Application for issue or renewal DL1

of driver licence
Read page 3 first. Complete all questions - write N/A if it doesn’t apply. If you don’t give us everything we need, we can’t process your application.

Driver licence number 1. What is your New Zealand driver licence number?
(if you know it)

Name 2. What is your name?

Surname

Full first name

Middle names

3. Are the names on this application form different from the names shown on any of your
supporting identification? (including any driver licence)
No
Yes My previous name was:

Your gender won't show on your driver

licence. For more information about 4. What is your gender?
genders recorded in the Driver Licence
Register, go to www.nzta.govt.nz/gender

Organ donation 5. Would you be willing to donate organs in the event of your death? No Yes
If you answer ‘yes’, in the event of your death your next-of-kin will be asked for their agreement to donate organs.
Please let them know of your wishes.

Birth date 6. What is your date of birth? / /

Day Month Year
7. Where were you born?
Town/city Country

Address 8. Where do you live?

9. What is your mailing address? (if different from above)

If your address is on your licence, you 10. Would you like your address printed on your licence?
may need to pay to remove or No
change it later. For more information go Yes Physical address OR Mailing address
to www.nzta.govt.nz/address-on-licence
11. What are your contact phone numbers?
Mobile Other
Giving your phone numbers and email
address is optional (see page 4). ( ) ( )
12. What is your email address?

Licence class and type 13. What type of licence are you applying for?
Tick boxes as required. Class 1 Learner Restricted Full
Class 2 Learner Full
You can find information about learner,
restricted and full licence types in The Class 3 Learner Full
official New Zealand road code.
Class 4 Learner Full
If you have F, R, T or W endorsements, Class 5 Learner Full
they'll be automatically renewed with
your application. Class 6 Learner Restricted Full Continued on next page
Page 1 07/24
 Licence class and type,
continued 14. Are you applying to go from a class 1 (car) restricted licence to a full licence?
No
Yes Have you completed an approved advanced driving skills course to reduce the time
between your restricted and full licence?
No
Yes You must present the certificate with this application.

Medical declaration 15. Do you have a medical condition or disability* that could affect your ability to drive safely?
*Examples of medical conditions or No
disabilities that could affect your ability to Yes Has that medical condition or disability affected your ability to drive safely in the last
drive safely include: 5 years?
• Alzheimers • head or spinal injuries No
• amputations • high blood pressure Yes You must provide a medical certificate with this application.
• convulsions • joint or limb problems
• diabetes • mental illness
• double vision • stroke.
• epilepsy or fits
Medication and treatments can also affect
your ability to drive safely.

Medical certificate You must provide a medical certificate if you:

*Your medical certificate must have
are turning 75 years of age or older, or
been for the same medical standard as
the classes you're applying for now. are applying for or renewing a class 2, 3, 4 or 5 (truck licence) and you haven't provided a
• Classes 1 and 6 and D, F, R, T and W medical certificate in the last 5 years*, or
endorsements are the same medical
have a medical condition or disability that has affected your ability to drive safely in the last 5 years.
standard.
• Classes 2, 3, 4 and 5 and P, V, I and O
endorsements are the same medical The medical certificate must be issued by a New Zealand-registered health practitioner, for example your
standard. doctor (GP), a registered nurse or nurse practitioner, or a specialist if appropriate.

The medical certificate must be no more than 60 days old when you make this application.

Eyesight
16. Do you wear glasses or contact lenses for driving? No Yes

Declaration I declare that, to the best of my knowledge and belief, my licence is not currently suspended or revoked,
and/or that I am not disqualified from obtaining or holding a driver licence.
I declare that, to the best of my knowledge and belief, all the information I have given for this application is
correct.
I further declare that the medical fitness information provided above is true and accurate.

Signature of applicant Date

/ /
Day Month Year

Office use only Agent to complete this section.

Primary evidence of identity: Reference number Supporting evidence of identity: (if applicable) Issue date

