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Application for replacement driver licence

and/or extension of driver licence validity


DL2A
What to send Who should use this form?
Your completed application form. This must be the original form you
have printed and completed. Faxes, photocopies or scans of the form
Use this form if you are outside mainland
are not acceptable. New Zealand and want to obtain a
replacement driver licence because:
(tick the box below that applies to you)
A cheque or money order for NZ$38.20 to pay the replacement
licence fee. These must be made out to the NZ Transport Agency Your name has changed
and be payable in NZ dollars. You can also pay by credit card over (please note that the signature on your driver licence cannot be changed from
the phone by calling +64 6 953 6200 from 8am-6pm Monday to outside mainland New Zealand)
Friday.
Your address has changed and you want your new address to appear
on your new driver licence
A certified true copy* of your evidence of identity (please do not (Please visit www.nzta.govt.nz/online to change your address if you do not
send the original). You may only be required to provide a single want it printed on your licence. There is no fee involved. Please note overseas
document if you have one of the following: addresses cannot be printed on your driver licence)

your New Zealand photographic licence (which can be current or Your driver licence has been lost or stolen or destroyed
expired up to two years), or
your current New Zealand passport. Your driver licence has been defaced or mutilated or become
illegible
If you do not have either of these documents you will need to provide
two other acceptable forms of evidence of identity. If neither of the AND/OR
documents you provide has a photo, you will also need to provide a
verified image (see Factsheet 20 Identification for driver licensing for You are outside mainland New Zealand and want to have the validity
further information and a full list of acceptable identity documents). of your driver licence extended by up to 12 months
(please note that your licence validity cannot be extended if your licence has
been expired for more than 12 months)
Evidence of name change.
If you want to change the name on your driver licence or if the name on
your identity documents is not the same as the name on your licence,
you will need to provide acceptable evidence of name change. This You do not need to use this form to replace your licence if you are on
must be an original (not a copy) of one of the following: mainland New Zealand. To renew or replace a driver licence in New Zealand
your marriage or civil union certificate please apply in person at any driver licensing agent (AA, VINZ or VTNZ).
your dissolution of marriage or civil union order To replace your driver licence complete an Application for replacement driver
licence and/or driver identification card form (DL2), also available online at
a certificate of annulment www.nzta.govt.nz/form-dl2. To renew your driver licence please complete
a deed poll certificate, change of name certificate, or birth an Application for issue or renewal of driver licence form (DL1), also available
certificate showing both names online at www.nzta.govt.nz/form-dl1.
a statutory declaration confirming the change of name which
has been registered with the Registrar of Births, Deaths and
Marriages.
Note: if your evidence of identity and name change documents do not How to apply
provide a clear link to the name currently on your driver licence, you
may be required to provide additional documentation. Print and complete this form and send it with your documentation and
payment to:
Business Administration
NZ Transport Agency
Certified copies Private Bag 11777
Palmerston North 4442
*You must provide certified copies of your evidence of identity. NEW ZEALAND
Copies of your identification may be certified by any lawyer, solicitor,
notary public, court registrar, embassy official, justice of the peace or Once your application is processed a replacement licence will be sent to
police officer. Please ensure that the person certifying the documents the mailing address you provide on your application.
clearly indicates the capacity in which they are acting. This is usually
done by having the stamp/seal of the certifying officer/organisation
stamped on the copy. Please do not send the original of valuable or
important documents. More information
The Transport Agency has a range of factsheets which give more
information on a wide range of driver licensing topics. These are available
on our website at www.nzta.govt.nz.
Warning
Factsheet 65 contains information for New Zealand licence holders
It is an offence to supply false or misleading information and may lead to travelling or living overseas.
court action. The consequences can include losing your licence and/or
We use our forms and factsheets to provide useful, common-sense advice
paying a fine.
and information in a concise format. They cant cover all aspects of a topic
If you do not supply all relevant information your application may be and should not be used instead of authoritative legal documents or legal
delayed or declined. advice.

