y n l t d e b e d t h i o r l e s n e n n s e n ... - in.gov · granger lagrange aterloo butler...

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Battle G 22 29 28 28 28 25 28 931 931 22 18 39 13 37 9 1 67 32 28 3 32 25 26 39 25 421 35 35 421 421 31 421 2 35 35 231 52 52 52 69 Sharpsville Greentown Fairmount Fowlerton Galveston Flora n Sedalia Mulberry Russiaville Kempton Brookston Shadeland Delphi Battle Ground xford Attica Eaton Gaston Redkey Ridgeville Farmland Frankfort P Winche Muncie Elwood Alexandria Hartford City Gas City Yorktown Tipton 31 31 ARREN CARROLL HOWARD ENTON JAY RANDO DELAWARE MADISON TIPTON CLINTON GRANT Lafayette West Lafayette TIPPECANOE Kokomo BLACKFORD MILTON 252 135 46 46 44 67 59 46 46 3 9 9 46 252 31 231 421 150 40 41 150 65 Riley Center Point Clay City West Terre Haute Nashville Gosport Spencer Hope Greensburg Brazil Terre Haute Edinburgh VIGO CLAY JOHNSON MONROE OWEN Columbus Martinsville DECATUR Hartsville Elizabethtown BARTHOLOMEW Ellettsville N 37 69 DRIVEN TO SERVE INDIANA BUREAU OF MOTOR VEHICLES Before a learner’s permit can be issued to a minor applicant under eighteen (18) years of age, a parent or guardian must provide the minor’s documents (items 1-6). 1. Completed Certificate of Driver Education (CDE) form from the approved driver education program or school (if applicable). 2. One document from the “Identity” list on the back of this flyer (Section 1) 3. One document from the “Lawful Status” list on the back of this flyer. (Section 2) 4. One document from the “Social Security” list on the back side of this flyer. (Section 3) 5. Two documents from the “Indiana Residency” list on the back of this flyer. (Section 4)* 6. Proof of financial liability signed must be signed on the learner’s permit application by a parent, legal guardian, or in the absence of person described prior, any other adult who is willing to assume the obligation of financial liability. *Note: If the minor does not have two original documents from the “Indiana Residency” list, an individual who is eighteen (18) years of age or older may sign an Indiana Residency Affidavit, if they live with the minor. INDIANA RESIDENCY AFFIDAVIT The individual signing an Indiana Residency Affidavit must present: Option A: A valid Indiana driver’s license or identification card; and One document from the “Identity” list (Section 1) on the backside of this flyer; and Two documents from the “Indiana Residency” list (Section 4) on the back side of this flyer; or Option B: An unexpired SecureID driver’s license or SecureID identification card reflecting the current address. If the address has changed from what is displayed on the card, the individual signing the Indiana Residency Affidavit must present the SecureID along with two documents from the “Indiana Residency” list. (Section 4) FINANCIAL LIABILITY The individual assuming financial liability must sign the Agreement of Financial Liability affidavit on the back of the application. The individual signing financial liability (affiant) must present acceptable documents proving identity, including a government-issued photo identification document. LEARNER’S PERMIT REQUIREMENTS

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Page 1: Y N L T D E B E D T H I O R L E S N E N N S E N ... - IN.gov · Granger LaGrange aterloo Butler Newville Grabill Monroe Eaton Ingalls Nashville St. Paul Shirley Greensboro Sunman

