Driver Services Forms


Title Posted
General Correspondence Form 03/31/2021

Driver License Issuance

Title Posted
Affidavit of legal Name Change 05/20/2019
Financial Responsibility Acceptance and Release Form 03/28/2016
Proof of Legal Presence and Proof of Identification 07/28/2021
Prueba de Presencia Legal e Identificación 07/28/2021
Notarized Financial Responsibility                                                                                10/01/2019
Change of Address Form 12/23/2019
License/ID Photo Affidavit-Religion 12/16/2021
License/ID Photo Affidavit- Medical 12/20/2021
Address Confidentiality Program Information Sheet 08/26/2022
Address Confidentiality Program Affidavit 08/26/2022
Gender Application 05/02/2024
Gender Statement-1st issuance 05/02/2024

Driver Records

Title Posted
Driving Records Release 09/07/2022
Driving Records Request 09/07/2022
Driving Records Requestor 09/07/2022
Arkansas State Vehicle Safety Program Packet 09/07/2022
D980-Non-State Agency Program Packet 09/07/2022

Medical Certification

Title Posted
Self-Certification Affidavit 12/01/2011

Safety Responsibility

Title Posted
SR 1-21 06/23/2015

Driver Improvements

Title Posted
Initial Evaluation-Family Member Request 10/20/2020
Interlock Provider Survey 12/17/2019
Administrative DUI/DWI Hearing Request Form 03/31/2021
Restricted Permit Request Form 03/31/2021