DL-14B Driver's License Application (Under 17 and 9mos)
First Name
Middle Name
Last Name
Date of Birth
Height (ft)
Height (in)
Weight (lbs)
Birthplace - City
State
County
Country
Father's Last Name
Mother's Maiden Name
Residential Address
City
State
ZIP
County
Mailing Address
City
State
ZIP
County
Home Phone
Cell Phone
Email Address