Fill Out Your 478 Alaska Form Customize 478 Alaska

Fill Out Your 478 Alaska Form

The 478 Alaska form is an application used to obtain an Alaska driver license, permit, or identification card. This form collects essential personal information, including your legal name, date of birth, and residence address. Ready to get started? Fill out the form by clicking the button below.

478 Alaska Sample

STATE OF ALASKA

DIVISION OF MOTOR VEHICLES

APPLICATION FOR ALASKA DRIVER LICENSE,

PERMIT OR IDENTIFICATION CARD

478

LICENSE / PERMIT

 

 

CLASSIFICATION

 

 

 

ENDORSEMENTS

 

 

 

 

 

 

 

 

 

Driver License

 

Non-Commercial (D)

 

 

Hazardous

 

Passenger (P)

Instruction Permit

 

Motorcycle

 

 

Tank (N)

 

School Bus (S)

Identification Card

 

CDL

 A  B  C

 

 

Tank (N) + HazMat (H)

 

Doubles / Triples

FULL

 

First

 

 

Middle

 

 

 

Last

 

 

Suffix

LEGAL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AK license / permit / ID number, if applicable.

 

Date of Birth

 

Sex

 

 

Height

 

Weight

 

Hair Color

Eye Color

 

 

 

 

 

 

 

 

 

 

ft

in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLACE

 

City

 

 

 

State

 

Country (If other than USA)

 

Social Security Number

OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTH:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (This address will appear on the license, permit or ID.)

City

State

Zip Code

Residence Address (Physical location – no PO Box or Mail Receiving Station addresses.)

City

State

Zip Code

Email

Phone #

 

I declare myself an honorably discharged US Armed Forces veteran and authorize DMV to send my personal information to the

 YES

 NO

VETERAN

Dept. of Military and Veterans Affairs to provide benefits to me.

 

 

 

I have a US Armed Forces honorable discharge and wish to have a veteran designation placed / retained on my license.

 YES

 NO

ORGAN DONOR

Would you like to be an organ donor with a designator displayed on your license / ID card?

 YES

 NO

Would you like to donate $1 or more to the anatomical gift awareness fund? If so, how much?

$

 

 

 

 

Would you like to register to vote or make changes to your voter registration

 YES

 NO

 

 

 

 

Are you a U.S. Citizen? You may not register to vote if you are not a U.S. citizen.

 YES

 NO

 

 

 

 

Have been convicted of a felony?

 

 YES

 NO

 

 

 

 

VOTER

Have you been unconditionally discharged?

 

 YES

 NO

REGISTRATION

Would you like your residence address kept confidential? (Your residence address must be DIFFERENT than your mailing

 YES

 NO

 

address to be kept confidential.)

 

 

 

 

If you are already registered to vote in the State of Alaska, this form will update your voter registration address.

 

 

 

Do you want your address updated for voter registration purposes?

 YES

 NO

 

(In order to be a registered voter of Alaska, you must provide an Alaska residence address.)

 

 

PREVIOUS

List any previous / maiden names by which you have been known:

 

 

NAMES

 

 

 

 

 

 

 

 

List any States in which you have ever held a permit, license or id card:

 

 

 

Have your driving privileges ever been suspended or revoked or application for license refused?

 YES

 NO

DRIVER

State:

Date:

Reason:

 

 

LICENSE

 

 

State:

Date:

Reason:

 

 

QUESTIONS

 

 

Within the past 5 years, have you had a medical condition or impairment, mental or physical disorder, seizure, or any other

 YES

 NO

(You do not need to

health problems that could affect your ability to safely operate a motor vehicle?

answer these

 

 

 

 

 

 

 

questions for an ID

If yes, please explain:

 

 

 

 

card)

 

 

 

 

Within the last five years, have you had three or more alcohol or drug related convictions?

 YES

 NO

 

 

If yes, you must provide physician verification that the problem is under control or proof of completion of a rehabilitative treatment program

 

 

COMMERCIAL

Are you domiciled (permanent residence) in the State of Alaska?

