Appointment Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Social Security Number
*
If you are not eligible for a social security number, please enter "N/A"
Current License Holder
*
Yes
No
Please Provide State Driver License/Identification Card Number
*
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
Nonimmigrant Status / Classification
*
Please Select
F1/F2
J1/J2
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.
Cancel
of
Proof of Residence Upload #1
*
Browse Files
Drag and drop files here
Choose a file
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.
Cancel
of
Proof of Residence Upload #2
*
Browse Files
Drag and drop files here
Choose a file
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.
Cancel
of
Proof of Social Security (or Ineligibility) File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Proof of Legal Presence File Upload
*
Browse Files
Drag and drop files here
Choose a file
Please attach documents supporting the abovementioned legal status.
Cancel
of
Proof of Employment or School Attendance in Alachua County
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Proof of Out-of-Country Driver License/Identification Card
Browse Files
Drag and drop files here
Choose a file
Please attach abovementioned proof if you have it.
Cancel
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.
Submit
Should be Empty: