YOU MUST MEET ALL OF THE REQUIREMENTS LISTED BELOW …

[Pages:3]New and Renewal Sightseeing Drivers License Application Guidelines

YOU MUST MEET ALL OF THE REQUIREMENTS LISTED BELOW ? Be 21 years of age or older ? Be able to Speak, Read, Write and Understand the English Language ? Have either a Birth Certificate, Alien Card, Asylum Document, US Passport or Naturalization Papers ? If you are not a US citizen but have work authorization you must show

written documentation / Work Authorization Card ? Have a Valid Massachusetts Driver's License in the United States for at least 2 years. ? Not have been adjudged a Habitual Traffic Offender, as defined by the Commonwealth of Massachusetts

Registry of Motor Vehicles standards, or the equivalent in any jurisdiction, within the past 5 years. ? Not have any outstanding or unresolved driving infractions which could result in the applicants Driver's

license being suspended or revoked in any jurisdiction. ? Not have had his or her Driver's License suspended for 5 or more surchargeable events, within the past

5 years in any jurisdiction. ? Not have more than four violations/accidents as defined by the Registry of Motor Vehicles or equivalent

department in the last 3 years in any jurisdiction. (same day equals one) ? No Operating Under the Influence of drugs or alcohol convictions or dispositions under Massachusetts

General Law Chapter 90 section 24D within the past 5 years or the equivalent in any jurisdiction. ? No felony convictions within the last 5 years in any jurisdiction. ? No drug convictions in the last 5 years in any jurisdiction. ? No disposition for an offense in any jurisdiction that admits to such facts or continues such offense

without resolution (for any criminal offense that would result in the denial of a license. (See Inspector of Carriages) ? Not required to register as a sex offender in any jurisdiction. ? Not have any outstanding or unresolved criminal court cases in any jurisdiction which could result in the license being denied if the Driver were convicted of the alleged offense. ? The license will expire on your birthday; or the expiration date of your employment authorization card or work card, the renewal fee is thirty-two dollars ($32.00). 10 / 2009

Boston Sightseeing Driver License Application

SIGHTSEEING ID NUMBER:

NEW APPLICANT RENEWAL APPLICANT

MASS. DRIVER'S LICENSE NUMBER: ______________________________ EXPIRES:_______________

SOCIAL SECURITY NUMBER: _______________________________ DATE OF BIRTH _______________

FULL NAME:____________________________________________________________________________

LAST

FIRST

MI

ADDRESS: _____________________________________________________________________________

NO

STREET

APT. #

CITY /STATE /

ZIP

HOME TELEPHONE: (________) ___________________ CELL PHONE: (________) __________________

IN CASE OF AN EMERGENCY PLEASE CONTACT:

________________________________________________________________________________

LAST

FIRST

PHONE #

RELATIONSHIP

RACE/ETHNICITY:

BLACK HISPANIC

WHITE HISPANIC

WHITE NON-HISPANIC

BLACK NON-HISPANIC

NATIVE AMERICAN

ASIAN

EAST INDIAN

ARE YOU A U.S. CITIZEN ? CITIZENSHIP: US CITIZEN

YES

NO

RESIDENT ALIEN

WORK CARD

EMPLOYMENT AUTHORIZATION #

ALIEN REGISTRATION #:____________________________ EXPIRATION DATE:__________________

MOTHER'S MAIDEN NAME: ________________________________

EMPLOYER:_____________________________________________________________________

ADDRESS:______________________________________________________________________

NO.

STREET

APT. #

CITY / STATE / ZIP

APPLICANT'S SIGNATURE:______________________________________ DATE:______/______/______

INTERVIEW DATE: _______________ INTERVIEW OFFICER: _________________________________

10 / 2009 Form Y10 (11/11/97)

Over

Form Y10 (11/11/97)

Over

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