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Outline

In the state of Nevada, the Department of Motor Vehicles provides a unique avenue of support for individuals experiencing homelessness through the DMV 128 form, a revolutionary document designed to ensure that lack of a fixed address does not impede access to essential identification documents. The form encapsulates the essence of empathy and legislative awareness, offering a waiver for fees associated with acquiring a duplicate driver’s license, instruction permit, or identification card. This one-time fee waiver, as prescribed in Nevada Revised Statutes Chapter 483, represents a critical lifeline, acknowledging the challenges faced by homeless individuals while also placing a responsibility on them to repay the cost of the photo fee upon employment and renewal of the card. Moreover, it subtly integrates a provision for male applicants between 18 and 26 years of age to register with the Selective Service, thereby keeping doors open for federal benefits without compromising their legal obligations. Applicants are required to affirm their homeless status, provide basic personal information, and certify the accuracy of their statements under the penalty of perjury, as misstatements could result in cancellation or denial of the requested document and may attract misdemeanor or felony charges under specific Nevada Revised Statutes. The DMV 128 form, therefore, stands as more than just a document; it is a testament to Nevada’s commitment to inclusivity and support for all its residents, regardless of their housing status.

Sample - Nevada Dmv 128 Form

Reno/Sparks/Carson City (775) 684-4DMV (4368)

Las Vegas Area (702) 486-4DMV (4368)

Fax: (775) 684-4992

Website: dmvnv.com

DECLARATION OF HOMELESS STATUS

This form must be submitted along with a DMV-002 (Application for Driving Privileges or ID Card).

LAST NAME (Please Print)

FIRST NAME

MIDDLE NAME

SUFFIX

ADDRESS WHERE I AM STAYING

CITY

STATE

ZIP

25 AND OLDER

UNDER 25

NRS 483.417 and NRS 483.825

483.410 and 483.820

I am requesting a duplicate:

I am requesting an/a:

Non-Commercial Driver’s License

 Original  Duplicate  Renewal

 Instruction Permit

(Choose one)

 Identification Card

Non-Commercial Driver’s License

Fees will be waived one time only and you must

 Driver Authorization Card

reimburse the Department the cost of the photo fee

 Instruction Permit

when you renew your card, if employed at that time.

 Identification Card

 

 

All fees for this issuance will be waived one time

 

only and are not required to be reimbursed at any

 

time.

I hereby certify under penalty of perjury that all statements in this application are true and correct. I agree and understand that any misstatement of material facts may cause cancellation and/or denial of my driver’s license, instruction permit or identification card under NRS 483.420 and 483.530. I further understand that any misstatement of facts may be a misdemeanor or felony under NRS 483.530 and may be punishable pursuant to NRS 193.130.

SIGNATURE OF APPLICANT

DATE

Signatures must be originals. Photocopies are not acceptable.

Changes may not be made to this form once it is signed.

DMV-128 (Revised 12/2019)

Form Specs

Fact Detail
Purpose of Form This form serves as a declaration of homeless status, allowing individuals to qualify for a waiver of fees for a duplicate driver’s license, instruction permit, or identification card.
One-time Waiver Eligible applicants are granted a one-time fee waiver but must reimburse the Department for the photo fee upon employment and renewal of the card.
Governing Law The waiver is governed by Nevada Revised Statutes Chapter 483, ensuring the legal framework for the waiver of fees for qualifying individuals.
Selective Service Registration Male applicants between the ages of 18 and 26 are given the option to register with the Selective Service System, maintaining their eligibility for federal benefits.

How to Fill Out Nevada Dmv 128

Filling out the Nevada DMV 128 form is a straightforward process designed for individuals declaring homeless status in Nevada. This declaration allows for a one-time waiver of fees for obtaining a duplicate driver's license, instruction permit, or identification card under Nevada Revised Statutes Chapter 483. Careful completion of this form ensures that eligible individuals can access this important resource without financial burden, provided certain conditions are met.

