IDLID Services, http://www.idlid.com Tool free US/Canada: 1-800-608-9594 Other destinations: 1-416-800-8974 idpoffice@gmail.

com For Office Use Only

Form IW-419 International Driver's License/ID Card Application

(Rev. June 2012) Î See separate instructions on page 2 and sample on page 3. Î Make a copy for friends.
Letter J Î Previous editions obsolete.
TYPE OR PRINT YOUR INFORMATION IN THE SPACE PROVIDED BELOW EACH ITEM. PRINT CLEARLY!
Part 1 Identification of Drivers License/ID Card Owner (will be printed on card)
1. Surname (last name) 2. Name (first name)

3. Street Address 4. City or Town 5. State or Province (do not abbreviate)

6. Zip or Code Postal 7. Country (do not abbreviate) 8. Date of Birth ( Month - DD - YYYY ) 9. Gender (sex) 10. Country of Birth (do not abbreviate)
‰Male ‰Female
11. Eyes Color 12. Height ( cm or feets ) 13. E-Mail
‰Gray ‰Green ‰Blue ‰Black ‰Brown ‰Hazel
Part 2 Mailing Informatin (to this address your order will be mailed)
14. Surname (last name) 15. Name (first name)

16. Street Address 17. City or Town 18. State or Province (do not abbreviate)

19. Zip or Code Postal 20. Country (do not abbreviate) 21. Home Phone 22. Cell Phone

Part 3 Order Information (payment calculation and options)

A. Select International Drivers License and Options (if require)
‰ IDL Book and Magnetic Stripe Plastic Card +$48 ‰ Additional Magnetic Stripe Plastic Card +$15 ‰ No Magnetic Stripe Plastic Card (booklet only) -$15 
‰ Change Card to Regular (no magnetic strip) -$10 ‰ Additional Regular Plastic Card +$10 ‰ No Hologram Protection Seal for IDL Book -$10


A 1. IDL Validity Years (1 by Default) A 2. Driving Categories (For International Driver's License Only)
‰1 Year ‰3 Years ‰5 Years ‰10 Years ‰A (Motorcicles) ‰B (Regular Cars) ‰C (Trucks) ‰D (Buses) ‰E (Trucks with Trailers)
B. Select Non Governmental ID Card (if require)
‰ Regular Non Governmental ID Card +$23 ‰Add Magnetic Stripe to ID Card +$10 ‰Add Additional ID Card (duplicate) +$15 

B 1. ID Card Validity Years (1 by default) B 2. Fill Non Governmental ID Card Type (country or state)(for ID Card only)
‰1 Year ‰2 Years ‰3 Years (do not abbreviate)
C. Select Mailing Option (mandatory)
‰ Regular Registered/Sertified Mail/all destinations available/(2-4 weeks) +$18 
‰ Domestic Priority Mail/US or Canada only/(2-3 days) +$26 ‰ International Priority Mail/read instruction for available countries/ (7-10 days) +$59 
‰ Domestic Express Mail/US or Canada only/(1-2 days) +$43 ‰ International Express Mail/read instruction for available countries/ (3-5 days) +$73 

Part 3 a Calculate Total Price

Total from section A $_____ + Total from section B $_____ + Total from section C $_____ = Total For Order to Pay $________
Part 4 Attach Photo Picture, Signature and Native Driver's License Copy

Staple or Glue Photo Here

Sign in Angle
Attach a Copy of Your Native Drivers
!!DO NOT SIGN OVER LINE!! Passport Size
License Here
from 1.1/4"x1.3/4" and more
(for IDL mandatory, for ID card optionally)
from 3x4 cm and more

!!DO NOT SEND ORIGINALS!! It will be Printed Digitally

Certification 1. I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete.
2. I agree that I may not drive, anywhere without a valid original Driver's License, and my International Driver's License is not a standalone document. It must be accompanied by original
Driver's License all time of driving.
3. I admit not to use these documents in purpose of breaking or violating the law.
Part 5 Payment and Mailing (read carefully)
A 1. Please make the application clear. If application is filled with errors or incomprehensibly - reprinting fee will apply.
t 2. You must fill ALL fields.
t 3. Please pay exact amount as calculated in Part 3a. If You pay less amount as required, then product will be corrected to cheapest or application will not be processed till full
e payment received.
n 4. NO DISCOUNTS APPLY FOR PRINTABLE APPLICATION!
t 5. If You mail cash please use registered mail only. ALL PRICES IN US (United States of America) DOLLARS. For conversion rates to other currencies PLEASE EMAIL or CALL us.
i IF TOTAL AMOUNT IS NOT PAID IN FULL DUE TO OUR EXCHANGING RATE THEN ORDER WILL NOT BE PROCESSED.
o 6. MAKE CHECKS OR MONEY ORDERS PAYABLE TO: O TARASOVA. Some personal checks might stay on hold up to 30 days till payment is cleared.
n

Select Convenient Address,

Î O TARASOVA O TARASOVA
Cut Proper Address Label,
Stick it to Envelope 1750 THE QUEENSWAY., #3-103 793 CENTER STR., # 186
and Mail to our Office
ETOBICOKE, ON, M9C5H5 LEWISTON, NY, 14092
Your Order will be Shipped on
Next Business Day Upon
Receipt
CANADA USA
Instructions for Form
IW-419
(Rev. June 2012, Letter J)
Application For International Driver's License/ID Card

Purpose of form.

