Nevada Department of Motor Vehicles · Nevada state form
DMV-21 Application for Restricted License
Use DMV-21 to apply for a restricted license for eligible driving needs, such as work, school, medical appointments, grocery shopping, or court-ordered child visitation.
- What this form is
- The Nevada Department of Motor Vehicles DMV-21 is an application for a restricted license. Applicants complete the sections that apply to their requested driving purposes and attach required documents. Depending on the request, an employer, school authority, parent or guardian, physician, or unbiased person may need to provide information. The form includes affidavits and a verification of need.
- Who needs it
- People seeking a restricted license for an eligible driving purpose, including work, school, medical needs, grocery shopping, or court-ordered child visitation, may use this application.
- Why it needs a notary
- A notary may verify signatures in Section F instead of a DMV representative; the notary statement and seal must be attached. This can be done online with a commissioned online notary.
- How to submit it
- Complete the applicable sections, attach required documents, and mail or fax the application to the DMV office noted on the form. The DMV will notify you by mail of approval or denial.
Questions
Who can use DMV-21?
People seeking a restricted license for an eligible purpose, such as work, school, medical needs, grocery shopping, or court-ordered child visitation, can complete the applicable sections.
How do I submit the DMV-21 application?
Mail or fax the completed application and required documents to the DMV office noted on the form. The DMV says it will notify you by mail of approval or denial.
Does DMV-21 need to be notarized?
A notary is not required for every application. For Section F, a Notary Public may verify signatures instead of a DMV representative; the notary statement and seal must be attached.