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SPENCER

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CRAWFORD

PERRY

DUBOIS

POSEY

STEUBEN

DEKALB

WHITLEY

NOBLE

LAGRANGE

ELKHART

KOSCIUSKO

MARSHALL

ST. JOSEPH

LAPORTE

STARKE

PORTER

NEWTONJASPER

WHITE

CARROLL

HOWARD

BENTON

PULASKI

FULTON

WABASH

HUNTINGTON

ALLEN

ADAMS

JAY

RANDOLPH

HENRY

RUSH

SHELBY

JOHNSON

MORGAN

MONROE

BROWN

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DELAWARE

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HENDRICKS

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Macy

Galveston

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Sheridan

Thorntown

Kirklin

Sedalia

Mulberry

Russiaville

Kempton

Brookston

Shadeland

New Richmond

Delphi

BattleGround

Ladoga

Walton

Akron

Churubusco

Topeka

Kouts

North Judson

Star City

RoyalCenter

Monon

Winamac

Fair Oaks

Earl Park

Gifford

Morocco

RemingtonRemington

Hillsboro

Covington

Riley

CenterPoint

HarrodsburgBloomfieldKurtz

Huron

Clay City

Carbon

Farmersburg

Shelburn

Lyons

Oaktown

Petersburg

Fort Branch

Owensville

Hazleton

Spurgeon

Elberfeld Stanley

Grandview

Chrisney

SantaClaus

Chandler

Poseyville

Elnora

Monroe City

FerdinandHolland

French Lick

Orleans

Corydon

NewAmsterdam

Laconia

Leavenworth

Cannelton

English Milltown

Shoals

Washington

Crane

Odon

Carlisle

Bicknell

Worthington

WestTerreHaute

Bloomingdale

Kingman

Oxford

Kentland

Lake Village

Demotte

Kewanna

Medaryville

Shelby

Brook

Attica

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Fowler

HobartGriffith

Hebron

Hamlet

Monterey

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WaterlooButler

Newville

Grabill

Monroe

Eaton

Ingalls

Nashville

St. Paul

ShirleyGreensboro

Sunman

Canaan

Otisco

Deputy Vevay

Laurel

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Brookville

New Pekin

Brownstown

LittleYork

Livonia

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Greenville

Medora

Dupont

Holton

Gaston

Stilesville

Gosport

Spencer

Lizton

Cloverdale

Cicero

Westfield

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Montpelier

Redkey

Ridgeville

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Farmland

Economy

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Hope

Boston

Poneto

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Ossian

Markle

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Metz

Hudson

Bremen

Whiting

Gary

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Plymouth

Rochester

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Greencastle

Logansport

Monticello

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Portland

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Alexandria

Anderson

Carmel

Brownsburg

Richmond

Rushville

Connersville

Marion

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Gas City

MichiganCity

Westville

Rensselaer

Clinton

Brazil

Linton

Vincennes

Princeton

Evansville

Mt. Vernon

Jasper

Huntingburg

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TerreHaute

Clarksville

Bloomington

Knox

Danville

Edinburgh

Berne

Yorktown

Tipton

Harrison

Lawrenceburg

Batesville

Austin

Mitchell

Paoli

Sullivan

62

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31

31

31

Rockville

WARREN

BOONE

PARKEPUTNAM

VIGO

CLAY

SULLIVAN

KNOX DAVIESS

PIKE

GIBSON

SPENCER

WARRICK

LAWRENCE

MARTIN

ORANGE

CRAWFORD

PERRY

DUBOIS

POSEY

STEUBEN

DEKALB

WHITLEY

NOBLE

LAGRANGE

ELKHART

KOSCIUSKO

MARSHALL

ST. JOSEPH

LAPORTE

STARKE

PORTER

NEWTONJASPER

WHITE

CARROLL

HOWARD

BENTON

PULASKI

FULTON

WABASH

HUNTINGTON

ALLEN

ADAMS

JAY

RANDOLPH

HENRY

RUSH

SHELBY

JOHNSON

MORGAN

MONROE

BROWN

JACKSON

GREENE

OWEN

FAYETTE UNION

DELAWARE

MADISON

TIPTONCLINTON

HENDRICKS

MARION

FRANKLIN

DEARBORN

OHIO

RIPLEY

JEFFERSON

SCOTT

CLARK

FLOYD

WASHINGTON

JENNINGS

WAYNE

WELLS

GRANT

MIAMI

CASS

LAKE

94

Charlestown

NewAlbany

Walkerton

LafayetteWestLafayette

Franklin

Columbus

Hammond

WarsawWinona Lake

Roann

La Fontaine

