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447 NC

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South Carolina Department of Motor Vehicles

Application for Beginner’s Permit, Driver’s License, or Identification Card 447-NC


Complete this form for Non-Commercial Class Licenses or Permits: D, E, F, G, or M (Rev. 02/18)
Commercial Customers must complete Form 447-CDL for Class A, B, or C Licenses or Permits
NOTICE: Renew your non-commercial driver’s license online at www.scdmvonline.com.
STEP 1 - TYPE OF CARD Commercial driver’s license holders and international customers are not eligible to renew online.
A. What type of card do you want? (Check one) Beginner’s Permit Driver’s License Identification Card Moped
B. Do you want it to be a REAL ID card? (Check one) Yes No
 If you select Yes, you must provide the required documents (if you have not done so already) and a gold star will be printed on your
card. Reference the documents required for a REAL ID on Forms MV-93 for US citizens or Form MV-94 for international customers.
 If you select No, you must complete a Statement of Understanding (Form DL-005A) because your card will have the words NOT FOR
FEDERAL IDENTIFICATION printed across the front of it. You must also provide the required documents if you do not currently have a
valid SC card or you are not a US citizen. Reference the documents required for a standard card (one proof of address; proof of identity,
date and place of birth; and social security number) on Forms MV-93 for US citizens or Form MV-94 for international customers.
Beginner’s Permit, Driver’s License, or ID Number Customer Number
STEP 2 - IDENTIFICATION

Last Name First Name Middle Name Suffix

Residence Address (Must be your current address of residence and cannot be a P.O. Box) County

City or Town State Zip Code Phone Number Email Address


( )
Social Security Number* (SSN) Date of Birth Height Weight Eye Color Race Gender
Month Day Year Feet Inches
Male Female
* Your Social Security number is required for the purposes of identifying you and preparing jury lists pursuant to South Carolina Code of Laws Sections
56-1-90 and 14-7-130. The Driver’s Privacy Protection Act of 1994 (DPPA), 18 U S.C. Section 2721,2725, the Family Privacy Protection Act of 2002
(FPPA), 30-2-10 et seq., and Section 56-3-545 of the S.C Code restrict the disclosure of personal information contained in our records.
I understand the SCDMV will send mail to the residence address above unless I have specified a special or temporary mailing address below.
Complete this section if you want to ADD or DELETE a special and/or temporary mailing address to or from your file.
Special Mailing Address - Optional to have your mail sent to an address different from residence address County
OPTIONAL

City or Town State Zip Code Do you want to DELETE a special


mailing address now on file? Yes

Temporary Mailing Address - Optional to have your mail sent to an address for a limited time period Expiration Date

City or Town State Zip Code County Do you want to DELETE a temporary
mailing address now on file? Yes

On my card I wish to Autistic – Must provide a statement that you are medically diagnosed with autism from a physician who is
STEP 3 - be designated as licensed to practice in SC.
OPTIONAL being: Hearing Impaired - Must complete Application for the Hearing Impaired, SCDMV form RG-004A.
Veteran - Must provide DD-214 (member 2 or 4 copy) that indicates you were honorably discharged.
STEP 4 - ORGAN AND TISSUE YES, I want to be an organ and tissue donor.
DONATION YES, I wish to donate $5.00, more or less, to Donate Life SC. Amount of donation $ ________.00
If you are currently registered you must check “YES” to have the red heart reprinted on your license. If you marked “YES,” you verify
that you have read the organ donor statement below and you authorize the SCDMV to send your personal information to the SC Organ and Tissue
Donor Registry. A red heart will be printed on the front of your driver’s license.
Organ Donor Statement - If you marked YES that you want to be an organ and tissue donor upon death, your authorization shall serve as a legally
binding document as outlined under the SC Uniform Anatomical Gift Act. Except in the case where the donor is under the age of 18, the donation does
not require the authorization of any other person. For donors under the age of 18, the legal guardian of the donor shall make the final decision regarding
the donation.
If you change your decision to authorize in the future or wish to be removed from the SC Organ and Tissue Donor Registry, you can go online to
www.DonateLifeSC.org or contact Donate Life SC at 1-87-PASS-IT-ON. You may also have your name removed from the registry by visiting any
SCDMV office or www.SCDMVonline.com while completing a credential transaction. The SCDMV will assess an administrative fee for the change and
there may be a 72 hour delay in removing your name from the SC Organ and Tissue Donor Registry.
STEP 5 - VOTER REGISTRATION Do you want to register to vote or update your address with the County Registration Board?
(check one) * Must be a US Citizen and meet requirements to complete an SCDMV Voter Registration Application.
Yes, I wish to register to vote or update my voter registration address. No, I do not wish to register to vote.
No, I am not eligible to register to vote. No, I am already registered to vote and do not wish to update my voter registration address .
SEX OFFENDER REGISTRY NOTICE SC Code Section 23-3-460 states that a person who has been convicted anywhere of an offense listed in
23-3-430 must register with the county sheriff within 3 days of establishing residency in South Carolina. A copy of the Sex Offender Registry Law is
available upon request (www.scstatehouse.gov/code/t23c003.php).

