The 478 Alaska form is the official application for obtaining a driver license, permit, or identification card in the state of Alaska. This form gathers essential personal information, including your legal name, date of birth, and residence address, while also allowing you to express preferences like organ donation and voter registration. Ready to take the next step? Fill out the form by clicking the button below.
The 478 Alaska form serves as a comprehensive application for obtaining an Alaska driver license, permit, or identification card. This essential document encompasses various classifications, including non-commercial and commercial licenses, instruction permits, and identification cards. Individuals are prompted to provide personal details, such as their legal name, date of birth, physical characteristics, and contact information. Importantly, the form also addresses veteran status, allowing applicants to declare their military service and request a veteran designation on their license. Additionally, it includes options for organ donation and contributions to awareness funds, reflecting a commitment to community health. Voter registration is another significant aspect, where applicants can express their desire to register or update their voter information, ensuring their participation in the democratic process. The form also requires disclosure of any previous names and past driving privileges, including any suspensions or revocations. Medical questions are included to assess the applicant's ability to operate a vehicle safely. Lastly, the form concludes with a declaration of truthfulness, emphasizing the importance of accuracy in the application process. Each section is designed to gather vital information while promoting responsible citizenship and community involvement.
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.)
Zip Code
Residence Address (Physical location – no PO Box or Mail Receiving Station addresses.)
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.
ORGAN DONOR
Would you like to be an organ donor with a designator displayed on your license / ID card?
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
Are you a U.S. Citizen? You may not register to vote if you are not a U.S. citizen.
Have been convicted of a felony?
VOTER
Have you been unconditionally discharged?
REGISTRATION
Would you like your residence address kept confidential? (Your residence address must be DIFFERENT than your mailing
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?
(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?
DRIVER
State:
Date:
Reason:
LICENSE
QUESTIONS
Within the past 5 years, have you had a medical condition or impairment, mental or physical disorder, seizure, or any other
(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?
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?
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/
Pass / Fail / Medical Card
Orig Renew Duplicate
ISSUED
Class:
DOCUMENTS SEEN / OTHER NOTES
(Rev.08/14/2017)
Alaska.gov/dmv
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