DL2A online page 1 12/15


Application for replacement driver licence
and/or extension of driver licence validity
DL2A
What is your New Zealand driver licence number?
Personal details (if known)
What is your surname or family name?
Please write clearly.

Your full first name?

Middle names?

Name change Has your name changed from the one appearing on your licence?
Tick the yes box if your name has No Yes Please give new details below:
changed. Surname or family name

You must enter the details of your


name change documentation at the Full first name
bottom of the page.

Middle names

If you answer yes, in the event of


Are you? Male Female
your death your next-of-kin will
still be asked for their agreement to Would you be willing to donate organs in the event of your death? No Yes
donate organs. Please let them know
What is your date of birth?
of your wishes. / /
Where were you born? Day Month Year

Name of town/city Name of country

Please note we cannot Would you like your address printed on your licence?
print an overseas address No
on your driver licence. Yes Physical address OR Mailing address
Where do you live?

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

Giving your telephone number(s) and What are your contact telephone numbers?
email address is optional, however,
they will help us process your
Home ( ) Work ( )
application faster. Please write clearly. What is your email address?

Identification I provide the following original identification to support my application:


As primary evidence of identity Issue date (if applicable)
See page 1 for information on / /
acceptable evidence of identity and
evidence of name change documents. Reference number Expiry date (if applicable)
/ /
As supporting evidence of identity (if applicable) Issue date
/ /
As evidence of name change (if applicable)

Reference number Effective date


/ /
DL2A online page 2 12/15
Please indicate the reason a new driver licence is required:
Reason for replacement
Please tick appropriate box(es). name change become illegible
change of address been lost
If your current driver licence has
become defaced, mutilated or been defaced been stolen
become illegible you must surrender
been mutilated been destroyed
it before a replacement is issued.
extend driver licence validity

Extension of validity Do you want to have the validity of your driver licence extended by up to 12 months?

This option is for New Zealand driver licence No Yes


holders who are outside mainland New Zealand.
Your driver licence validity can be extended only
once, by a period of not more than 12 months
from the original expiry date. If you wish to
continue driving after that time you will need to
renew your New Zealand licence (which can only
be done in mainland New Zealand) or obtain an
overseas licence.
What method of payment have you used?
Payment method
Credit card over the phone Reference number provided by contact centre
Cheque
Money order

Declaration I declare that I am surrendering my driver licence.

I declare that I am not surrendering my driver licence because:

it has been lost


it has been stolen
it has been destroyed
other (please explain)

I state that, to the best of my knowledge and belief, all the information I have given for this
application is correct and I am not disqualified from obtaining or holding a driver licence.
I acknowledge that any extension to the validity for my driver licence will be carried out only
once and for a period of not more than 12 months from the original expiry date.
(Delete this statement if you are not applying to have the validity of your driver licence extended)

Signature of applicant Date


/ /
Day Month Year

Privacy information
The particulars you provide will become part of the Driver Licence Register. Collection, dissemination and release of this information is authorised
by the Land Transport Act 1998.

The Transport Agency may also use some of these particulars to provide you with information relating to driver licensing and driving. We may also
disclose some of the particulars to our agents and contractors in relation to the above purposes.
Under the Electoral Act 1993, s 263B, the Electoral Enrolment Centre operates an authorised information matching programme with the Transport
Agency. The purpose of this programme is to assist in keeping the Electoral Roll up-to-date.
To keep the Driver Licence Register up-to-date the Transport Agency also operates an authorised information matching programme with Births,
Deaths and Marriages. Please refer to the Privacy section of our website for more information.
The Privacy Act 1993 provides rights of access to, and correction of, any readily retrievable personal information held about you.
Should you wish to exercise these rights please contact the NZ Transport Agency, Private Bag 11777, Palmerston North 4442
or email info@nzta.govt.nz.

DL2A online page 3 12/15

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