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Fillable Printable Form MV-75 - Notification of Military Service - New York

Fillable Printable Form MV-75 - Notification of Military Service - New York

Form MV-75 - Notification of Military Service - New York

Form MV-75 - Notification of Military Service - New York

Part 1
Part 2
New York State Department of Motor Vehicles
NOTIFICATION OF MILITARY SERVICE
INSTRUCTIONS:
A. Complete both parts of this form using the information on your New York State driver license. Update your address
if it has changed.
B. Separate the two parts and mail Part 1 to:
NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES
LICENSE PRODUCTION BUREAU
PO BOX 2895
ALBANY NY 12220-0895
C. Cut out, fold, and keep Part 2 with your NYS driver license.
Driver License Number
Name (as it appears on driver license)
Current Address (number and street) Apt. #
Zip CodeCity State
Date of Birth
/ /
Male Female
License Expiration Date
/ /
Date of Entry Into Service
/ /
IF THE ADDRESS WRITTEN ABOVE IS A NEW ADDRESS, PLEASE CHECK THIS BOX.
CUT HERE AND MAIL PART 1 TO THE ADDRESS ABOVE
For a NYS licensed driver who has entered military service, Section 9196(3) of the Unconsolidated Laws of New York State
extends the expiration date of their driver license if it is set to expire prior to their separation from service; the expiration
date of the license will be extended to six months after the date of separation from service.
Anyone who does not use this form to notify the Department of Motor Vehicles of their entry into service may not be able
to renew their license when discharged.
MV-75 (9/10)
For a NYS licensed driver who has entered military
service, Section 9196(3) of the Unconsolidated Laws
of New York State extends the expiration date of their
driver license if it is set to expire prior to their
separation from service; the expiration date of the
license will be extended to six months after the date
of separation from service.
New York State Department of Motor Vehicles
MILITARY EXTENSION OF
NYS DRIVER LICENSE
Please complete all information:
NYS Driver License Number
Name (as it appears on driver license)
Current Address (number and street)
City State Zip Code
Date of Birth
//
Male Female
NYS Driver License Expiration Date
/ /
Date of Entry Into Service
/ /
MV-75 (9/10) - Part 2
FOLD LINE
FOLD LINE
Cut along dotted line
Cut along dotted line
Cut along dotted line
Keep this form with your NYS Driver License.
www.dmv.ny.gov
Cut along dotted line
FOLD AND KEEP THIS PART WITH YOUR NEW YORK STATE DRIVER LICENSE.
reset/clear
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