 YES

 NO

DRIVERS ONLY

 

 

 

 

 

I acknowledge that receiving an Alaska Permit, License or ID card may cancel or invalidate any Permit, License or ID card from another state per the laws of that state. I have personally reviewed the information on this application and certify under penalty of perjury that to the best of my knowledge and belief the information on this application is true and correct. NOTE: Making a false statement in connection with this application may be punishable by a maximum penalty of $50,000 or five years imprisonment or both per AS 11.46.505.

X

Signature of Applicant (MUST SIGN IN FRONT OF A DMV REPRESENTATIVE)

Date

AMVC ID / Office Number

*****DMV USE ONLY *****

VISION

฀With CL

Left

Both

Right

Vision Notes

CDL Color Blind Test:

TEST

฀Without CL

20/

20/

20/

 

Pass / Fail / Medical Card

LICENSE

฀Orig ฀Renew ฀Duplicate

ISSUED

Class:

 

DOCUMENTS SEEN / OTHER NOTES

(Rev.08/14/2017)

Alaska.gov/dmv

Common mistakes

  1. Incorrect Personal Information: Failing to provide accurate legal names, dates of birth, or social security numbers can lead to application delays or denials. Ensure every detail matches official documents.

  2. Missing Signatures: Not signing the application in front of a DMV representative is a common oversight. Remember, your signature is required to validate the application.

  3. Improper Address Format: Using a PO Box or mail receiving station for the residence address is a mistake. The physical address must be a residential location, not a mailing address.

  4. Neglecting to Update Voter Registration: If you want to update your voter registration address, make sure to indicate this clearly. Failing to do so may result in outdated voter information.

  5. Inaccurate Medical Condition Disclosure: Not answering questions about medical conditions or impairments truthfully can have serious consequences. If you have any concerns, it's better to provide full disclosure.

  6. Overlooking Previous Names or Licenses: Forgetting to list previous names or states where licenses were held can create complications. Be thorough and include all relevant information.

Detailed Steps for Filling Out 478 Alaska

Completing the 478 Alaska form requires careful attention to detail. Individuals should gather necessary information before starting the process. The form includes sections for personal information, driver license classifications, and additional options like organ donation and voter registration.

  1. Obtain the 478 Alaska form from the Division of Motor Vehicles website or a local DMV office.
  2. Fill in your full legal name, including first, middle, last, and suffix if applicable.
  3. Provide your date of birth, sex, height, weight, hair color, and eye color.
  4. If you have an existing Alaska license, permit, or ID number, enter it in the designated space.
  5. Indicate your place of birth by entering the city, state, and country.
  6. Input your Social Security number.
  7. Complete the mailing address section with your current address, including city, state, and zip code.
  8. Fill out the residence address section with your physical location, ensuring it is not a PO Box.
  9. Provide your email address and phone number.
  10. If applicable, declare your status as an honorably discharged US Armed Forces veteran and choose whether to have your information sent to the Department of Military and Veterans Affairs.
  11. Decide if you want to be an organ donor and whether to contribute to the anatomical gift awareness fund.
  12. Answer questions regarding voter registration, including your citizenship status and any felony convictions.
  13. List any previous or maiden names and any states where you have held a permit, license, or ID card.
  14. Respond to questions about any previous suspensions, revocations, or refusals of your driving privileges.
  15. Answer medical questions that may affect your ability to operate a vehicle safely.
  16. Confirm your permanent residence in Alaska if applying for a commercial driver’s license.
  17. Review all information for accuracy and completeness.
  18. Sign the application in front of a DMV representative.
  19. Submit the completed form to the DMV office for processing.

Dos and Don'ts

When filling out the 478 Alaska form, it’s important to approach the process with care. Here’s a list of things you should and shouldn’t do to ensure your application is completed correctly.

  • Do double-check your legal name for accuracy. This is crucial as it will appear on your license or ID.
  • Do provide your Social Security Number. This is required for identification purposes.
  • Do ensure your mailing address is correct. This is where your license or ID will be sent.
  • Do read each question carefully, especially those regarding your driving history and medical conditions.
  • Don’t leave any required fields blank. Incomplete applications may delay processing.
  • Don’t forget to sign the application in front of a DMV representative. Your signature is necessary for validation.

Completing this form accurately is essential for a smooth application process. Take your time and follow these guidelines to avoid any setbacks.

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