DMV Consent Form - G__WEB_WWW Current_forms_licensing_dos1398-a

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DMV Consent Form - G__WEB_WWW Current_forms_licensing_dos1398-a Powered By Docstoc
					                                                                                                 NYS Department of State
                                                                                            Division of Licensing Services
                                                                                                           P.O. Box 22001
                                                                                                  Albany, NY 12201-2001
DMV Consent Form                                                                                      www.dos.state.ny.us

Your photo ID will be produced by the NYS Department of Motor Vehicles (DMV) using the image on file in their office.
You must have a valid NYS Driver License or Non-Driver ID with a photo to complete this form. If you do not have a
current NYS Driver License or Non-Driver ID with a photo, you must visit a NYS DMV office to have your photo taken.
For further instructions, please refer to the enclosed notice entitled “Request for Photo ID”.

NOTE: Failure to adhere to the following instructions will prevent your photo ID card from issuing.


INSTRUCTIONS:
   • Select the appropriate license or registration with an “X” and, if applicable, enter the license or registration
     UID number(s).
   • TYPE or PRINT your name in the box below.
   • Read the “Informed Consent” section and enter your 9 digit DMV ID number.
   • Sign, date and mail this completed form to our office at the above address.


         Q   Armored Car Guard                     Q   PI/WGP

         Q   Real Estate Broker/Salesperson        Q   Security Guard

         License or registration UID number(s):




LAST NAME                                                      FIRST NAME                                        M.I.




                                                  INFORMED CONSENT
I authorize the NYS Department of State and the NYS Department of Motor Vehicles (DMV) to produce an ID card bearing
my DMV photo. I understand that DMV will send this card to the address I maintain with the Department of State.
I also understand that the Department of State and DMV will use my DMV photo to produce all my subsequent ID cards
for as long as I maintain my license/registration with the Department of State.



DMV ID # __ __ __ / __ __ __ / __ __ __                X____________________________________             ___________
                                                        Applicant Signature                            Date



DOS 1398-a (Rev. 05/09)

				
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Description: DMV play format, is a high compression ratio through the file exchange for short video file formats. DMV format video is designed for portable audio players, portable design, in order to save storage space, DMV format video frame processing using the pumping technique, originally about 25 frames per second video files, processing 15 frames per second, resulting in volume smaller video files.