Fillable Printable DMV Change of Address Form - New York
Fillable Printable DMV Change of Address Form - New York
DMV Change of Address Form - New York
l
change the name or address on your voter registration
l
become a member of a political party
l change your party membership
**ADDRESS CHANGE**
Change your address online at www.dmv.ny.gov
PAGE 1 OF 2
INSTRUCTIONS TO UPDATE YOUR ADDRESS
New York State (NYS) law requires you to notify DMV within 10 days of any PERMANENT address change if you have a NYS driver license,
learner permit or non-driver ID card, or a NYS registration for a vehicle, boat, or snowmobile. Do NOT report a temporary address change.
• You can change your address online at: www.dmv.ny.gov or use this form.
• Write your new address on your current regular or enhanced NYS license, permit, or non-driver ID card and on your NYS registration document.
• If your regular or enhanced NYS license, permit, non-driver ID card or registration will expire within the next 75 days, call DMV
Monday through Friday from 8:00AM to 4:00PM at any of the numbers listed below for information about how to change your address at the
same time you renew your document by mail:
• DMV does not require that you get a new license, permit, non-driver ID card, or registration document, but you have the option to get a new document.
If you want a new document, complete Part 1 and Part 2 on page 2 of this form, sign your name in the “Certification” section, and
mail your completed form with your payment to DMV at the address shown below. Keep your current document(s) until you receive
your new document(s) in the mail in 4 to 6 weeks. If you request an enhanced license, permit, or ID card, your residence
address will
be shown on your document; your document will be mailed to your mailing address. If you request a regular license, permit, or ID card,
your mailing
address will be shown on your document.
If you DO NOT want a new document, complete Part 1 but do not complete Part 2. DMV will update your DMV record(s) at no cost.
• If you moved to NYS from a location outside of NYS, you can find information about how to get a NYS driver license, permit, non-driver ID
card, an enhanced version of those documents, and a vehicle registration at www.dmv.ny.gov or you can call DMV Monday through Friday
from 8:00AM to 4:00PM at any of the telephone numbers listed above.
• If you have unpaid Traffic Violations Bureau (TVB) tickets, you must use this form to report your address change and you must call TVB to
provide your new address and make arrangements to pay your fines. In the downstate area, call (718) 488-5710. In the Buffalo and Rochester
area, call (518) 474-0941. A list of all TVB office locations can be found at http://www.dmv.ny.gov/tvboffice.htm.
• Complete and sign this form. If you want to purchase a replacement document, write a check or money order made payable to
“Commissioner of Motor Vehicles” for the total fee. Mail the completed, signed form and, if applicable, a check or money order to:
MV-232 (5/15)
OFFICE USE ONLY
Information about the New York State Voter Registration Application
(Please read before you complete the NYS Voter Registration application on Page 2.)
To Register You Must:
l
be a U.S. citizen
l
be 18 years old by the end of this year;
l not be in prison or on parole for a felony conviction;
l
not claim the right to vote elsewhere
If you do not complete the NYS Voter Registration Application, you will be considered to have declined to register to vote. If you decline to register, your
decision will remain confidential. If you believe that someone has interfered with your right to register or decline to register to vote, your right to privacy in
deciding whether to register or in applying to register to vote, or your right to choose your own political party or other political preference, you may file a
complaint with the NYS Board of Elections, 40 Steuben Street, Albany, NY 12207-2109 (phone: 1-800-469-6872).
Your completed application will be sent to the Board of Elections and you will be notified by your County Board of Elections when your application has been
processed. If you have any questions about filling out the voter registration application or registering to vote, you should call your County Board of Elections
or call 1-800-FOR-VOTE (TDD/TTY Dial 711) (only for voter registration questions). If you live in New York City, you should call 1-866-VOTE-NYC. You
may also find answers or tools at the NYS Board of Elections website: www.elections.ny.gov
Use the NYS Voter Registration Application to Register
to Vote in NYS Elections, and/or:
Upstate New York: (518) 486-9786
New York City
(from area codes 212, 347, 646, 718, 917 or 929): (212) 645-5550, or (718) 966-6155
Other Downstate Areas and Long Island (from area codes 516, 631, 845, or 914): (718) 477-4820
From Outside New York State: (518) 473-5595
NYS DMV License Production Bureau
PO Box 2895
Albany, NY 12220-0895
**ADDRESS CHANGE** Change your address online at www.dmv.ny.gov
PART 1 - Complete this section to CHANGE YOUR ADDRESS
PART 2 Complete this section to PURCHASE A REPLACEMENT DOCUMENT THAT SHOWS YOUR NEW ADDRESS
PART 3 NEW YORK STATE VOTER REGISTRATION APPLICATION
NAME (Print your name exactly as it is printed on the license, permit or non-driver ID card)
PREVIOUS NYS ADDRESS (Include Street No. and Name, Rural Delivery, Apt. No., and/or Box No.)
