The Nevada DMV 128 form is a "Declaration of Homeless Status" used to certify an individual's status as homeless, allowing for the waiver of fees for obtaining a duplicate driver's license, instruction permit, or identification card, as outlined in Nevada Revised Statutes Chapter 483. This certification allows qualified individuals to bypass certain costs, though it specifies that the waiver is a one-time benefit and employment at the time of renewal necessitates reimbursing the Department for the photo fee. Highlighting the importance of accurate reporting, the form requires applicants to certify the truthfulness of their provided information under penalty of perjury, emphasizing the legal obligations and potential consequences for misstatements.
Empathy and practicality intersect with the legal world in the Nevada DMV 128 form, a vital yet perhaps not widely familiar document crucial for those facing homelessness. At its core, the Declaration of Homeless Status form serves a compassionate function, allowing Nevada residents who are homeless to request a waiver for fees tied to obtaining a duplicate driver's license, instruction permit, or identification card. Recognizing the heightened barriers faced by individuals without stable housing, Nevada Revised Statutes Chapter 483 underpins this initiative, providing a one-time fee waiver to support those in need. However, it carries the stipulation that recipients reimburse the photo fee upon employment and card renewal. Besides basic personal information, the form also inquires about an applicant's potential interest in registering with the Selective Service, which remains a prerequisite for various federal benefits, including student loans and job training, highlighting a broader impact on an applicant's future opportunities. Completeness and honesty in filling out the form are imperative, as any misstatement could lead to misdemeanor or felony charges alongside potential denial or cancellation of the requested document, underlining the balance between aid and accountability embedded within the DMV 128 form process.
Reno/Sparks/Carson City (775) 684-4DMV (4368)
Las Vegas Area (702) 486-4DMV (4368)
Fax: (775) 684-4992
Website: dmvnv.com
DECLARATION OF HOMELESS STATUS
This form must be submitted along with a DMV-002 (Application for Driving Privileges or ID Card).
LAST NAME (Please Print)
FIRST NAME
MIDDLE NAME
SUFFIX
ADDRESS WHERE I AM STAYING
CITY
STATE
ZIP
25 AND OLDER
UNDER 25
NRS 483.417 and NRS 483.825
483.410 and 483.820
I am requesting a duplicate:
I am requesting an/a:
Non-Commercial Driver’s License
Original Duplicate Renewal
Instruction Permit
(Choose one)
Identification Card
Fees will be waived one time only and you must
Driver Authorization Card
reimburse the Department the cost of the photo fee
when you renew your card, if employed at that time.
All fees for this issuance will be waived one time
only and are not required to be reimbursed at any
time.
I hereby certify under penalty of perjury that all statements in this application are true and correct. I agree and understand that any misstatement of material facts may cause cancellation and/or denial of my driver’s license, instruction permit or identification card under NRS 483.420 and 483.530. I further understand that any misstatement of facts may be a misdemeanor or felony under NRS 483.530 and may be punishable pursuant to NRS 193.130.
SIGNATURE OF APPLICANT
DATE
Signatures must be originals. Photocopies are not acceptable.
Changes may not be made to this form once it is signed.
DMV-128 (Revised 12/2019)
When individuals find themselves without a fixed, regular, and adequate nighttime residence, the state of Nevada provides a mechanism to waive certain fees associated with obtaining a duplicate driver's license, instruction permit, or identification card. This act of support is facilitated through the DMV 128 form titled "Declaration of Homeless Status," which, as the name suggests, is a declaration used by individuals experiencing homelessness to have their fees waived for the aforementioned services. The process of completing this form is straightforward yet requires attention to detail to ensure all the information provided is accurate and truthful. Follow these steps closely to fill out the form correctly.
Once the form is fully completed, it is imperative to review each section to ensure all information is accurate and truthful. After verification, the form should be submitted to the designated DMV office either in person or via the fax number provided. This submission will initiate the process of obtaining a duplicate document without the associated fees, provided the applicant meets the stated criteria. It's important to remember that this waiver can be utilized once, and future renewals or duplicates will require standard fees unless the individual remains unemployed at the time of renewal. The accuracy and honesty in completing this form cannot be overstated, as it not only affects the immediate ability to obtain needed documentation but also aligns with legal obligations under state law.
What is the purpose of the Nevada DMV 128 form?
The Nevada DMV 128 form is used to declare a person's homeless status to qualify for a waiver of fees associated with obtaining a duplicate driver’s license, instruction permit, or identification card as prescribed in Nevada Revised Statutes Chapter 483. This waiver is granted on a one-time only basis, and individuals may need to reimburse the Department for the cost of the photo fee upon renewal of their card if they are employed at that time.
Who is eligible to use the Nevada DMV 128 form?
Individuals who are homeless and thus unable to provide a fixed residential address are eligible to use the Nevada DMV 128 form to request a one-time waiver for the fees associated with obtaining a duplicate driver's license, instruction permit, or identification card.
What are the requirements for filing the Nevada DMV 128 form?