NZ photo driver licence / /

Issue date Expiry date
NZ passport Reference number
/ / / /
NZ birth certificate Expiry date Evidence of name change: (if applicable) Issue/effective date
NZTA approved / / / /
document Expiry date
Reference number
Other (please specify) / /
Time ID checked Input
Agent initials Referee-verified image attached Agent stamp
Certificate of completion of course attached Fit with lenses Chkd
DLR user ID Medical certificate attached Fit without lenses
Eyesight certificate attached Unfit
After receipting, detach
Fee paid (GST included) Date paid
pages 3 and 4 and give to the
applicant. $ / /
DL1 Page 2 07/24
 Application for issue or renewal DL1
of driver licence
Who should use this form? What to bring (continued)
Use this form if you are: Evidence of name change (must be original - no photocopies).
(tick the box below that applies to you) If you want to change the name on your driver licence or if the name
Applying for a driver licence for the first time. on your identity documents isn't the same as the name on your
Applying to renew a driver licence. licence, you'll need to provide acceptable evidence of name change.
This must be one of the following that was issued in New Zealand:
A learner driver licence holder applying for a restricted licence.
your marriage or civil union certificate
A restricted driver licence holder applying for a full licence.
your copy of particulars of marriage or civil union
Applying for an additional licence class.
Note: if you're applying to change your old paper type driver licence to your dissolution of marriage or civil union order
a photo driver licence, complete an Application for reissue of driver licence a certificate of annulment
(DL7) form instead of this form.
a deed poll certificate, change of name certificate, or birth
certificate showing both names
What to bring a statutory declaration issued by Births, Deaths and Marriages
confirming the name change.
You must bring the following original documents:
Note: if your evidence of identity and name change documents
Your completed application form. don't provide a clear link to the name currently on your driver
Evidence of your identity (must be original - no photocopies). licence, you may be required to provide additional documentation.

You must provide either: You must also bring:

your New Zealand photo driver licence (can be current or expired Your glasses or contact lenses if you wear them for driving.
up to 2 years), or EFTPOS, credit card or cash for paying the fee.
your current New Zealand passport, or The fee you need to pay will depend on the type of application
your current overseas driver licence and your current overseas you're making. To check the amount you'll pay go to
passport, or www.nzta.govt.nz/licence-fees or call us on 0800 822 422.

your New Zealand birth certificate (issued on or after 1 January

1998) and a student ID card, Kiwi Access or 18+ card, power bill Booking a test online
or bank statement*, or
If you're applying for your restricted or full licence for the first time, or
another combination of acceptable evidence of identity you need to sit an on-road safety test, you can book your test at
documents* detailed on Identification for driver licensing www.nzta.govt.nz/online
(Factsheet 20) or at www.nzta.govt.nz/identification
You'll still need to complete the application process and present
evidence of identity at a driver licensing agent before the test.
*If neither document has a photo, you'll also need to provide a
verified image (see Factsheet 20 for more information).
Medical certificate completed by a registered health practitioner Where to apply
(if applicable, see Medical certificate section on page 2).
Take your completed form and all original documents to a driver
Certificate of completion of course (if applicable). licensing agent. To find an agent go to www.nzta.govt.nz/agent

Your appointment is for: Appointment

Theory test You must provide acceptable photo ID when sitting the theory test. Go to www.nzta.govt.nz/test-ID for more information.
Practical test You must present either your current photo driver licence or your current temporary driver licence with acceptable photo ID
(eg Kiwi Access or 18+ card, student ID card, current or expired passport) to the person conducting the practical driving test.
You provide the vehicle to be used for the test. It must be covered by the highest class of licence you're applying for. If you're
applying for a motorcycle licence, the motorcycle you use for a test must be a LAMS-compliant (Learner Approved Motorcycle
Scheme) motorcycle.
The vehicle you use for the test must be clean and tidy, safe and have a current vehicle licence (rego) displayed. It must have a
current warrant of fitness (WoF) or certificate of fitness (CoF) displayed and meet WoF or CoF standards. The vehicle must have
a current road user charges (RUC) licence displayed if applicable.
If you're sitting your restricted licence practical test in an automatic vehicle your licence will only allow you to drive automatic
vehicles.
You must not be late for the appointment time shown or you won't be able to sit the test and may have to pay another test fee.
If you have difficulty speaking or understanding English, refer to the Tests section on page 4.
Date of appointment Time Agent stamp and initials

