A LABAMA L AW E NFORCEMENT A GENCY Driver License Division SO - 5 , 8 / 1/201 7 Standard License or ID Temporary Permit for Adult Sex Offender s The Alabama Sex Offender Registration and Community Notification Act 1 requires adult sex offenders to obtain a valid driver license or identification card issued by the Alabama Law Enfo a designation that enables law enforcement to identify the licensee as a Sex Offender within fourteen (14) days of registration . This form allows an adul t sex offender to carry his or her non - designated license or identification car d for t hirty (30) days from the D ate of I ssuance listed below into the State Sex Offender Registry . Offender At the expiration of this time period, I understand I am required to return to the driver license office to obtain a driver license or identification card with the sex offender designation placed on it. At this time, I understand that I am to relinquish , t o ALEA, any other driver license(s) or identification card(s) previously issued to me by a state motor vehicle agency which do not bear any designation enabling law enforcement officers to identify me as a sex offender . By signing below, I acknowledge that I have read the above information and responsibilities and that I am aware of all that is required of me under the Alabama Sex Offender Registration and Community Notification Act . If I fail to comply with any provision of the Act, I understand that I may be charged w ith a Class C felony in Alabama . Social Security Number Signature Driver License Number Date ALEA License Examiner The above - referenced individual appeared before me on the D ate of Issuance listed below to obtain a driver license or identification card with the sex offender designation on it. However, the offender was not yet listed in the public sex offender registry. Therefore, I instructed the offender to return within thirty (30) days to obtain a driver license or identification card with the sex offender designation, at which time he or she shall relinquish any other driver license(s) or identification card(s) previously issued him or her by a state motor vehicle agency which do not bear any designation enabling law enforcement officers to identify him or her as a sex offender . Printed Name Date of Issuance 1 24724715 - 20A - 1 et seq . , Code of Alabama 19 7 5 , as amended by Act 201 7 - 4 14 American LegalNet, Inc. www.FormsWorkFlow.com