Printable version is provided only for persons who wants to obtain International Driver's License or non-governmental ID Card and has difficulties with
completing application online on our web site http://www.idlid.com. By applying online you help us to provide better and faster service. To avoid
misreading of handwriting and other mistakes, we kindly ask you to apply online (and you can still mail us your personal information such as driver's
license copy and signature sample). Online application has also different options for payments. You can apply online and still mail your checks, money
orders, cash, use western union, if that type of payments more convenient for you.

General instructions.

1. To apply for International driver's license you must have valid national driver's license. You must provide a copy of your native driver's license to us for
order processing.
2.You must fill Your application clear and legible. If application is filled with errors or incomprehensibly - reprinting fee will apply.
3. You must fill ALL fields.
4. You must carefully select product that you order in Part 3 and calculate total in Part 3a. Pay exact amount as calculated in Part 3a. If You pay less
amount as required, then product will be corrected to cheapest or application will not be processed till full payment received.
5. NO DISCOUNTS APPLY FOR PRINTABLE APPLICATION! Pay exact price as printed in application. All discounts available only for online application.
Typing fee applied to printable application.
6. If You mail cash please use registered mail only. We are not responsible for non-delivered envelopes. All prices are in US (United States of America)
dollars. For conversion rates to other currencies PLEASE EMAIL or CALL us. IF TOTAL AMOUNT IS NOT PAID IN FULL DUE TO OUR EXCHANGING
RATE THEN ORDER WILL NOT BE PROCESSED.
7. MAKE CHECKS OR MONEY ORDERS PAYABLE TO: O TARASOVA. Checks with another name on it will not be processed. Some personal checks
might stay on hold up to 30 days till payment is cleared.

Definitions.

Part 1. This is personal information that will be printed on Your International Driver's License or ID Card. Fill first and last name only. It can't be too long. If
it will be too long - it will be corrected. Height may be filled either centimeters or feet with inches.

Part 2. This is the address where your order will be mailed. Double check this address, otherwise your order will be returned to us. We use traceable mail
with signature requirements. So You must provide address where someone stays all the time at home or after receiving notification you must visit postal
outlet to pick up your postage. You can check the status of Your shipment on the website of the carrier you have selected. Tracing information will be e-
mailed to you.

Part 3. If You desire to order International Driver's License, You must select in section A "IDL Book and Magnetic Stripe Plastic Card" and select additions
or substraction to it. If You order IDL - You must fill Subsection A1 and A2.
If You desire to order Non-Governmental ID Card, You must select in section B "Regular Non-Governmental ID Card" and select additions or substraction
to it. If You order Non-Governmental ID Card - You must fill Subsection B1 and B2. In section B2 You must print - what kind of Non-Governmental ID
Card do You require. This may be "state" or "country" ID only. For special id types like "Press ID" or "Native Americans" please contact us. ATTENTION:
we DO NOT make any original documents forgery - do not ask us to forge any native state id, state drivers license, passports or ANY governmental
issued documents. All this requests will be ignored.

Part 4. To complete this part you must attach a copy of your native driver's license if You apply for IDL and staple it to proper place. Without this order will
not be processed. If You apply for Non-Governmental ID Card - this can be copy of any document. If documents copy will not be provided - your Non-
Governmental ID Card will not be online verifiable. You must sign in angle and glue or staple Your photo picture in proper place.

Part 5. You must select best address for mailing from this section, cut mailing label, affix it to envelope by glue or by tape. Make check or money order
payable to: O TARASOVA or make a western union payment. Place your application and payment into an envelope and mail it to us. About western union
payment information please contact us by E-mail: idpoffice@gmail.com

Payment information.

1. Dear US customers. Green postal money orders with sign "Negotiable Only In The U.S. And Possessions" will be mailed for clearing. This process may
takes up to 45 days. Fos fast processing use international money orders or bank checks.

2. Dear European customers. We has no possibility to process any checks in Euros. You can use bank checks in US(United States) dollars, or cash
mailed by registered(certified) letter, or you can send money by western union. If yo has any questions - please contact us.

3. Dear United Kingdom customers. Please do not deface checks by changing pounds to dollars. Defaced checks become invalid and will be destroyed.
You can use bank checks in US(United States) dollars, or cash mailed by registered(certified) letter, or you can send money by western union. If yo have
any questions - please contact us.
 SAMPLE
IDLID Services, http://www.idlid.com Tool free US/Canada: 1-800-608-9594 Other destinations: 1-416-800-8974 idpoffice@gmail.com For Office Use Only