Here are the steps to accurately complete the form:

  1. Start by entering your printed name in the space provided for the Applicant’s Printed Name.
  2. If you know it, enter your Driver’s License/Identification Card Number in the designated space.
  3. Provide your Social Security Number in the corresponding field.
  4. Fill in your Date of Birth with the requested format.
  5. Under the section labeled "Address where I am staying", enter the current address. If you do not have a permanent address, provide a temporary location or a contact point.
  6. Next, fill in the City, State, and Zip code related to your current location or temporary address.
  7. If you are a male between 18 and 25 years old, choose whether you would like to register with the Selective Service. Mark 'Yes' and initial in the space provided if you choose to register; this maintains eligibility for certain federal benefits. If not, mark 'No'.
  8. After reviewing all the information you’ve provided and ensuring its accuracy, sign your name in the Signature of Applicant section to certify your declaration.
  9. Date your signature by filling in the corresponding Date field.

Once completed, this form should be submitted to a DMV representative who will review and process your application. The representative's signature and the date will finalize the submission. Keep in mind the importance of honesty in this declaration. Any false statements can lead to serious consequences, including potential cancellation of your application, or even legal penalties. Proper completion and submission of this form will help facilitate access to necessary documentation without financial strain for those experiencing homelessness in Nevada.

Obtain Clarifications on Nevada Dmv 128

  1. What is the purpose of the Nevada DMV 128 form?

The Nevada DMV 128 form, known as the Declaration of Homeless Status, serves a critical function in the state's efforts to support individuals experiencing homelessness. It allows these individuals to certify their homeless status to qualify for a waiver of fees associated with obtaining a duplicate driver's license, instruction permit, or identification card. This initiative, grounded in Nevada Revised Statutes Chapter 483, acknowledges the challenges faced by homeless individuals and provides a tangible way to help alleviate some of the burdens associated with securing vital identification documents. It's noteworthy that this fee waiver is granted on a one-time basis, highlighting the program's intent to provide immediate, albeit temporary, relief.

  1. How can one qualify for the fee waiver provided by the Nevada DMV 128 form?

Qualifying for the fee waiver offered through the Nevada DMV 128 form involves certifying one's status as homeless. The applicant must provide truthful and accurate information regarding their name, any known driver's license/identification card number, Social Security number, and date of birth, alongside the current address where they are staying, which underscores their homeless status. Importantly, the applicant is required to sign under penalty of perjury, attesting to the truthfulness of the provided information. This act of certification is crucial, as it is the basis upon which the DMV waives the fees associated with the issuance of a duplicate identification document. Furthermore, applicants need to be aware that any misstatement of material facts not only risks the cancellation and/or denial of the document applied for but may also carry legal repercussions.

  1. Are there any obligations after receiving a fee waiver under the Nevada DMV 128 form?

Upon securing a fee waiver for a duplicate driver’s license, instruction permit, or identification card under the Nevada DMV 128 form, the recipient enters into a specific agreement concerning future obligations. Notably, if the individual is employed at the time of renewing their card, they must reimburse the Department of Motor Vehicles (DMV) for the cost of the photo fee. This requirement underscores a reciprocative relationship between the individual receiving aid and the DMV, wherein temporary financial assistance is provided with the understanding that beneficiaries will contribute back to the system once they are in a position to do so.

  1. Can applying for the fee waiver on the Nevada DMV 128 form impact Selective Service registration?

An interesting aspect of the Nevada DMV 128 form is its consideration of the applicant’s Selective Service registration status. Male applicants between the ages of 18 and less than 26 are given the option to register for the Selective Service directly through the form. This option ties into broader eligibility criteria for federal student loans, grants, job training benefits, most federal jobs, and potentially citizenship in the United States. Selecting 'Yes' to this option and initialing the form accordingly acts as consent and initiates registration, illustrating how the DMV 128 form serves multiple purposes beyond just the waiver of fees for identification documents. It presents a crucial intersection between state assistance and federal obligations, highlighting the form’s broader significance in facilitating essential civic duties.

