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Form MV-64A "Special Restricted License Application for 15 ... 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Date of Birth, Name, and Telephone number in the designated fields.
- Provide your Mailing Address accurately to ensure proper communication.
- Select the appropriate box for the type of restricted license you are applying for: Educational, Employment, or Medical.
- If applying for an Educational License, have your Principal or Superintendent complete their section and sign it.
- For an Employment License, obtain verification from your employer and ensure they sign the form.
- If applying for a Medical License, have your physician complete their section and provide their signature.
- Finally, ensure that both you and your parent/guardian sign and date the application before submission.
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Related links
by JJ Heckman 2010 Cited by 2289 This article appeared in a journal published by Elsevier. The attached copy is furnished to the author for internal non-commercial research.Read more
MV-64A Rev 10/2021. SPECIAL RESTRICTED LICENSE APPLICATION FOR 15 YEAR OLDS (Driver Education Required). Name: Date of. Birth: Telephone: Mailing AddressRead more