For validation only
X
Out-of-State
Driver License Extension Request
Request a 12-month extension of your driver license if you are out-
of-state when it expires.
Mail this completed form and a $5 nonrefundable processing fee
in a check or money order (payable to Department of Licensing) to:
Driver and Vehicle Records
Department of Licensing
PO Box 3907
Seattle, WA 98124-3907
Eligibility
• Your license must not be suspended, revoked, or cancelled.
• You must not have outstanding licensing or related fees.
• We cannot extend a Commercial Driver License.
Incomplete forms cannot be processed
Washington driver license number Date of birth (Month, Day, Year) (Area code) Contact phone number
Name (Last, First, Middle)
Out-of-state mailing address
City State ZIP code or postal code Country
How would you like your extension sent to you? (Check one)
Email U.S. mail to the out-of-state mailing address
If you want your extension emailed to you, provide email address
I understand the Department of Licensing will not process my application if any of the above elds are not completed.
I also understand my payment of $5 is nonrefundable.
Signature Date
IMPORTANT: Only one 12-month extension will be granted, then you must renew your license. You must carry
the extension with your expired license.
RCW 46.20.120
DR-500-019 (R/12/20)VWA
When you have completed this form, print it out and sign here.
