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APPLICATION
FEE FOR
EACH PERMIT
$20.00
APPLICANT QUALIFICATIONS:
SIGNED Application
2 Passport Photos
US Drivers License
PERMIT RESTRICTIONS:
REQUIREMENTS:
1.
2.
3.
4.
Attach 2 identical recent Passport Type Photos (2" X 2") signed on back
$20.00 Permit fee
If mailing application, a photocopy of BOTH SIDES of U.S. Drivers License must accompany completed signed application, and
check or money order only (NO CASH by mail)
Optional: Additional postage in U.S. funds for expedited return mail (see usps.com for rates)
Middle:
Last:
Email:
Phone:
State of Issue:
Birthplace City:
State or Country:
Expiration Date:
PLEASE CHECK BOX of the vehicle type your current valid drivers license applies. Permit will be issued for same:
Motorcycle
Passenger Car
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 a valid U.S.A. drivers license must accompany this permit when traveling, and that this permit is valid only
as long as the accompanying U.S.A. license is valid, but not to exceed one year from the date the permit is issued.
SIGNATURE (mandatory for issuance of permit)
Date:
Name:
Address:
City:
Country:
State:
Zip:
Geographical Areas Which Honor International Driving Permits (Convention on Road Traffic, United Nations, Geneva 1949)
as of May, 2015
Afghanistan*
Albania
Algeria
Andorra*
Angola*
Anguilla*/**
Antigua*/**
Argentina***
Armenia*
Aruba
Australia
Austria
Azerbaijan*
Bahamas
Bahrain*
Bangladesh
Barbados**
Belarus*
Belgium
Belize
Benin
Bhutan*
Bolivia*/***
Bosnia*
Botswana
Brazil (Inter-American
Driving Permit only)
Brunei*
Bulgaria
Burkina Faso (was upper Volta)
Cambodia (was Kampuchea)
Cameroon*
Canada
Cape Verde Islands*
Cayman Islands*
Central African Rep.
Chad*
Chile***
Colombia*/***
Comoros*
Congo, Rep. of (Brazzaville)
Congo, Dem. Rep. of (Kinshasa)
Costa Rica*/***
Cote dIvoire (Ivory Coast)
Croatia*
Cuba
Curacao
Cyprus
Czech Rep.
Denmark
Djibouti*
Dominica*/**
Domincan Rep.***
Ecuador***
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***
Herzegovina*
Honduras*/***
Hong Kong
Hungary
Iceland
India
Indonesia*
Iran*
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan*
Kazakhstan*
Kenya*
Korea (Rep.)
Kuwait*
Kyrgystan
Laos
Latvia*
Lebanon
Lesotho
Liberia*
Libya*
Liechtenstein*
Lithuania*
Luxembourg
Macao*
Macedonia*
Madagascar
Malawi
Malaysia
Mali
Malta
Mauritania*
Mauritius
Mexico*/***
Moldova*
Monaco
Montenegro
Montserrat*/**
Morocco
Mozambique*
Myanmar*
Namibia
Nepal*
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua*/***
Niger
Nigeria
Norway
Oman*
Pakistan*
Panama*
Papua New Guinea
Paraguay***
Peru***
Philippines
Poland
Portugal
Qatar*
Romania
Russia
Rwanda
RECEIPT NO.
PERMIT NO.
DATE ISSUED