To file the Nevada DMV 128 form, the applicant must certify their homeless status, provide their printed name, any known driver’s license/identification card number, social security number, date of birth, and the address where they are currently staying. Males between 18 and 26 must decide if they want to register with the Selective Service. The applicant must also sign the form, certifying under penalty of perjury that all statements made are true and correct.
Is there a fee associated with the Nevada DMV 128 form?
No, the primary purpose of the Nevada DMV 128 form is to request a waiver for the fees usually required for a duplicate driver's license, instruction permit, or identification card for homeless individuals. However, those qualifying for the waiver must agree to reimburse the Department for the photo fee when they renew their document, provided they are employed at that time.
How often can the Nevada DMV 128 form be used?
The waiver of fees associated with the Nevada DMV 128 form can be utilized once. It is a one-time only waiver intended to assist individuals who are experiencing homelessness.
What happens if false information is provided on the Nevada DMV 128 form?
Providing false information on the Nevada DMV 128 form is a serious offense. It may cause cancellation and/or denial of the applicant's driver's license, instruction permit, or identification card under NRS 483.420 and 483.530. Additionally, misstatement of facts may be considered a misdemeanor or felony under NRS 483.530 and may be punishable pursuant to NRS 193.130.
Can I register for the Selective Service using the Nevada DMV 128 form?
Yes, male applicants who are at least 18 and less than 26 years of age have the option to register for the Selective Service when filling out the Nevada DMV 128 form. Registration is important for remaining eligible for federal student loans, grants, job training benefits, most federal jobs, and, if applicable, citizenship in the United States.
Where can I submit the completed Nevada DMV 128 form?
The completed Nevada DMV 128 form can be submitted to any DMV office within Nevada. Contact information, including phone numbers and the fax number, is provided at the top of the form for individuals who may have questions or need further assistance.
Can someone else fill out and submit the Nevada DMV 128 form on behalf of the applicant?
The form requires the signature of the applicant, certifying under penalty of perjury that all statements made in the application are true and correct. Therefore, while someone else may assist in filling out the information, the applicant must review and sign the form themselves.
Is there an expiration date on the Nevada DMV 128 form?
The form indicates a revision date of July 2010 (Rev. 7/2010), but there is no specific expiration date mentioned. It's advisable to check with the Nevada DMV or its website for the most current version of the form or any updates on its validity before submission.
When filling out the Nevada DMV 128 form, specifically designed for individuals declaring homeless status to waive certain fees, there are several common mistakes to avoid. This document is crucial for those in need, as it assists in obtaining a duplicate driver's license, instruction permit, or identification card without the associated costs. Being mindful of these common errors can streamline the process, ensuring that the application proceeds without unnecessary delays or rejections.
Not thoroughly reviewing the form before submission is a frequent oversight. This can lead to incomplete sections, which might delay the processing of the application.
Incorrectly filling in the driver's license or identification card number, if known, compromises the identification process, potentially leading to delays or even rejection of the application.
An incomplete or incorrect Social Security Number (SSN) can significantly delay the process. The SSN is a critical identifier that must be accurately provided.
Failing to provide a precise date of birth can create confusion and slow down the application's progress.
Some applicants forget to indicate their current residing address or provide an incomplete address. While declaring homeless status, it's important to mention a temporary or usual place of stay if available.
Not responding to the Selective Service question correctly can affect eligibility for certain federal benefits. Male applicants between 18 and 26 years old must pay special attention to this section.
Omitting initials next to the Selective Service question, if choosing to register, neglects to confirm the applicant's intent clearly, which is necessary for processing.
Signing the form without carefully reading the certification statement may lead to inadvertent misrepresentations. Understanding the legal implications of the information provided is crucial.
Submitting the form without the signature of the DMV representative can invalidate the application. This signature confirms the department's acknowledgment and processing of the form.
Ignoring the instructions for reimbursement of the photo fee upon employment and renewal of the card may lead to future confusion or complications. Awareness of this responsibility is important for financial planning.
These mistakes, though seemingly small, can have significant implications on the success of an application. Applicants must remember that accuracy, thoroughness, and honesty are paramount when completing the Nevada DMV 128 form. Acknowledging these common errors can aid individuals in navigating the process more effectively, helping to ensure that those in need receive the support and documentation necessary for their personal and professional lives.
Lastly, it's important to visit www.dmvnv.com or contact the appropriate DMV office for any questions or clarification needed when filling out the form. Being proactive in seeking assistance or verifying information can be instrumental in avoiding mistakes and ensuring the application is processed efficiently and effectively.
When navigating through the process of verifying your homeless status in Nevada, particularly with the utilization of the DMV 128 form for a waiver of fees for a duplicate driver’s license, instruction permit, or identification card, there are other documents and forms that often play a crucial role. Understanding these documents can streamline the process and ensure you have all necessary materials prepared.
Together, these documents support the application and verification process associated with the Nevada DMV 128 form. Each plays a role in demonstrating eligibility for fee waivers and maintaining accurate and up-to-date information with the Nevada DMV. Ensure you have the correct and most recent versions of these forms and documents by checking with the Nevada DMV or their website.