Common mistakes

When filling out the Nevada DMV 128 form, a Declaration of Homeless Status, applicants often make several common mistakes that can lead to delays or even denial of their application. Understanding these errors can help individuals ensure their applications are processed smoothly and efficiently.

One common mistake is providing incomplete or inaccurate personal information. This form requires specific details such as the applicant's printed name, driver's license or identification card number (if known), social security number, date of birth, and current address. Failing to provide accurate and complete information in these fields can hinder the DMV's ability to verify the applicant's identity and process the application.

Another frequent error is neglecting the question regarding Selective Service registration. Male applicants who are at least 18 and less than 26 years old have the option to register for the Selective Service through this application. Overlooking this question or failing to initial if choosing to register can affect eligibility for federal benefits and, more broadly, the application's completeness.

Applicants often forget to check the box indicating the type of document they are requesting – be it a duplicate driver's license, instruction permit, or identification card. This seemingly minor detail is critical for the DMV to know what service the applicant is seeking.

A more subtle yet significant error is the failure to acknowledge the fee waiver terms. By signing the form, the applicant confirms understanding that the fee for the duplicate document will be waived only once and that they must reimburse the DMV for the cost of the photo when they are employed and renew their card. Overlooking or misunderstanding this condition can lead to confusion about obligations upon employment.

  1. Providing incomplete or inaccurate personal information.
  2. Neglecting the question regarding Selective Service registration.
  3. Forgetting to check the box for the type of document requested.
  4. Failing to acknowledge the fee waiver terms.
  5. Incorrectly certifying statements under penalty of perjury without thoroughly understanding the implications of misstatements.

Lastly, a critical mistake is the incorrect certification of statements under penalty of perjury. This declaration confirms that all information provided on the form is true and correct to the best of the applicant's knowledge. Misunderstanding or misrepresenting facts, either intentionally or unintentionally, can have serious legal ramifications, including misdemeanor or felony charges and the potential cancellation or denial of the requested document.

To avoid these common pitfalls, applicants should carefully review all sections of the form, ensure all information is accurate and complete, and fully understand the declarations they are making. Taking these steps can help streamline the process of obtaining a duplicate driver's license, instruction permit, or identification card, especially under the unique circumstances of declaring homeless status.

Documents used along the form

Navigating Nevada's DMV forms can sometimes feel like deciphering a puzzle, especially when multiple documents are involved in a single process. For those qualifying for the waiver of fees due to homelessness, using Nevada's DMV 128 form, "Declaration of Homeless Status," is a critical step. However, this form often doesn't stand alone. Understanding the other documents that are frequently needed alongside it can streamline the process and ensure no step is missed.

  • Proof of Identity Document: Applicants must provide a document that verifies their identity, such as a birth certificate or passport. This essential step ensures that the DMV can accurately link the waiver request to the correct individual.
  • Verification of Social Security Number (SSN): A Social Security card or an official document displaying the SSN, like a W-2 form or Social Security Administration document, is required. This verification supports the identity check and ties the applicant's SSN to their DMV records accurately.
  • Residency Documentation: Since the DMV 128 form involves declaring homelessness, traditional proof of residency documents may not be applicable. However, a letter from a shelter, a statement from a shelter provider, or a letter from a government agency attesting to the applicant's status might be required to confirm eligibility for the fee waiver.
  • Selective Service Registration Confirmation: For male applicants between 18 and 26 needing to comply with federal law, a Selective Service registration confirmation might be necessary. While the DMV 128 form asks if the individual wishes to register, providing evidence of existing registration could be required.
  • Application for Driving Privileges or ID Card (Form DMV 002): To request a duplicate driver’s license, instruction permit, or identification card, applicants typically need to fill out and submit this comprehensive form. It specifies the type of document being requested and details any changes in personal information or status since the issuance of the original document.