Location of test

Fee paid (GST included) Date paid Tax invoice when receipted
NZ Transport Agency Waka Kotahi
$ / / GST Reg. No. 89-364-086
Page 3 07/24
 What to expect Endorsement renewal
The agent will process your application, check your identification, take If you're renewing your licence and you hold forklift, rollers, tracks or
your photo* and a sample signature for your licence. They’ll also check wheels endorsements, these will be renewed with your driver licence.
your eyesight and book any theory or driving tests. Passenger, vehicle recovery, driving instructor, testing officer or
You must pay the fee when you make your application. dangerous goods endorsements need to be renewed separately. We'll
*You can’t wear sunglasses, a hat, head coverings or anything that might send you a reminder before they expire.
obscure your face or prevent the photo from being a good likeness.
You can wear the item for religious or medical reasons if you sign a
Responsibilities
statement confirming this, and the item doesn’t prevent the photo from
being a good likeness. Driver licences make our roads safer for everyone and prove drivers are
Once you've completed the application process, and passed any qualified and legally entitled to be behind the wheel. You must always
required tests, you'll be issued with a temporary driver licence. carry your licence with you when you drive.
Your photo driver licence should arrive in the mail within 10 days. Your address will be recorded on the Driver Licence Register. Please
notify NZ Transport Agency Waka Kotahi (NZTA) immediately if your
address changes.
If your old licence is replaced by a new version, you must surrender the
old version under s30 of the Land Transport Act 1998.
Tests It’s an offence to supply false or misleading information and may lead to
To prepare for the tests go to www.nzta.govt.nz/take-your-test court action. You could lose your licence or get a fine.
If you normally wear glasses or contact lenses to drive, make sure you
bring them with you to the test. More information
Make sure you bring the right ID to the test. For more information go to
This form is a general guide only. It doesn’t replace legal advice, and
www.nzta.govt.nz/test-ID
your exact requirements depend on legislation.
You may be able to sit your theory test in a language other than English.
For more information go to www.nzta.govt.nz/licence
For more information go to www.nzta.govt.nz/theory-test
Practical tests are conducted in English. If you have difficulty speaking or
understanding English you can bring an interpreter. Email address
The testing officer may use a recording device to record your practical Giving us your email is optional. By giving us your email, you agree that
test. This is so we can audit testing officers and investigate complaints. NZTA may communicate with you by that email address. This includes
If you don’t want your test to be recorded, please tell the testing officer. application updates, asking for feedback, reminders and formal notices.
For a full list of how we might use your email go to
www.nzta.govt.nz/email-use or ask the agent. We recommend using an
email address that’s unique to you, so only you can see information we
send you.
Changing or cancelling
If you need to change or cancel your test, please do it as early as
Privacy information
possible, so someone else can take the test time.
For a theory test, go to a driver licensing agent. The information requested is required for NZTA (and its agents) to
process your application for a driver licence, to produce your photo
For a practical test, go to www.nzta.govt.nz/online or a driver licensing
driver licence card, and to maintain the Driver Licence Register.
agent.
Collection of this information is required by part 3 of the Land Transport
If you're renewing your licence because you're turning 80 or over and (Driver Licensing) Rule 1999.
need to sit an on-road safety test, there are no fees to change, cancel or
Your photo will be captured for the purpose of printing it onto your
rebook your test.
driver licence card. Your photo may also be used by the Department
If you’re applying for a truck licence (class 2-5) or motorcycle licence of Internal Affairs, Department of Corrections, Ministry of Justice,
(class 6) there are no fees to change, cancel or rebook your test. Ministry of Business, Innovation and Employment (Immigration), New
If you’re applying for a car licence (class 1), there may be a fee to change Zealand Customs Service, and the New Zealand Police for the purposes
your test. If you change or cancel more than 2 full working days before of identity verification and law enforcement under section 200 of the
the date of your test, the fees will be lower. It’s free to change a practical Land Transport Act 1998, or for one of the purposes outlined in part 7 of
test online if it’s more than 2 full working days away. the Privacy Act 2020. Your photo may therefore be disclosed to one of
To check the fees, go to www.nzta.govt.nz/test-fees these agencies, for one of these purposes.
NZTA (and its agents) will hold, store, use, and disclose any personal
Last day to change 2 working Not working Day of information collected on this form in accordance with the Land
without extra cost days days test
Transport Act 1998 and the Privacy Act 2020 (part 7, in particular,
which authorises the disclosure of this information in certain
Wed Thur Fri Sat Sun Mon circumstances). NZTA (and its agents) may also use some of these
particulars to provide you with information relating to driver licensing
and driving, or to contact you for feedback on our services.
To assist in keeping the Electoral Roll up-to-date, the Electoral Enrolment
Centre operates an authorised information matching programme with
Eyesight
NZTA under s263B of the Electoral Act 1993.
You’ll need to pass an eyesight check at the agent. To keep the Driver Licence Register up-to-date NZTA also operates an
If you don’t pass the check, you’ll need to present a satisfactory authorised information matching programme with Births, Deaths and
eyesight or medical certificate. The certificate must be issued by a Marriages. Please refer to the Privacy section of our website for more
New Zealand-registered optometrist or health practitioner, and be no information.
more than 60 days old. You can present a certificate instead of doing You're entitled to access, and request the correction of, any readily
the eyesight check if you prefer. retrievable personal information held about you by NZTA. You can do
If you have sight in only one eye, or have only one eye (monocular so by writing to us at Private Bag 11777, Palmerston North 4442 or by
vision) you’ll need to present an eyesight certificate. emailing us at [email protected]
DL1 Page 4 07/24