APPLICATION FOR INTERNATIONAL DRIVING PERMIT
or
INTER-AMERICAN DRIVING PERMIT

FEE FOR EACH PERMIT $10.00

Issuance of Permit is restricted to persons EIGHTEEN YEARS or over who hold a valid U.S.A. or Territorial License. PERMIT VALID FOR ONE YEAR. Not renewable.

CHECK DESIRED PERMIT

International Driving Permit (Fee $10.00 and 2 Passport Type Photos signed on back)

Inter-American Driving Permit *** (see reverse side) (Fee $10.00 and 2 Passport Type Photos signed on back)

 MANDATORY REQUIREMENTS
(1) Attach 2 recent signed Passport Type Photos (2" x 2")
(2) Enclose permit fee of $10.00 (NO CASH)
(3) If mailing application, a photocopy of U.S. Driver's License must accompany completed application.

NOTE: IT IS IMPORTANT THAT YOUR U.S.A. OR TERRITORIAL LICENSE BE CARRIED WITH THE PERMIT AT ALL TIMES. The International or Inter-American Permit is not valid for driving in the United States.

PRINT NAME IN FULL. No Initials

Mr. Mrs. Ms. (Circle One)
FIRST__________________________MIDDLE______________________________LAST_____________________________________________________________

PHONE_________________HOME STREET ADDRESS______________________________________________________________________________

CITY______________________________________________________________STATE______________________________ZIP CODE__________________

U.S. DRIVER'S LICENSE NO.__________________________________________STATE OF ISSUE_____________________

EXPIRATION DATE______________

BIRTHPLACE:
CITY__________________________________________________

STATE OR COUNTRY_____________BIRTH DATE (MO . DAY YEAR)_____________

DATE PERMIT TO BE EFFECTIVE_______________________________________

DEPARTURE DATE FROM U.S.______________________________________

Countries to be visited:______________________________________________________________________________________

PLEASE CHECK THE APPROPRIATE BOX BELOW TO INDICATE THE TYPE OF VEHICLE FOR WHICH YOU NOW HOLD A VALID U.S.A. OR TERRITORIAL DRIVER'S LICENSE, AND FOR WHICH YOU DESIRE THIS PERMIT:

MOTORCYCLE
PASSENGER CAR
VEHICLE OVER 7,700lbs
VEHICLE OVER 8 SEATS
VEHICLE WITH HEAVY TRAILER

I CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND CORRECT, AND THAT THE LICENSE INDICATED HAS NOT BEEN SUSPENDED NOR REVOKED.
I FURTHER CERTIFY THAT I UNDERSTAND THAT A VALID STATE DRIVER'S LICENSE MUST ACCOMPANY THIS PERMIT, AND THAT THIS PERMIT IS VALID ONLY AS LONG AS THE STATE LICENSE IS VALID, BUT NOT TO EXCEED ONE YEAR FROM THE DATE THE PERMIT IS ISSUED.

SIGNATURE__________________________________________________________DATE_________________________________
(signature mandatory for issuance of Permit)


THIS IS YOUR MAILING LABEL. Please print to ensure prompt delivery

NAME_______________________________________________________________________

STREET_____________________________________________________________________

CITY_________________________________STATE___________ZIP CODE_____________

COUNTRY___________________________________________________________________

Geographical Areas Which Honor International Driving Permits (Convention on Road Traffic, United Nations, Geneva 1949) as of June, 1996

AFGHANISTAN*
ALBANIA
ALGERIA
ANDORRA
ANGOLA*
ANTIGUA*/**
ARMENIA*
ARGENTINA***
AUSTRALIA
AUSTRIA
AZERBAIJAN*
BAHAMAS
BAHRAIN*
BANGLADESH
BARBADOS**
BELARUS*
BELGIUM
BELIZE
BENIN
BHUTAN*
BOLIVIA*/***
BOTSWANA
BRUNEI*
BULGARIA
BURKINA FASO*
(WAS UPPER VOLTA)
CAMEROON*
CANADA
CAPE VERDE ISLANDS*
CAYMAN ISLANDS*
CENTRALAFRICAN REP.
CHAD*
CHILE***
COLOMBIA*/***
COMOROS*
CONGO
COSTA RICA*/***
CROATIA*
CUBA
CURACAO
CYPRUS
CZECH REP.
DENMARK
DJIBOUTI*
DOMINICA*/**
DOMINICAN REP.***
EQUADOR***
EGYPT
EL SALVADOR*/***
EQUATORIAL GUINEA*
ESTONIA*
FIJI
FINLAND
FRANCE (INCLUDING FRENCH
OVERSEAS TERRITORIES)
FRENCH POLYNESIA
GABON*
GAMBIA
GEORGIA
GERMANY*
GHANA
GIBRALTAR
GREECE
GRENADA
GUATEMALA***
GUERNSEY
GUINEA*
GUINEA-BISSAU*
GUYANA
HAITI
HONDURAS*/***
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA*
IRAN*
IRELAND
ISRAEL
ITALY
IVORY COAST
JAMAICA
JAPAN
JERSEY*
JORDAN
KAMPUCHEA (WAS CAMBODIA)
KAZAKHSTAN*
KENYA*
KOREA (REP.)
KUWAIT*
KYRGYSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA*
LIBYA*
LIECHTENSTEIN*
LITHUANIA*
LUXEMBOURG
MACAO*
MADAGASCAR
MALAWI
MALAYSIA
MALI
MALTA
MAURITANIA*
MAURITIUS
MEXICO*/***
MOLDOVA*
MONACO
MONTSERRAT*/**
MOROCCO
MOZAMBIQUE*
MYANMAR*
NAMIBIA
NEPAL*
NETHERLANDS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA*/***
NIGER
NORWAY
OMAN*
PAKISTAN*
PANAMA*
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR*
ROMANIA
RUSSIA*
RWANDA
ST. CHRISTOPHER, NEVIS
& ANGUILLA*/ *
ST. LUCIA
ST. VINCENT &
THE GRENADINES
SAN MARINO
SAO TOME & PRINCIPE*
SAUDI ARABIA*
SENEGAL
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA*
SOUTH AFRICA
SPAIN
SRI LANKA
SUDAN*
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND*
SYRIA
TAIWAN
TAJIKSTAN*
TANZANIA
THAILAND
TOGO
TRINIDAD & TOBAGO***
TUNISIA
TURKEY
TURKMENISTAN*
UGANDA
UKRAINE*
UNITED ARAB EMIRATES*
UNITED KINGDOM
UZBEKISTAN*
VATICAN CITY
VENEZUELA***
VIETNAM*
WESTERN SAMOA
YEMEN*
YUGOSLAVIA
ZAIRE
ZAMBIA
ZIMBABWE

*Not party of 1949 Convention: International Driving Permit Honored.

**U.S. driver's license and International Driving Permit recognized on presentation to local police and payment of Special Registration Fee upon arrival.

***Geographical Areas Which Honor Inter-American Driving Permits (Convention on Regulation of Inter-American Motor Vehicle Traffic, Organization of American States, Washington, D.C. 1943) as of June, 1996. If you intend to drive in the following countries, be sure to check INTER-AMERICAN DRIVING PERMIT box page 1: Brazil and Uruguay.

(FOR OFFICE USE ONLY)

AMOUNT____________________RECEIPT NO.________________________PERMIT NO.___________________________DATE ISSUED__________________

SENT TO:____________________________________________________________________________________________________________________________