The Nevada DMV 128 form is similar to other documents that also serve to affirm personal circumstances or qualifications, without requiring extensive evidence at the point of application, but rather trust and penalties for misinformation. Each document, while unique in its requirements and implications, shares a common underlying principle of self-attestation to facilitate certain administrative or legal processes.
The California Department of Motor Vehicles (DMV) Request for Fee Waiver Form is a document with a similar purpose as the Nevada DMV 128 form. Like the Nevada form, it allows individuals facing financial hardship to apply for a reduction or waiver of standard DMV fees. The key similarity lies in the self-certification element, where applicants must attest to their financial status without initially providing extensive documentation, under penalty of perjury. This form is utilized to ensure that essential services, such as obtaining a driver's license or state identification, remain accessible to all residents, regardless of their economic situation.
The Affidavit of Indigency Form, often used in various states' court systems, is another document that resembles the Nevada DMV 128 form in its purpose and structure. This form is designed for individuals who cannot afford legal representation or court fees, allowing them to request a waiver or reduction of those fees based on their financial status. The similarity revolves around the requirement for applicants to declare their economic hardship and qualify for assistance through self-attestation, with legal consequences for false statements. It underscores the balance between making access to legal and governmental services available to all, and the need to prevent abuse of these processes through stringent penalties for false declarations.
The Application for Fee Waiver in Federal Courts is an additional document echoing the principles found in the Nevada DMV 128 form. Federal courts require this form from individuals seeking to have their court fees waived due to financial hardship. The form necessitates a detailed self-declaration of one’s financial situation, much like the Nevada DMV 128 form requires a declaration of homelessness status. The critical similarity lies in the reliance on the honesty of the applicant, supported by the deterrent of legal penalties for misinformation, to facilitate access to necessary legal proceedings for those who might otherwise be financially excluded.
When filling out the Nevada DMV 128 form, which is a Declaration of Homeless Status for the waiver of fees associated with obtaining a duplicate driver’s license, instruction permit, or identification card, it's important to follow some specific dos and don'ts to ensure your application is completed correctly and efficiently.
Do:
Don't:
By following these guidelines, you can ensure a smoother process in obtaining your duplicate document while respecting the legal requirements of the Nevada Department of Motor Vehicles.
When it comes to navigating Nevada's Department of Motor Vehicles (DMV) forms, confusion often arises, especially regarding the DMV 128 form, which is a Declaration of Homeless Status. It's important to clear up some common misconceptions to ensure that individuals who need this service can access it efficiently.
Misconception 1: The DMV 128 form is for renewing your driver's license or ID.
This is incorrect. The DMV 128 form is specifically to certify an individual as homeless and to qualify them for a waiver of fees for a duplicate driver’s license, instruction permit, or identification card. It is not a form used for the regular renewal of these documents.
Misconception 2: You need a permanent address to fill out the DMV 128 form.
Contrary to what some might think, this form allows individuals without a fixed, permanent address to declare their homelessness and still obtain necessary identification documents. The form provides a space to list an address where the individual is staying, acknowledging that a traditional home address might not be available.
Misconception 3: Anyone can use the DMV 128 form multiple times for free duplicates.
This belief is not accurate. While the DMV 128 form exists to help those in need by waiving certain fees, it specifies that the fee waiver for obtaining a duplicate license, permit, or ID card is a one-time courtesy. Should the individual require another duplicate while still meeting the form’s criteria, the waived fees from the original document must be reimbursed if they are employed.
Misconception 4: Selective Service registration is optional for eligible males who use the form.
This misunderstanding could lead to eligibility issues for federal programs. The form clearly mentions that males between 18 and 25 must decide whether to register with the Selective Service to remain eligible for federal loans, grants, job training, most federal jobs, and, if applicable, U.S. citizenship. This choice is significant and not merely optional.
Correctly understanding the DMV 128 form ensures that individuals in a vulnerable position can access vital services without unnecessary barriers. Clarifying these misconceptions promotes a smoother process for those seeking assistance through Nevada's DMV, especially in overcoming challenges associated with homelessness.
Completing the Nevada DMV 128 form is a significant process for individuals experiencing homelessness who are seeking to have fees waived for a duplicate driver’s license, instruction permit, or identification card. Here are some key takeaways to help understand and navigate this process effectively:
Navigating the process with the Nevada DMV 128 form is a straightforward way for homeless individuals to maintain or regain important personal identification documents without the financial burden. It's crucial for applicants to provide accurate information and understand the conditions and responsibilities associated with submitting this form.
Nevada Unemployment Tax - Employers must accurately report total gross wages, including tips, to maintain compliance with state employment laws.
Homestead Nevada - Includes a section to designate the type of dwelling being declared as a homestead, such as a regular home, manufactured home, or condominium unit.
Energy Assistance Program Nevada - Details on the Energy Assistance Program in Nevada, including how to apply and income guidelines.