin Department of Transportation (WisDOT) by going to their official website:

wisconsindot.gov

You may also contact the Wisconsin Department of Transportation by calling them using the telephone number:

(608) 264-7447

Another way of contacting the Wisconsin Department of Transportation is sending them an email. The department’s official email address is shown below:

[email protected]

You will be able to ask the Wisconsin Department of Transportation general questions regarding driver’s licenses and identification cards (ID).

What is the address of the Wisconsin Department of Transportation?

The official address of the Wisconsin Department of Transportation central office is shown below:

Hill Farms State Office Building

4822 Madison Yards Way

Madison

WI 53705