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STEP 6 - QUESTIONS 1 through 12 MUST be answered for permits and licenses Only answer questions 1 - 4 for an identification card
1. Are you a resident of South Carolina?......................................................................................................................................... Yes No
2. Are you a citizen of the United States?........................................................................................................................................ Yes No
3. Do you now have or have you ever had a South Carolina identification card, beginner’s permit, driver’s license, or moped
license? If yes, give the number and name if different from number and name given on this application ………………………. Yes No
__________________________________________________________________________________________________
4. Do you now have or have you ever had an identification card, beginner’s permit, driver’s license, or moped license from
another state or country? If yes, list information from last time issued. State/Country______________________________ Yes No
License Number ___________________and Issue Date_____________________.
5. Is your beginner’s permit, driver’s license, moped license, or privilege to drive suspended, cancelled, revoked or disqualified
in any state? If yes, where? ______________________ when last?_____________________________________________ Yes No
6. Have you recently surrendered your beginner’s permit, driver’s license, or moped license in court or to a law enforcement
officer? If yes, when? __________________Reason ________________________________________________________ Yes No
7. In the past 12 months, have you experienced a loss of consciousness, muscular control or seizure?..................................... Yes No
8. In the past six months, have you experienced a heart attack or heart surgery?....................................................................... Yes No
9. Have you had a stroke and not recovered sufficiently to safely operate a motor vehicle at this time? ……………….…………. Yes No
10. Are you a habitual user of alcohol or any other drug to a degree which prevents you from safely operating a motor vehicle at
this time?...................................................................................................................................................................................... Yes No
11. Do you have any mental or physical condition preventing you from safely operating a motor vehicle at this time?.................... Yes No
If yes, please list condition(s): __________________________________________________________________________
12. Has your doctor recommended you not drive or placed restrictions on your driving at this time?............................................... Yes No
If yes, what are the restrictions? __________________________________________________________________

STEP 7 - AUTOMOBILE INSURANCE INFORMATION Check and complete the statement that applies to you.
Under penalties of perjury, I declare that I am insured with the following insurance company and will maintain liability insurance
throughout the issuance period. COMPANY NAME: ___________________________________________________________
No motor vehicle required to be registered in South Carolina is owned by me or any relative residing in my household.
STEP 8 - CONSENT FOR MINOR This section and SCDMV form 447-CM must be completed for all customers under the age of 18.
An emancipated minor must also submit one of the following as proof of emancipation (Only the original or certified copies will be accepted):
Court Order Certificate of Marriage Active Military Orders
I consent to the issuance of a beginner’s permit and/or driver’s license. I accept responsibility for the actions of the minor applicant as outlined
in SC Code Section 56-1-110. To be released from this responsibility before the applicant reaches age 18, I understand that I must submit a
written request for release to the SCDMV to have this application and the applicant’s beginner’s permit or driver’s license cancelled.

Relationship to Minor Printed Name Signature Date

Address ID/ DL Number Phone Number

STEP 9 - CERTIFICATION I certify under penalty of perjury that all information and statements made in this application are true and
correct as of the date of this application. I also certify that I do not have a valid driver’s license other than the one(s) reported in questions #3
and #4 above and that my privilege to operate a motor vehicle is not now or subject to be suspended, cancelled, revoked or disqualified at the
time of this application.
I understand that I am receiving an SC credential based on the information provided on this application, and that the SCDMV will verify all
information. I also understand that if my privilege to drive is ever suspended, cancelled or revoked in SC or any other state, my SC license will
be revoked until I have met all reinstatement requirements in SC and any other states.