Form IW-419 International Driver's License/ID Card Application

(Rev. June 2012) Î See separate instructions on page 2 and sample on page 3. Î Make a copy for friends.
Letter J Î Previous editions obsolete.
TYPE OR PRINT YOUR INFORMATION IN THE SPACE PROVIDED BELOW EACH ITEM. PRINT CLEARLY!
Part 1 Identification of Drivers License/ID Card Owner (will be printed on card)
1. Surname (last name) 2. Name (first name)
John Smith
3. Street Address 4. City or Town 5. State or Province (do not abbreviate)
11 Main Street Apt 111 Johnville New Jersey
6. Zip or Code Postal 7. Country (do not abbreviate) 8. Date of Birth ( Month - DD - YYYY ) 9. Gender (sex) 10. Country of Birth (do not abbreviate)
23456 United States March 21 1955 x
‰Male ‰Female Mexico
11. Eyes Color 12. Height ( cm or feets ) 13. E-Mail
‰Gray x
‰Green ‰Blue ‰Black ‰Brown ‰Hazel 178 cm myemail@email.com
Part 2 Mailing Informatin (to this address your order will be mailed)
Sarra Smith
14. Surname (last name) 15. Name (first name)

149 Rue De Rome apt 23 Paris Paris

16. Street Address 17. City or Town 18. State or Province (do not abbreviate)

19. Zip or Code Postal 21. Home Phone 22. Cell Phone
75250 France +33-075-256-2562 +33-123-234-4567
20. Country (do not abbreviate)

Part 3 Order Information (payment calculation and options)

A. Select International Drivers License and Options (if require)
x
‰ IDL Book and Magnetic Stripe Plastic Card +$48 x Additional Magnetic Stripe Plastic Card +$15
‰ ‰ No Magnetic Stripe Plastic Card (booklet only) -$15 
‰ Change Card to Regular (no magnetic strip) -$10 ‰ Additional Regular Plastic Card +$10 x No Hologram Protection Seal for IDL Book -$10
‰ 

A 1. IDL Validity Years (1 by Default) A 2. Driving Categories (For International Driver's License Only)
x
‰1 Year ‰3 Years ‰5 Years ‰10 Years ‰A (Motorcicles) x‰B (Regular Cars) ‰C (Trucks) ‰D (Buses) ‰E (Trucks with Trailers)
B. Select Non Governmental ID Card (if require)
x
‰ Regular Non Governmental ID Card +$23 ‰Add Magnetic Stripe to ID Card +$10 ‰Add Additional ID Card (duplicate) +$15 

B 1. ID Card Validity Years (1 by default) B 2. Fill Non Governmental ID Card Type (country or state)(for ID Card only)
x
‰1 Year ‰2 Years ‰3 Years (do not abbreviate) California State
C. Select Mailing Option (mandatory)
x
‰ Regular Registered/Certified Mail/all destinations available/(2-4 weeks) +$18 
‰ Domestic Priority Mail/US or Canada only/(2-3 days) +$26 ‰ International Priority Mail/read instruction for available countries/ (7-10 days) +$59 
‰ Domestic Express Mail/US or Canada only/(1-2 days) +$43 ‰ International Express Mail (3-5 days) +$73 

Part 3 a Calculate Total Price

Total from section A 53
$_____ + Total from section B 23
$_____ + Total from section C 18
$_____ = Total For Order to Pay 94.00 US
$________
Part 4 Attach Photo Picture, Signature and Native Driver's License Copy

Staple or Glue Photo Here

Sign in Angle

!!DO NOT SIGN OVER LINE!! Passport Size

from 1.1/4"x1.3/4" and more
from 3x4 cm and more

It will be Printed Digitally

Sign
Certification 1. I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete.
2. I agree that I may not drive, anywhere without a valid original Driver's License, and my International Driver's License is not a standalone document. It must be accompanied by original
Driver's License all time of driving.
3. I admit not to use these documents in purpose of breaking or violating the law.
Part 5 Payment and Mailing (read carefully)
A 1. Please make the application clear. If application is filled with errors or incomprehensibly - reprinting fee will apply.
t 2. You must fill ALL fields.
t 3. Please pay exact amount as calculated in Part 3a. If You pay less amount as required, then product will be corrected to cheapest or application will not be processed till full
e payment received.
n 4. NO DISCOUNTS APPLY FOR PRINTABLE APPLICATION!
t 5. If You mail cash please use registered mail only. ALL PRICES IN US (United States of America) DOLLARS. For conversion rates to other currencies PLEASE EMAIL or CALL us.
i IF TOTAL AMOUNT IS NOT PAID IN FULL DUE TO OUR EXCHANGING RATE THEN ORDER WILL NOT BE PROCESSED.
o 6. MAKE CHECKS OR MONEY ORDERS PAYABLE TO: O TARASOVA. Some personal checks might stay on hold up to 30 days till payment is cleared.
n

Select Convenient Address,

Î I GILKA
FOR FASTER PROCESSING I GILKA
Cut Proper Address Label,
Stick it to Envelope 3044 BLOOR ST. W., #YOUR
SEND 417 APPLICATION
793 CENTER STR., # 186
and Mail to our Office
TORONTO, ON, M8X2Y8
DIRERCTLY LEWISTON,
TO PRINTING CENTER NY, 14092
Your Order will be Shipped on
Next Business Day Upon
Receipt
CANADA
TO OUR CANADIAN ADDRESS USA