mv-232 - final 7-20-09.qxp - Genesee County

**ARE YOU MOVING?**www.nysdmv.comIf you have a New York State driver license, learner permit or non-driver ID card, an enhanced driver license, learnerpermit or non-driver ID Card, or a registration for a vehicle, boat or snowmobile, you are required by law to notify MotorVehicles within 10 days of any PERMANENT address change. Please use this form to do that. Do NOT report temporarychanges (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 YorkState 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.nysdmv.com), or call:Upstate New York1-518-486-9786Monday to Friday: 8:00 - 4:00New York CityFrom area codes 212, 347, 646, 718, 917:1-212-645-5550 or 1-718-966-6155Monday to Friday: 8:00 - 4:00Other Downstate Areas and Long IslandFrom area codes 516, 631, 845, 914:1-718-477-4820Monday to Friday: 8:00 - 4:00From Outside the State of New York1-518-473-5595Monday to Friday: 8:00 - 4:00If you have unpaid Traffic Violations Bureau tickets, in addition to reporting your address change on this form, you mustalso 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 andphone numbers, see the “Local Offices” pages at the DMV web site.OPTIONS● If your state or enhanced license, permit, non-driver ID card or registration will expire in the next 90 days, callMotor Vehicles (see the phone numbers listed above) for information about changing your address and renewingyour document by mail at the same time.●Motor Vehicles does not require you to get a new state or enhanced license, permit, non-driver identification cardor registration document, but many people prefer to do so. You can use this form to purchase replacementdocuments by mail.To purchase a replacement state or enhanced driver license, permit, non-driver ID card or registration documentshowing your new address, follow the instructions on Page 2 and complete Parts 1 and 2. If you request areplacement state or enhanced license, permit, non-driver ID card, or registration document, keep your current oneuntil you receive the new one in the mail.●●If you DO NOT want a new document, we will enter your address change in our records at no cost to you. OnPage 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.FOR YOUR CONVENIENCE - If you want us to send this change of address information to your County Boardof Elections for voting purposes, please check the “Yes” box on Page 2. You will be notified by the Board ofElections 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 bycompleting a NYS Voter Registration Form that is available at any Motor Vehicles office, from your County Boardof Elections, or by visiting the NYS Board of Elections web site at www.elections.state.ny.us.MV-232 (7/09) PAGE 1 OF 2

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 informationrequested 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? Yes* 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): State (not Enhanced) License/Permit/Non-Driver ID Card Enhanced License/Permit/non-Driver ID Card RegistrationIf you checked a license box and the registration box above, be sure to carefully enter your state or enhanced license, permit or non-driver IDcard 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 willbe 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 befilled in or this application will be rejected and returned to you.Year DocumentExpiresEnter the identification number as it is printed on yourlicense, permit or non-driver ID cardNAME (Print your name exactly as it is printedon the license, permit or non-driver ID card)DATE OF BIRTHSEX MNEW 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.) FCITY ORTOWNNEW ADDRESS – WHERE YOU LIVE (Required - Include Street No. and name, and Apt. No.)STATEZIPCODECOUNTYCITY ORTOWNPREVIOUS NYS ADDRESS (Include Street No. andName, Rural Delivery, Apt. No., and/or Box No.)STATECITY ORTOWNZIPCODECOUNTYCOUNTYREGISTRATION: Provide the information below for your registration(s). If more than one registration is checked, each registration must be Inyour name.License Plate No.Type of Registration (Check One)License Plate No.Type of Registration (Check One) Passenger Commercial Snowmobile Boat Other (Specify)_______________ Snowmobile Other (Specify)_______________ Passenger Commercial Boat______________________________________________________________________________Sign Name in Full Passenger Commercial Snowmobile Boat Other (Specify)_______________ Snowmobile Other (Specify)_______________ Passenger Commercial BoatCERTIFICATION: I certify that I am the individual named above and that the information provided is true to the best of my knowledge.Sign Here:✍_______________________________DateWARNING! 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. Some fees below change on September 1, 2009. 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) 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: LPBPO Box 2895Albany NY 12220-0895MV-232 (7/09)PAGE 2 OF 2