APPLICANT INFORMATION  
First: 
Middle: 
Last: 
Date of Birth:  
SSN: 
Phone#:  
Weight: 
Eye Color: 
Hair Color:  
Height: 
Blood Type: 
Gender:  
Male:  
Female: 
X: 
Place of Birth:                                                                                                                                                                                     
Do you own/share ownership | have previously owned/shared 
ownership of a vehicle in the US. Virgin Islands?    Yes:         No:          
VIN #:  
Allergies:                                         
Is Veteran 
Yes: 
No: 
Is Organ Donor 
Yes: 
No: 
Has Glasses 
Yes: 
No: 
CURRENT ADDRESS  
Residence Address - Street:  
City: 
State: 
ZIP Code: 
Mailing Address:  
City: 
State: 
ZIP Code: 
Email Address: 
IDENTIFICATION CARD INFORMATION & RENEWAL 
First Initial ID:                   Current ID #: 
Date Issued: 
Expiration Date: 
DISCLAIMERS 
WARNING 
 
UNDER TITLE 20, SECTION 548 VIC, IT IS IN VIOLATION “TO USE FALSE OR FICTITIOUS NAMES ON ANY APPLICATION 
FOR A DRIVER’S LICENSE OR IDENTIFICATION CARD, OR KNOWINGLY TO MAKE FALSE STATEMENT, KNOWNINGLY TO 
CONCEAL A MATERIAL FACT OR OTHERWISE COMMIT A FRAUD IN ANY SUCH APPLICATION.” 
MINOR CONSENT  
TO TITLE 20, SECTION 374, SUB-DIVISION OF THE VIRGIN ISLANDS CODE, BEING THE PARENT, GUARDIAN, OR OTHER PERSON 
RESPONSIBLE FOR THE CARE, CUSTODY OR CONTROL OF A MINOR (UNDER THE AGEOF 18), 
 I HEREBY GIVE MY CONSENT TO THE U.S. VIRGIN ISLANDS BUREAU OF MOTOR VEHICLES  
FOR THE ISSUANCE TO THE SAID MINOR OF AN IDENTIFICATION CARD.  
 
Parent|Guardian Name: _______________________________________Signature: ______________________________ Date: __________________ 
Signature of Applicant: 
Date:  
All documents from foreign countries must be translated in English and notarized by a translator or have an official 
stamp/seal from the issuing country. For the Limited Purpose DL, a Criminal Record Check is required. 
PLEASE READ THE INFORMATION ON THE BACK OF THIS FORM 
GOVERNMENT OF THE VIRGIN ISLANDS OF THE UNITED STATES OFFICE OF THE GOVERNOR  
BUREAU OF MOTOR VEHICLES  
 
Limited Purpose IDENTIFICATION CARD Application 
Act 8790 
Proof of 180 Days (or more) of Residency Required 
 
For appointments and more information go to the Website: https://bmv.vi.gov/  
Or Contact your local BMV office: St. Croix (340) 713-4268 |St. Thomas (340) 774-4268 |St. John (340) 776-6262 
| Find us on Facebook: www.facebook.com/BMV.USVI/ 
{Please Complete All sections of the Form} 
 
 
USVI Limited Purpose 
ID CARD 
Primary 
Secondary 
IDENTIFICATION 
 
One (1) is required from 
Primary 
or 
 Two (2) documents are 
required from 
Secondary; one must 
be an ID with a photo. 
o Valid, unexpired passport 
issued by the applicant’s 
country of citizenship, or 
expired passport up to 2-years 
prior to application date. 
  
o Work Authorization permit card 
with I-797 or other immigration 
correspondence (up to 3-year 
license issued) 
o Valid, unexpired motor vehicle operator’s license, with 
security features, issued by another state or country. 
o Valid national identification card. 
o  Original birth certificate with a raised seal issued by the 
applicant’s country. 
o Individual Taxpayer Identification Number  
o Verifiable W-2 or 1099 
o Social Security Card 
o SSA 1099 
o Non SSA 1099 
o DD 214 
o Stamped IRB Income Tax Return 
o Voter’s Identification Card 
o Senior Identification Card 
SOCIAL SECURITY 
VERIFICATION 
 
No Social Security verification is 
required for Limited Purpose 
Identification Card 
CURRENT 
RESIDENTIAL 
ADDRESS 
 
In order to qualify 
you must show 
Proof of Residency 
of 180 Days or more 
 
 
One (1) is required from 
Primary. 
 
or 
 
Two (2) documents 
from different sources, 
are required from 
Secondary.  
 
 
o Deed, Mortgage 
Payment/Booklet, or Notarized 
Rental Agreement 
 
o Utility Bill Showing the Physical 
Address 
 
o Homeowners Insurance 
Statement 
 
o Notarized Statement from 
Person with Whom the 
Applicant Resides, along with  
 
 
o One (1) Address Document 
Listed above, which is in that 
Person’s Name. 
 
Vehicle Insurance Card is NOT 
Accepted. 
 
o Dated utility or medical bill. 
o Dated bank or credit card statement or transaction, 
including the bank’s name and mailing address. 
o Pre-printed pay stub. 
o IRB stamped tax bill dated not less than twelve before 
the date of application. 
o A current homeowner’s insurance or renter’s insurance 
policy or motor vehicle insurance card or policy. 
o Residential contracts such as a mortgage or lease 
showing signatures from all parties needed to execute 
the agreement dated not less than twelve months before 
the application. 
o Postmarked mail from the government or a utility 
company dated not less than twelve months before the 
application. 
o A change of address confirmation from the United States 
Postal Service indicating an applicant’s current and prior 
address. 
o A survey of an applicant’s real property issued by a 
licensed surveyor. 
o An official school record showing enrollment, dated up 
to 12 twelve months prior to application date. 
o Notarized affidavit from two persons attesting proof of 
residency. 
o Vehicle Certificate of Title or Vehicle Registration. 
US. VIRGIN ISLANDS LIMITED PURPOSE IDENTIFICATION CARD REQUIRED DOCUMENTS