Converse

Williamsport

FOUNTAIN

TIPPECANOE

Kokomo

BLACKFORD

Colfax

Newport

VE

RM

ILLI

ON

Russellville

Bainbridge

MONTGOMERY

Zionsville

Noblesville

Fishers

HAMILTON

Knightstown

New Castle

Greenfield

HANCOCKLawrence

CumberlandSpeedwayIndianapolis

Martinsville

Mooresville

Bargersville

NewWhiteland

Morristown

Shelbyville

DECATURHartsville

Elizabethtown

BARTHOLOMEW

45

Ellettsville

Cornettsville

Seymour

Vernon

Versailles

Napoleon

SWITZERLAND

OaklandCity

VANDERBURGH

Newburgh

Rockport

HARRISON

Elkhart

20

20

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DRIVEN TO SERVEINDIANA BUREAU OF MOTOR VEHICLES

Before a learner’s permit can be issued to a minor applicant under eighteen (18) years of age, a parent or guardian must provide the minor’s documents (items 1-6).1. Completed Certificate of Driver Education (CDE) form from the approved driver education program or

school (if applicable).2. One document from the “Identity” list on the back of this flyer (Section 1)3. One document from the “Lawful Status” list on the back of this flyer. (Section 2)4. One document from the “Social Security” list on the back side of this flyer. (Section 3)5. Two documents from the “Indiana Residency” list on the back of this flyer. (Section 4)*6. Proof of financial liability signed must be signed on the learner’s permit application by a parent, legal

guardian, or in the absence of person described prior, any other adult who is willing to assume the obligation of financial liability.

*Note: If the minor does not have two original documents from the “Indiana Residency” list, an individual who is eighteen (18) years of age or older may sign an Indiana Residency Affidavit, if they live with the minor.

INDIANA RESIDENCY AFFIDAVITThe individual signing an Indiana Residency Affidavit must present:Option A:• A valid Indiana driver’s license or identification card; and• One document from the “Identity” list (Section 1) on the backside of this flyer; and• Two documents from the “Indiana Residency” list (Section 4) on the back side of this flyer; or

Option B:• An unexpired SecureID driver’s license or SecureID identification card reflecting the current address.• If the address has changed from what is displayed on the card, the individual signing the Indiana

Residency Affidavit must present the SecureID along with two documents from the “Indiana Residency” list. (Section 4)

FINANCIAL LIABILITY• The individual assuming financial liability must sign the Agreement of Financial Liability affidavit on the back

of the application.The individual signing financial liability (affiant) must present acceptable documents proving identity, including a government-issued photo identification document.

LEARNER’S PERMIT REQUIREMENTS

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69

Real ID Documentation ChecklistAs of October 1, 2021, a Real ID-compliant driver’s license,permit, or identification card will be required to boardcommercial airplanes or enter certain federal facilities.

Bring the appropriate documentation from each category below to your local BMV Branch to upgrade to a Real ID.

1 - IDENTITYPresent ONE original document to establish identity.

F Unexpired U.S. Passport or U.S. Passport Card.* F Original or certified copy of a birth certificate filed with a U.S. state or

territory office of vital statistics or equivalent agency in your state of birth.*++

F Consular Report of Birth Abroad (CRBA) issued by U.S. Department of State: Forms FS-240, DS-1350, or FS-545.*

F Certificate of Citizenship: Forms N-560 or N-561.* F Certificate of Naturalization issued by DHS: Forms N-550 or N-570.* F Unexpired Permanent Resident Card: Form I-551.* F Unexpired foreign passport in your name with English subtitles or

translation, with an unexpired U.S. Visa and an approved I-94. F Unexpired foreign passport without a U.S.Visa if your authorized

admittance and lawful status can be verified by DHS.* F Unexpired Employment Authorization Card: Form I-766. F Unexpired Indiana Real ID credential. F Other documentation as determined by DHS or the BMV Commissioner.

