MV-75 (12/15) NOTIFICATION OF MILITARY SERVICE Part 1 For a NYS licensed driver who has entered military service, Section 9196(3) of the Unconsolidated Laws of New York State extends the expiration date of their driver license if it is set to expire prior to their separation from service; the expiration date of the license will be extended to six months after the date of separation from service. Anyone who does not use this form to notify the Department of Motor Vehicles of their entry into service may not be able to renew their license when discharged. INSTRUCTIONS: A. Complete both parts of this form using the information on your New York State driver license. Update your address if it has changed. B. Separate the two parts and mail Part 1 to: NEW YORK STATE DEPARTMENT OF MOTOR VEHICLES LICENSE PRODUCTION BUREAU PO BOX 2895 ALBANY NY 12220-0895 C. Cut out, fold, and keep Part 2 with your NYS driver license. Driver License Number Name (as it appears on driver license) Current Address (number and street) Apt. # City State Zip Code Date of Birth License Expiration Date Date of Entry Into Service / / Male Female // // IF THE ADDRESS WRITTEN ABOVE IS A NEW ADDRESS, PLEASE CHECK THIS BOX. CUT HERE AND MAIL PART 1 TO THE ADDRESS ABOVE Part 2 Cut along dotted line Part 2 Female Zip Code -75 (12/15) - State MV Male NYS DRIVER LICENSE MILITARY EXTENSION OF FOLD LINE FOLD LINE dmv.ny.gov / Cut along dotted line Cut along dotted line / // // ork State extends the expiration date of their Y Keep this form with your NYS Driver License. Date of Birth NYS Driver License Expiration Date Date of Entry Into Service NYS Driver License Number Name (as it appears on driver license) Address (number and street) Current City Please complete all information: For a NYS licensed driver who has entered military service, Section 9196(3) of the Unconsolidated Laws of New driver license if it is set to expire prior their separation from service; the expiration date of license will be extended to six months after the date of separation from service. Cut along dotted line FOLD AND KEEP THIS PART WITH YOUR NEW YORK STATE DRIVER LICENSE. UHVHWFOHDU.