Mobile DMV - Koliganek

Mobile DMV - Koliganek

Required Document Verification for Mobile DMV in Koliganek

Questions? Contact Chenita Sorensen at csorensen@bbnc.net

(907)843-2373

Full Legal Name*

Please provide your first and last name as shown on your birth certificate.

Physical Address*

Please provide your physical address. P.O. Boxes Will Not Suffice

City*

City you reside in.

State*

State you reside in.

Zip Code*

Zip code you reside in.

Phone Number*

Please provide the best number to contact you.

Phone

DMV Service Request*

Determine which service you need. (REAL ID, Driver's Test, Driver's License, Permit)

Select or enter value

State I.D. or Driver's License Number*

Have you been issued a State I.D. or Driver's License Number? If so, please provide that number here.

Birth Certificate or Passport*

Do you have your original birth certificate or passport? It must be an original or certified copy. If no, you will need to order one. Cannot be issued by a hospital.

Select

Date of Birth*

Please provide your date of birth.

Social Security Number*

Do you have a social security number and will be able to provide it on your application? (ex. Social Security Card, W-2, 1099 Tax Form, Pay Stub)

Select

Verification of Residential Address Document 1*

Please choose one of the two documents with your first and last name and current residential address you are required to provide. The address must be a residential address and not a P.O. Box. (ex. utility bill, bank statement, tribal ID card, insurance card, school transcript, pay stub, letter from BBNC)

Select

Verification of Residential Address Document 2*

Select

Name Equivalency*

Does your name match on all required documents? If no, you must provide documentation. (ex. marriage certificate, adoption certificate, name change documentation)

Select

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