2 - NAME CHANGE (IF APPLICABLE)**If your current name does not match the name on your identity document (e.g., birth certificate), additional documentation is required. Supporting documentation must be government-issued. See IMPORTANT NAME CHANGE INFORMATION below for more details.

3 - LAWFUL STATUSPresent ONE original document to establish lawful status. More than one document may be required.

F Unexpired U.S. Passport or U.S. Passport Card. F Original or certified copy of a birth certificate filed with a U.S. state or territory office of vital statistics or equivalent agency in your state of birth.++

F Consular Report of Birth Abroad (CRBA) issued by U.S. Department of State: Forms FS-240, DS-1350 or FS-545.

F Certificate of Citizenship: Forms N-560 or N-561. F Certificate of Naturalization issued by DHS: Forms N-550 or N-570. F Unexpired Permanent Resident Card: Form I-551. F Unexpired foreign passport in your name with English subtitles or translation, with an unexpired U.S. Visa and an approved I-94.

F Unexpired foreign passport without a U.S.Visa if your authorized admittance and lawful status can be verified by DHS.

F Proof of application for asylum in the U.S.: Form I-589. F I-797 Notice of Action received by DHS and accompanied by other U.S. Citizenship and Immigration Services (USCIS) documents.

F Other USCIS lawful status documents that can be used to verify lawful status with DHS.

4 - SOCIAL SECURITY NUMBERPresent ONE original document with your name and Social Security number to establish Social Security number.

F Social Security Card. F W-2 Form. F SSA- 1099 Form. F A non-SSA - 1099 Form. F Pay stub containing the applicant’s name and Social Security number.

If you are unable to document eligibility for a Social Security number (SSN), you must provide proof of ineligibility from the Social Security Administration (SSA). Letters more than 60 days old will not be accepted.

5 - INDIANA RESIDENCYPresent TWO original documents with your name and Indiana residential address to establish Indiana residency. Documents must contain a residential address. A post office box will not be accepted.

F U.S. Postal Service change of address confirmation. F An Indiana voter registration card. F Survey of your Indiana property. F Utility company, credit card, doctor, or hospital bill issued within 60 days of

application. F Residence mortgage or similar loan contract, or lease or rental contract. F Bank statement or bank transaction receipt, dated within 60 days of application. F Current motor vehicle loan payment book. F Valid homeowner’s, renter’s, or car insurance policy dated within one year of

application. F W-2 Form, property tax, excise tax bill, or Social Security Administration or other

pension or retirement annual benefit summary statement, dated within current or immediately prior year.

F Pre-printed pay stub, dated within 60 days of application. F Indiana Family and Social Services Administration child support check stub,

Medicaid or Medicare benefit statement dated within 60 days of application. F Valid Indiana handgun permit. F First-class mail from any federal or state court or agency, dated within 60 days of

application. F Valid and active ID card issued pursuant to the Indiana Attorney General’s

address confidentiality program under IC 5-26.5.

* Document may establish identity and lawful status.++ If born outside the U.S., delayed birth certificates do not establish lawful status.

**IMPORTANT NAME CHANGE INFORMATION: If your current name does not match your identity document due to a name change(s) (marriage, adoption, court order, etc.), you may need to provide additional government-issued documents to support any or all name changes. For example, if you were born Jane Smith then married Tom Cooper and your legal name is now Jane Cooper, you will need to bring in your marriage license. If, however, your identity document matches your current married name (you have a current passport which says Jane Cooper), this is sufficient and you do not need to prove your name change. For more information, visit REALID.IN.gov.

REALID.IN.gov | 888-692-6841