Proof of Enrollment Form
To acquire a proof of enrollment form, complete this application and submit it. Applications take 7 - 10 days from the date of submission. Completed forms will be available in the front office after this time.

PLEASE WATCH YOUR CAPITALIZATION AND PUNCTUATION! FAILURE TO DO SO WILL RESULT IN A DENIAL OF THIS APPLICATION. This information will be printed directly on your application and then on the DMV documents.
* Required

Enter your full legal name (no nicknames) * *
Your answer
Enter your social security number (optional) *
Your answer
Enter your birthdate * *
MM
/
DD
/
YYYY
Enter your physical street address (no PO boxes) *STREET ADDRESSES ONLY - WATCH CAPITALIZATION AND PUNCTUATION *
Your answer
Enter your physical city, state and zip code *City, State and Zip Code - WATCH CAPITALIZATION AND PUNCTUATION *
Your answer
Enter only if your mailing address is different from your physical address - box #, city, state, zip PO Box, City, State, Zip - WATCH CAPITALIZATION PUNCTUATION
Your answer
Enter your WVEIS number *DO NOT LEAVE BLANK - FAILURE TO COMPLETE WILL RESULT IN A DENIAL *
Your answer
If this application is for a summer proof of enrollment check here.WARNING! THESE WILL HAVE A JUNE DATE AND WILL NOT BE GOOD UNTIL JUNE 1ST.
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