NEW ADDRESS - WHERE YOU GET YOUR MAIL (Required - Include Street No. and Name, Rural Delivery, Apt. No., and/or P.O. Box No. Also fill in residence address below.)
CITY OR TOWN
STATE ZIP CODE COUNTY
DATE OF BIRTH
SEX
o M o F
CITY OR TOWN
Year Document Expires
Enter the identification number as it is printed
on your license, permit or non-driver ID card
LICENSE/PERMIT/NON-DRIVER ID CARD:
NEW ADDRESS – WHERE YOU LIVE (Required - Include Street No. and name, and Apt. No.)
CITY OR TOWN
STATE ZIP CODE COUNTY
COUNTY
o Passenger o Commercial o Snowmobile
o Boat o Other (Specify)_______________
o Passenger o Commercial o Snowmobile
o Boat o Other (Specify)_______________
o Passenger o Commercial o Snowmobile
o Boat o Other (Specify)_______________
o Passenger o Commercial o Snowmobile
o Boat o Other (Specify)_______________
REGISTRATION: Provide the information below for each registration in your name.
License Plate No.
License Plate No.Type of Registration (Mark One) Type of Registration (Mark One)
______________________________________________________________________________ _______________________________
CERTIFICATION: I certify that I am the individual named above and that the information provided is true to the best of my knowledge.
-
Sign Name in Full
Sign Here:
Date
WARNING! Knowingly providing false information on this form is a misdemeanor and will result in penalties authorized by law.
Mark the box for each type of document that you have and that must be changed to show your new address.
o State (not Enhanced) License/Permit/Non-Driver ID Card o Enhanced License/Permit/non-Driver ID Card o Registration
Mark the box for each type of document that you currently have and want to update to show your new address. Then, write a check that has the
account holder’s name pre-printed or a money order payable to “Commissioner of Motor Vehicles” for the total fee.
If 62 years old OR a Supplemental Security Income recipient, the fee is $6.50.
If 62 years old AND a Supplemental Security Income recipient, there is No Fee.
*If you are a Supplemental Security Income recipient, you must provide proof with this form.
Driver License/Learner Permit
o
Driver License (Fee: $17.50)
o
Learner Permit (Fee: $17.50)
Non-Driver Identification Card
o
Non-Driver ID Card (Fee: $8.00)*
*
For Non-Driver ID Holders ONLY
Registration(s)
o Registration (Fee: $3.00 per registration)
o Boat Registration (Fee: $2.00 per registration)
Snowmobile Registrations cannot be processed by mail,
you must go into your local DMV Office
Complete this application if you want to register to vote or update your voter registration information with the Board of Elections.
PAGE 2 OF 2
MV-232 (5/15)
Provide the information in Part 1 that applies to the type of document that you want to update.
IMPORTANT: If you are registered to vote, your voter registration record will be updated when you complete and submit this form. If you do NOT want your
new address on your voter registration record, mark this box: . If you do not mark the box, your new address will be sent to the Board of Elections of your
county of residence.
o
I wish to enroll in a political party:
o Democratic party
o Republican party
o Conservative party
o Green party
o Working Families party
o Independence party
o Women’s Equality party
o Reform party
o Other _________________
I do not wish to enroll in a political party
o No party
Political Party
You must make 1
selection To vote in a
primary election, you
must be enrolled in one
of these listed parties -
except the Independence
Party, which permits
non-enrolled voters to
participate in certain
primary elections.
Have you voted before?
o Yes o No
What Year?
Your name was
Your address was
Voting information that
has changed:
skip if this has not changed or
you have not voted before.
Your state or NYS
County was:
Are you a citizen of the U.S.?
o Yes o No
If you answer NO, you cannot register to vote
Will you be 18 years of age or older on or before election day?
o Yes o No
If you answer NO, you cannot register to vote unless you will be 18 by the end of the year.
Telephone Number (optional)
X
DateSign
AFFIDAVIT: I swear or affirm that
l I am a citizen of the United States.
l I will have lived in the county, city, or village for at least 30 days before the election.
l I meet all requirements to register to vote in New York State.
l This is my signature or mark on the line below.
l The above information is true, I understand that if it is not true, I can be convicted and fined up to $5,000 and/or
jailed for up to four years.
