DMV Address Change Form - Alaska

STATE OF ALASKA
DIVISION OF MOTOR VEHICLES
NOTI CE OF CH ANGE OF ADDRESS
NEW MAILING A DDRESS
CITY
STATE
ZIP CODE
NEW RESIDENCE ADDRESS (MUST BE A PHYSICAL DESCRIPTION)
CITY
STATE
ZIP CODE
DRIVER LICENSE NUMBER
DATE OF BIRTH
DRIVER LICENSE NUMBER
DATE OF BIRTH
LAST 2 DIGITS OF VIN / HIN
LICENSE PLATE OR BOAT NUMBER
LAST 2 DIGITS OF VIN / HIN
LAST 2 DIGITS OF VIN / HIN
LICENSE PLATE OR BOAT NUMBER
LAST 2 DIGITS OF VIN / HIN
PRINTED NAME
PRINTED NAME
SIGNATURE DATE
SIGNATURE DATE
List an y add itional v ehicles on the other side of this f orm. T he signat ure of the lic ensee is requir ed for eac h dr iver lice nse
change. Only one signature is required for vehicles.
MAIL OR DELIVER TO ANY DMV LOCATION OR ONLINE AT http://doa.alaska.gov/dmv/faq/addchg.htm
State of Alaska
Divisio n of Mot or Vehicles
1300 West Ben son Blvd Ste 200
Anchorage, AK 99503-3600
State of Alaska
Divisio n of Mot or Vehicles
1979 Peger Road
Fairbanks, AK 99709-5257
State of Alaska
Divisio n of Mot or Vehicles
P.O. Box 110221
Juneau, AK 99811-0221
State of Alaska
Divisio n of Mot or Vehicles
1800 Glen n Highwa y, S u ite #1
Palmer, AK 99645-6736
Form 401 (Rev. 06/2014) alaska.gov/dmv
Page 1/1
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DMV Address Change Form - Alaska PDF

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