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Department of Motor Vehicles

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Social Security Number Declaration for Limited Purpose Credential

This form is used for those applying for a Limited Purpose Driver License or a Limited Purpose Identification Card.

Attachment(s):

Social Security Number Declaration Form (English)

Social Security Number Declaration Form (Spanish - Español)

Social Security Number Declaration Form (Amharic - አማርኛ)

Social Security Number Declaration Form (Chinese - 中文)

Social Security Number Declaration Form (French - Français)

Social Security Number Declaration Form (Vietnamese - Tiếng Việt)

Social Security Number Declaration Form (Korean - 한국어)

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Department of Motor Vehicles

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Department of Motor Vehicles

Social Security Number Declaration for Limited Purpose Credential

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Social Security Number Declaration for Limited Purpose Credential