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IdentityOfficial formconditional

Kentucky adult applicant without an established nighttime residence

Official owner Kentucky Transportation Cabinet

Agency attestation and approved mailing-address support for specified standard ID/license tasks.

What problem this helps solve

Agency attestation and approved mailing-address support for specified standard ID/license tasks.

Who completes it: Applicant and attesting shelter/treatment/service organization official.

What this does not prove

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Dated source check

Official destination checked

One-pageRev 07/2026 form read. Free homeless state-ID condition is distinct from temporary-shelter ID and license charges; normalized revision has month precision.

Last checked Sep 30, 2026. A working link does not establish the current edition, suitability, agency acceptance, or service availability.

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Direct document

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Use the official pathway

NOLO's preparation notes summarize the dated sources in this record. Follow the agency's official instructions and current edition when they differ.

1. Check that this route fits

Stage and purpose
Resolve residency evidence for eligible standard credential task
Who completes it
Applicant and attesting shelter/treatment/service organization official.
Jurisdiction
Kentucky
Application mode
Agency-attested paper; In-person credential visit

2. Prepare before starting

  • Find an organization official with authority to attest services/residency.
  • Arrange approved mail receipt and remaining identity documents.

Documents named by the source

  • Birth/identity and Social Security evidence still required.
  • Agency service/residency attestation and organization-approved mailing address.
Fees and fee waivers
Qualifying homeless state ID:$0. Nonhomeless temporary-shelter ID:$11.50; license renewal:$21.50; duplicate:$15. Form states 1.5% debit fee on paid items; confirm office payment rules.
Account
No account requirement stated on this form.
Appointment
UNKNOWN — arrange provider/office assistance.
Signature
Attester signature and date; other applicant application signatures are office-specific.
Third-party certification or assessment
Authorized organization must attest qualifying services/residency.

3. Follow official submission instructions

Read official instructions
  • Present required packet at KYTC regional office

4. Get help or an accommodation

Languages: English source read; other versions UNKNOWN.

Accessibility: External source conformance was not evaluated; request agency assistance for an inaccessible process.

5. Know the supported next step

  • Keep attestation and office receipt; collect credential at approved address.

Restrictions and unresolved details

  • Not valid for initial operator license, initial instruction permit or REAL ID.
  • A listed organization is not proven willing or authorized to attest for a particular person.

Official instructions and the person's notice control; an application is not an eligibility or approval decision.

Fill out the official form

Use these notes alongside the official instructions. Complete your answers on the agency's form.

Document format: PDF with fillable fields. Checked 2026-10-05. Signature support and agency acceptance still need confirmation.

  1. Print the applicant’s full legal name.

    Source and date checked
    FULL LEGAL NAME

    Official source · Checked 2026-10-05

  2. Provide only the last four SSN digits requested by this form.

    Source and date checked
    SSN (last 4 digits only)

    Official source · Checked 2026-10-05

  3. Enter birth date in month/day/year format.

    Source and date checked
    DATE OF BIRTH (mm/dd/yyyy)

    Official source · Checked 2026-10-05

  4. The organization representative prints their name.

    Source and date checked
    Printed Name of Attester

    Official source · Checked 2026-10-05

  5. Enter the Kentucky agency’s name.

    Source and date checked
    Printed Name of Agency

    Official source · Checked 2026-10-05

  6. The agency provides the mailing address it approves for the applicant.

    Source and date checked
    The applicant is approved to receive mail at the following address:

    Official source · Checked 2026-10-05

  7. The agency selects exactly one credential type from the options.

    Source and date checked
    (Check only one.)

    Official source · Checked 2026-10-05

  8. Where payment applies, the agency supplies only the last four card digits requested.

    Source and date checked
    Last 4 Digits of Card

    Official source · Checked 2026-10-05

  9. The attester signs and dates the certification.

    Source and date checked
    ATTESTER SIGNATURE DATE

    Official source · Checked 2026-10-05

Where to submit
Unknown — confirm the current instructions with the agency.
Fees

The form’s state-ID option for a homeless individual is free; other credential options carry printed fees. No blanket free-license claim.

Source and date checked
State ID for homeless individual (Free)

Official source · Checked 2026-10-05

Fee waivers
Unknown — confirm the current instructions with the agency.
Restrictions

Not for an initial operator license, initial instruction permit or REALID.

Source and date checked
NOTE: This form is not for an applicant seeking an initial operator license, an initial instruction permit, or a Real ID.

Official source · Checked 2026-10-05

Continue with your journey

Return to the connected step to decide what to do next. Opening this record does not complete that step or submit an application. If the official route is unavailable, use the assistance options above or browse help in the journey.

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Official title
Kentucky adult applicant without an established nighttime residence
Form number
TC94-199
Program
Homeless or temporary-shelter ID/residency process
Jurisdiction
Kentucky
Revision / edition
Jul 2026
Who completes it
Applicant and attesting shelter/treatment/service organization official.
Signature
Attester signature and date; other applicant application signatures are office-specific.
Submission methods
Present required packet at KYTC regional office
Supporting documents
  • • Birth/identity and Social Security evidence still required.
  • • Agency service/residency attestation and organization-approved mailing address.
Languages
English source read; other versions UNKNOWN.
Accessibility
External source conformance was not evaluated; request agency assistance for an inaccessible process.

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  • • If a page asks for payment unexpectedly, stop and confirm the fee with the agency.

Source note: Official instructions and the person's notice control; an application is not an eligibility or approval decision.

NOLO does not process this form, receive your answers, decide eligibility, or represent the agency. A destination check does not confirm current funding, acceptance, or an outcome.

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