The Maine MV 16 form is the official application for a State of Maine Identification Card, designed to help residents obtain a valid ID. This form requires applicants to provide proof of legal presence in the United States and documentation of Maine residency. With a small fee of $5.00, securing your identification card is a straightforward process that can open doors to various opportunities.
The Maine MV 16 form is an essential document for individuals seeking a state identification card in Maine. This form requires applicants to provide various personal details, including their full name, mailing address, physical residence, date of birth, and sex. Additionally, individuals must disclose their social security number, height, weight, hair color, and eye color. A fee of $5.00 is associated with the application process. To successfully obtain an identification card, applicants must demonstrate legal presence in the United States and provide proof of residency in Maine. The form also includes an option for individuals to consent to organ and tissue donation, which will be indicated on the identification card with a small red heart. Importantly, the form emphasizes the need for accurate information, as providing false details may lead to legal consequences. Furthermore, applicants are required to submit two identification documents, one of which must indicate their date of birth while the other must bear their signature. Acceptable documents range from birth certificates to driver’s licenses, and specific guidelines are provided regarding the types of documents that are acceptable. Overall, the Maine MV 16 form serves as a crucial step for residents in obtaining a state-issued identification card, facilitating both identification and the potential for organ donation.
Application for State of Maine Identification Card
(Please Print Clearly)
FEE $5.00
To obtain an identification card you must provide proof of legal presence in the United States and
documentation of Maine residency.
Name: ________________________________________________________________________________________________________________
FirstMiddleLast
Mailing Address: ______________________________________________________________________________________________________
Physical Residence: ___________________________________________________________________________________________________
Date of Birth: ____/____/____ Sex:
Male Female
Social Security Number: __________________________________
Height: ________Ft. ________In.
Weight: ________ lbs.
Hair Color: _____________ Eye Color: _____________
Telephone Number: _______________________
If you wish to be an organ and tissue donor, check box to consent to organ and tissue donation.
YES
By checking “yes” above, you are consenting to organ and tissue donation. Your consent to be an organ and tissue donor will then be clearly indicated on the front of your identification card with a small red heart. For additional information on organ and tissue donation, you may contact the Maine Transplant Program (207-871- 2000), the National Kidney Foundation of Maine (207-772-7270) or New England Donor Bank (1-800-446- 6362) or visit our website at www.maine.gov/sos/bmv/organ.htm It is important to discuss your decision with your family.
Social Security Number Disclosure Statement
This statement is made in accordance with the Federal Privacy Act of 1974, Section 7(b). Disclosure of your social security number is required by 29-A MRSA §1301(5) and (6) to apply for or renew a driver’s license or
non-driver identification card. Your social security number will be used solely for identification purposes and will be kept confidential.
“I understand that knowingly supplying false information on this form is a Class D crime under Title 17-A, punishable by confinement of up to 364 days or monetary fine of up to $2000.00 or both”
__________________________________________________________________________
_____________________________________
Signature in ink
Date
See reverse for acceptable identification documents
MV-16 Rev 07/2011
Two (2) of the following documents are required for identification
One must indicate your date of birth and the other must bear your written signature. If you are the holder of a driver’s license from any state or province, that license must also be produced. Photocopies
are not accepted.
____ Adoption Record
____ Draft Card
____ Parent/Guardian**
____ Baptismal Record
____ Driver’s License
____ Passport
____ Birth Certificate
____ Driver’s Permit
____ Permanent Resident Card
____ Certificate of Marriage
____ Employment Authorization Card
____ Resident Alien Card
____ Citizenship Document
____ Machine Readable Visa
____ School Record/Transcript
(Certified)
____ Concealed Weapon Permit
____ Medical Record/Hospital Record
____ Social Security Card
____ Copy of Marital Application
____ Military Dependent I.D. Card
____ Court Document
____ Military Discharge (DD-214)
____ Divorce Papers
____ Military I.D. Card
**Parent or Guardian must appear in person and prove identity. This option applies only to minors.
NOTE: In addition to an original birth certificate, a certified copy of a birth certificate is acceptable. A document is certified if it has an embossed seal or stamp of the issuing agency. A photocopy of a certified copy of a birth certificate or an original birth certificate is NOT acceptable.
_________________________________________________________________
Issuing Official
Bureau of Motor Vehicles License Information
101 Hospital Street, 29 State House Station, Augusta, ME 04333-0029
207 624-9000 Extension 52114
TTY Users call Maine relay 711
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