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Renewal Application Form Ct
Known)
GENDER
HEIGHT
ENDORSEMENTS (If known)
RESTRICTIONS (If known)
SECTION A
STATE THE REASON YOU CANNOT APPEAR AT DMV IN PERSON
OUT-OF-STATE
OUT-OF-COUNTRY
MILITARY
(Complete Section E on back of form)
INCARCERATED/INMATE NUMBER:
OTHER (Explain):
REASON FOR DUPLICATE:
APPLICATION FOR:
DUPLICATE LICENSE ($30.00)
RENEWAL OF NON-DRIVER ID ($22.50)
DUPLICATE NON-DRIVER IDENTIFICATION CARD ($30.00)
RENEWAL OF DRIVER LICENSE ($72.00 for 6 year renewal or $24.00 for 2
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