Customer’s Printed Name Customer’s Signature Date

FOR THE SCDMV USE ONLY


Exchanging Out-of-State Permit for a SC Permit or License State: OOS BP/DL NO.:
Qualifies for a REAL ID Card Yes No Comments:
Type: Duplicate Modified Original Provisional Re-exam Reissue Renewal Route Restricted Temporary Alcohol
Class: D E F G (Moped) ID M (Motorcycle) Restrictions:
Identification Submitted: Birth Certificate Passport/Visa SSN Proof of Residency
Knowledge Test
Hearing
Date:__________ Passed Failed Comments:______________________ Impaired: Deaf Poor Good
Date:__________ Passed Failed Comments:______________________ Missing
Extremities: No Yes:_____________________
Date:__________ Passed Failed Comments:______________________
Vision Right Left Both
Skills Test
With corrective lens 20/ 20/ 20/
Date:__________ Passed Failed Comments:______________________ Without corrective lens 20/ 20/ 20/
Date:__________ Passed Failed Comments:______________________ Office Number: _________________
Date:__________ Passed Failed Comments:______________________ Employee Signature:______________________________

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South Carolina Department of Motor Vehicles
Instructions on Completing an Application for a Beginner’s 447-NC (IS)
(Rev. 02/18)
Pemit, Driver’s License or Identification Card (Non-Commercial)
Form 447-NC is used to enter personal data into the SCDMV system in order to create an SC state issued card. The class license
defines the type of vehicle(s) you are allowed to operate.
 Class D license permits you to operate non-commercial passenger vehicles, such as cars and trucks, which do not exceed 26,000
pounds gross vehicle weight.
 Class E license permits you to operate non-commercial, single unit vehicles that exceed 26,000 pounds gross vehicle weight such as a
truck or motor home.
 Class F license permits you to operate non-commercial, combination vehicles that exceed 26,000 pounds gross vehicle weight.
All of the class licenses listed above may also operate mopeds and three-wheel vehicles (excluding two-wheel motorcycles with side cars)
 Class G license permits you to only operate mopeds as defined by SC Code Section 56-1-1710.
 Class M license permits you to operate two-wheel motorcycles, two-wheel motorcycles with a detachable side car, three-wheel
vehicles and mopeds.
Form 447-NC is a legal document to be completed in its entirety. Please follow these instructions when completing the form.
STEP 1 - Check the box for the type of card you want (BP, ID, DL, or moped). Also, check yes if you want it to be a REAL ID card or no if
you want it to be a standard card.
STEP 2 - Personal Information
 Enter your beginner’s permit, driver’s license or identification card number as seen on the SC card if you currently hold one. If
applying for an original SC card, leave this field blank and the Customer Service Representative (CSR) will complete it.
 Enter your customer number, if known. If not known the CSR will enter it.
 Enter your last name, first name, and middle name as shown on your birth certificate.
 If applicable, enter your suffix. All suffixes except for “Sr” must have supporting documents.
 Enter your current residence address. It cannot be a Post Office Box. This is the address that the SCDMV will send mail to unless a
specified special or temporary mailing address is on file.
 Enter your current phone number, and enter your current email address.
 Enter your social security number exactly as it appears on your social security card.
 Enter your date of birth exactly as it appears on the birth certificate as month-day-year.
 Enter your height as feet and inches, and enter your weight in pounds.
 Enter your eye color: black, blue, brown, dichromatic (two different eye colors), gray, green, hazel, maroon, pink, or unknown.
 Enter your race
 Check the appropriate box to indicate whether you are a male or a female.
Optional - Add or delete special or temporary mailing address
 Enter a Special Mailing Address if you want us to send mail to an address other than your residence.
 Mark the Yes box to delete a current special mailing address that is now on file.
 Enter a Temporary Mailing Address and expiration date if you want us to send mail to a location other than your residence.
 Mark the Yes box to delete a current temporary mailing address that is now on file.
 Enter the Expiration Date for the temporary mailing address, if applicable.
STEP 3 – Optional designations
Check each appropriate box and provide the required documentation if you want your record to indicate that you are medically
diagnosed with autism; and/or if you want your card to designate that you are a Veteran and/or Hearing Impaired.
STEP 4 - Opportunity to Donate Organs and Tissue (optional)
Check YES if you want a heart symbol placed on your card designating your desire to be an organ and tissue donor and/or to make a
monetary donation to Donate Life SC. IMPORTANT: If you are currently registered as an organ and tissue donor you must check
“YES” to have the red heart reprinted on your license.
STEP 5 - Opportunity to Register to Vote or update voter registration address
Check the box that describes your decision in regards to registering to vote. In order to vote you must be a US citizen and meet age
requirements to complete an SCDMV Voter Registration Application.
STEP 6 - Questions (If applying for an identification card, only complete questions 1 thru 4)
Check Yes or No to questions 1 thru 12. These questions pertain to residency, existing licenses, and medical conditions.
STEP 7 - Automobile Insurance (Do not complete if applying for an identification card)
Check the statement about insurance that applies to you.
STEP 8 – An authorized adult must sign the Consent for Minor section for a minor to receive a beginner’s permit or driver’s license
If you are 17 years of age or younger, have an adult sign this section, and complete the Consent for Minor form (447-CM).
STEP 9 - Certification
Read the statement, then print your name, sign and enter date of application.

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