Appointment Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Social Security Number
*
000-00-0000
Current License Holder
*
Yes
No
Service Requested
*
Please Select
Original Driver License
Original Identification Card
Renewal
Change of Address
Driving Test
Written Test
Replacement/Lost/Stolen
CDL Testing
CDL Original/Renewal/Replacement
CDL Written Testing
CDL Downgrade
Have you completed the required TLSAE or DETS Course?
*
Yes
No
Non-immigrant Status / Classification
*
Please Select
I-821 (TPS)
I-94
I-20
Immigration Judges Order (IJO)
Notice to Appear
I-776 (Employment Authorization Document)
I-765 (Apply for Employment Document)
I-360 (Prima facie)
I-589 (Asylum)
I-130/I-485 (Immigrant Petition for Relatives or Orphan)
Other
I am an Alachua County Resident. (If you are not an Alachua County resident, you will need to provide proof of employment or school attendance in Alachua County.)
*
Yes
No
File Uploads
Proof of Identity Upload
*
Browse Files
Drag and drop files here
Choose a file
Please attach a proof of identity document that meets the requirements of the federal Real ID Act and Florida Laws.
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of
Proof of Residence Upload #1
*
Browse Files
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Please attach two documents proving your residential address. Documents must be from within the last 60 days. Do not scan envelopes. We must be able to view the complete document.
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of
Proof of Residence Upload #2
*
Browse Files
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Please attach two documents proving your residential address. Documents must be from within the last 60 days. Do not scan envelopes. We must be able to view the complete document.
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of
Proof of Social Security (or Ineligibility) File Upload
*
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Choose a file
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of
Proof of Legal Presence File Upload
*
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Please attach documents supporting the abovementioned legal status.
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of
Proof of Employment or School Attendance in Alachua County
*
Browse Files
Drag and drop files here
Choose a file
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of
ATTESTATION
*
UNDER PENALTY OF PERJURY, I CERTIFY THAT I HAVE PROVIDED ORIGINAL, AUTHENTIC DOCUMENTS TO PROVE MY IDENTITY AND U.S. LEGAL PRESENCE, AND ALL STATEMENTS AND ATTESTATIONS ARE ACCURATE AND TRUE.
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