Each document plays a vital role in the process, bridging the gap between eligibility and receipt of waived fees for DMV services. By thoroughly preparing and submitting these forms and documents, applicants can navigate the DMV's requirements more effectively, ensuring a smoother, more efficient process. Whether it's confirming identity, residency status, or federal obligations, the combined information these documents provide helps streamline the waiver application under the "Declaration of Homeless Status." Therefore, understanding and gathering these documents beforehand can significantly aid in achieving a successful outcome.

Similar forms

The Nevada DMV 128 form, dedicated to declaring homeless status for the purpose of waiving fees related to obtaining a duplicate driver’s license, instruction permit, or identification card, shares similarities with other forms and documents used across various state departments and agencies. These similarities often lie in the form’s purpose, structure, and the kind of information requested from the applicant.

Comparable to the California DMV DL 933 Form: One notable document similar to the Nevada DMV 128 form is the California Department of Motor Vehicles' DL 933 form, which is used to request a fee waiver for a California ID card for low-income individuals, including those experiencing homelessness. Like the Nevada DMV 128 form, the DL 933 form requires individuals to certify their status - in this case, their income level - and requests personal identifiers such as name, date of birth, and social security number. Additionally, both forms have a clause regarding perjury, highlighting the importance of truthfulness in the information provided by the applicant.

Similarity to the Texas DPS VI-30 Form: Another document resembling the Nevada DMV 128 form is the Texas Department of Public Safety's (DPS) VI-30 form, which is a Verification of Enrollment and Attendance (VOE) form used to verify a student's enrollment status in school for the purpose of obtaining a learner’s permit or driver’s license. While the primary purpose differs from the Nevada form, both solicit personal information and include certifications that must be signed under penalty of perjury. These forms streamline certain processes for individuals by providing necessary documentation to state agencies, underlining the subject's current status, whether it be homelessness or school enrollment.

Comparison with the Florida DHSMV Homeless Certification: The state of Florida offers a Homeless Certification document used by individuals to certify their homeless status for various state services, mirroring the purpose of Nevada’s DMV 128 form. This certification is crucial for those seeking to waive fees for identification cards and driver licenses in Florida, again underscoring the importance of offering support to individuals facing homelessness. While the specifics of the form may vary, the overarching aim to provide relief and aid to a vulnerable segment of the population draws a direct line to the intent behind the Nevada DMV 128 form.

Dos and Don'ts

When completing the Nevada DMV 128 form, designed for individuals declaring homeless status to request a waiver for fees associated with obtaining a duplicate driver’s license, instruction permit, or identification card, proper attention to detail is key for a smooth process. Listed below are essential guidelines to follow, as well as common pitfalls to avoid, ensuring that your application is submitted correctly and efficiently.

What You Should Do

  1. Ensure that all personal information is accurate and legible, including your printed name, social security number, and date of birth. This information is crucial for the processing of your application.
  2. Check the driver’s license or identification card number for accuracy if known; this facilitates the identification process within the DMV system.
  3. For males between 18 and 26 years old, carefully consider the option to register with the Selective Service, as it impacts eligibility for certain federal benefits. If choosing to register, remember to initial in the provided space.
  4. Sign and date the form to certify that the information provided is true and correct under penalty of perjury. An unsigned or undated form may be considered invalid.
  5. Contact a DMV representative for any clarifications regarding the form. Misunderstandings can lead to errors, potentially delaying the process.

What You Shouldn't Do

  • Do not leave any fields blank that are applicable to your situation. Incomplete forms may result in processing delays or outright denial.
  • Avoid providing false information. Misrepresentation is a serious offense that can lead to misdemeanor or felony charges, in addition to the cancellation and/or denial of your application.
  • Do not forget to address the fee waiver for the photograph when renewing the card if employed at that time, as stated in the instructions.
  • Resist the urge to submit the form without revising it. Double-check all entries for accuracy and completeness.
  • Do not hesitate to use the contact information provided for any assistance. It is essential to ensure that all your questions and concerns are addressed.

