**ARE YOU MOVING?** www.dmv.ny.gov If you have a New York State driver license, learner permit or non-driver ID card, an enhanced driver license, learner permit or non-driver ID Card, or a registration for a vehicle, boat or snowmobile, you are required by law to notify Motor Vehicles within 10 days of any PERMANENT address change. Please use this form to do that. Do NOT report temporary changes (such as school or military addresses). If you have moved to New York from someplace outside the state, and want information about obtaining a New York State driver license, permit, non-driver ID card (or an enhanced version of any of these documents) and/or registration, visit the DMV web site (www.dmv.ny.gov), or call: Upstate New York 1-518-486-9786 Monday to Friday: 8:00 - 4:00 Other Downstate Areas and Long Island From area codes 516, 631, 845, 914: 1-718-477-4820 Monday to Friday: 8:00 - 4:00 New York City From area codes 212, 347, 646, 718, 917, 929: 1-212-645-5550 or 1-718-966-6155 Monday to Friday: 8:00 - 4:00 From Outside the State of New York 1-518-473-5595 Monday to Friday: 8:00 - 4:00 If you have unpaid Traffic Violations Bureau tickets, in addition to reporting your address change on this form, you must also call (718) 488-5710 (NYC and Suffolk County TVB offices) or (518) 474-0941 (Buffalo and Rochester TVB offices) to report your address change and to make arrangements to pay your traffic ticket fines. For TVB office locations and phone numbers, see the “Local Offices” pages at the DMV web site. OPTIONS l If your state or enhanced license, permit, non-driver ID card or registration will expire in the next 90 days, call Motor Vehicles (see the phone numbers listed above) for information about changing your address and renewing your document by mail at the same time. l Motor Vehicles does not require you to get a new state or enhanced license, permit, non-driver identification card or registration document, but many people prefer to do so. You can use this form to purchase replacement documents by mail. To purchase a replacement state or enhanced driver license, permit, non-driver ID card or registration document showing your new address, follow the instructions on Page 2 and complete Parts 1 and 2. If you request a replacement state or enhanced license, permit, non-driver ID card, or registration document, keep your current one until you receive the new one in the mail. l If you DO NOT want a new document, we will enter your address change in our records at no cost to you. On Page 2, fill in all of the information requested in Part 1, and mail it to the address in #5 near the bottom of the page. l FOR YOUR CONVENIENCE - If you want us to send this change of address information to your County Board of Elections for voting purposes, please check the “Yes” box on Page 2. You will be notified by the Board of Elections when your address change has been processed. NOTE: If you are moving to a different county, you must register with that County’s Board of Elections by completing a NYS Voter Registration Form that is available at any Motor Vehicles office, from your County Board of Elections, or by visiting the NYS Board of Elections web site at www.elections.state.ny.us. MV-232 (4/11) PAGE 1 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com PART 1 TO CHANGE YOUR ADDRESS ONLY: Write your new address on your current state or enhanced license, permit, non-driver ID card and/or registration. Provide the information requested below and sign your name. Mail this entire page to the address in #5 at the bottom of this page. NOTE: If you are moving within the same county, do you want us to send this change of address to your County Board of Elections? o Yes* o No * Contact your local Board of Elections if you do not hear from them within 60 days. ADDRESS CHANGE INFORMATION (check the box or boxes that apply): o State (not Enhanced) License/Permit/Non-Driver ID Card o Enhanced License/Permit/non-Driver ID Card o Registration If you checked a license box and the registration box above, be sure to carefully enter your state or enhanced license, permit or non-driver ID card number and your license plate number(s) below. If you request an enhanced license/permit/non-driver ID document, your residence address will appear on your document (the document will be mailed to your mailing address). If you request a non-enhanced document, your mailing address will appear on your document. STATE OR ENHANCED LICENSE/PERMIT/NON-DRIVER ID CARD- Both the mailing and the residence address fields below must be filled in or this application will be rejected and returned to you. Enter the identification number as it is printed on your license, permit or non-driver ID card Year Document Expires DATE OF BIRTH NAME (Print your name exactly as it is printed on the license, permit or non-driver ID card) SEX oM 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 ZIP CODE oF COUNTY NEW ADDRESS – WHERE YOU LIVE (Required - Include Street No. and name, and Apt. No.) CITY OR TOWN STATE PREVIOUS NYS ADDRESS (Include Street No. and Name, Rural Delivery, Apt. No., and/or Box No.) CITY OR TOWN COUNTY REGISTRATION: Provide the information below for your registration(s). If more than one registration is checked, each registration must be In your name. License Plate No. Type of Registration (Check One) License Plate No. o Passenger o Commercial o Snowmobile o Boat o Other (Specify)_______________ o Passenger o Commercial o Snowmobile o Boat o Other (Specify)_______________ Type of Registration (Check One) o Passenger o Commercial o Snowmobile o Boat o Other (Specify)_______________ o Passenger o Commercial o Snowmobile o Boat o Other (Specify)_______________ CERTIFICATION: I certify that I am the individual named above and that the information provided is true to the best of my knowledge. Sign Here: - ______________________________________________________________________________ Sign Name in Full _______________________________ Date WARNING! Knowingly providing false information on this form is a misdemeanor and will result in penalties authorized by law. PART 2 TO PURCHASE A REPLACEMENT DOCUMENT (Showing Your New Address): 1. Fill in all of the change of address information requested in Part 1. Be sure to complete Parts 1 and 2. 2. Check one of the following boxes to tell us which replacement document you want. o o o o o o o Driver License (Fee: $17.50) Enhanced Driver License (Fee: $17.50) Learner Permit (Fee: $17.50) Enhanced Learner Permit (Fee: $17.50) Non-Driver ID Card (Fee: $8.00) Enhanced Non-Driver ID Card (Fee: $8.00) Registration (Fee: $3.00 per registration) o o 10 Yr. Non-Driver ID Card (Fee: $6.50 - if 62 years old OR Supplemental Security Income recipient*) (No Fee - if 62 years old AND Supplemental Security Income recipient*) 10 Yr. Enhanced Non-Driver ID Card (Fee: $6.50 - if 62 years old OR Supplemental Security Income recipient*) (No Fee - if 62 years old AND Supplemental Security Income recipient*) *If you are a Supplemental Security Income recipient, you must provide proof with this form. 3. Write a check* or money order for the appropriate fee, payable to the “Commissioner of Motor Vehicles”. *The account holder’s name must be preprinted on the check. “Starter checks” are not acceptable. 4. Write your new address on your current state or enhanced license, permit or non-driver ID card, and keep it until the new one arrives. (Allow 4 to 6 weeks for delivery.) 5. Mail this page and your payment to: LPB MV-232 (4/11) PO Box 2895 Albany NY 12220-0895 PAGE 2 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com