Adhering to these guidelines will aid in the successful completion and submission of your Nevada DMV 128 form. Remember, the accuracy and completeness of your application directly affect its processing, and ultimately, the issuance of your duplicate driver’s license, instruction permit, or identification card. Careful attention to detail and clear communication with the DMV can significantly streamline this process.

Misconceptions

Navigating the paperwork for state departments can often lead to misunderstandings, especially with documents like the Nevada DMV 128 form. This form is vital for individuals experiencing homelessness, providing them a way to obtain a driver's license or identification card without the burden of certain fees. Let's address and clarify four common misconceptions about this form.

  • It's only for driver's licenses: Some people mistakenly believe the Nevada DMV 128 form is exclusively for obtaining a duplicate driver's license. However, this form also applies to those seeking a duplicate identification card or instruction permit. Its purpose is broad, ensuring that individuals experiencing homelessness can maintain essential forms of identification.
  • The fee waiver is unlimited: There's a misconception that the fee waiver provided through this form applies multiple times. The waiver for the duplicate license, identification card, or instruction permit fee is a one-time benefit. When it's time for renewal, and if the individual is employed, they are expected to reimburse the DMV for the cost of the photo fee.
  • Employment status is irrelevant: Another misunderstanding is that one's employment status does not affect the process. On the contrary, the form explicitly states that if the applicant is employed at the time of their card renewal, they must pay back the waived photo fee. This provision ensures that the waiver supports those in genuine need.
  • Registration with Selective Service is automatic: Lastly, there's a false assumption that submitting the DMV 128 form will automatically register applicable males with the Selective Service. In reality, the form offers the option to register for the Selective Service, but it requires the applicant to indicate their willingness by answering "yes" and providing an initial. This ensures applicants are aware of and consent to the registration and its implications for federal benefits and obligations.

Understanding these aspects of the Nevada DMV 128 form clarifies its purpose and the eligibility criteria, ensuring that individuals experiencing homelessness can access essential services without undue burden. Clarifying these misconceptions helps in making the process transparent and accessible to those in need.

Key takeaways

Filling out the Nevada DMV 128 form is crucial for individuals experiencing homelessness who seek a waiver for fees associated with acquiring a duplicate driver's license, instruction permit, or identification card. Understanding the key takeaways about this form will ensure applicants are well-informed and able to take advantage of the benefits it offers.

  • Eligibility for Fee Waiver: The Nevada DMV 128 form is designed to certify individuals as homeless, which qualifies them for a one-time waiver of fees for obtaining a duplicate driver's license, instruction permit, or identification card. This assists those in a vulnerable situation by easing the burden of replacement costs.
  • Requirement for Reimbursement: It is important for applicants to know that while the initial fee is waived, they must reimburse the Department for the photo fee upon renewal of the card if they are employed at that time. This condition underscores the importance of understanding the obligations that come with the acceptance of the fee waiver.
  • Declaration of Truth and Consequences for Misrepresentation: Applicants must certify under penalty of perjury that all statements made in the application are true and correct. Any misstatement of material facts may not only result in the cancellation and/or denial of the document applied for but may also be punishable as a misdemeanor or felony under Nevada Revised Statutes. This highlights the seriousness with which the application should be approached.
  • Selective Service Registration: Male applicants between the ages of 18 and less than 26 are given the option to register with the Selective Service through the form. This registration is crucial for remaining eligible for federal student loans, grants, job training benefits, most federal jobs, and, if applicable, citizenship in the United States, which represents a critical decision point for many young applicants.

By thoroughly understanding these key elements of the Nevada DMV 128 form, individuals seeking fee waivers for duplicate identification due to homeless status can navigate the process more confidently and securely. The form not only facilitates access to necessary documentation but also underscores the responsibilities and potential consequences associated with the application process.

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